Piriformis Syndrome; Extracorporeal Shock Wave Therapy and Dry Needling

Istanbul Training and Research Hospital

Status: Completed

Conditions: Piriformis Syndrome; Extracorporeal Shock Wave Therapy

Treatments: Other: Dry needling+stretching exercises; Other: ESWT+stretching exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT06530862

22/12/2023 2011-KAEK-50;347;

Details and patient eligibility

About

This study is being conducted on patients with piriformis syndrome. Patients are divided into two groups by list randomization method: Extracorporeal shock wave therapy (ESWT) group and Dry neddling (DN) group. Both groups of patients agreed to perform basic stretching exercises. The ESWT group received 3 sessions of radial ESWT, 1 session per week. The DN group received 3 sessions of ultrasound-guided needling, 1 session per week. Clinical evaluations of the participants were performed at the beginning of treatment, 1 month, and 3 months after treatment.

Enrollment: 44 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• >18 years
• Complaint for more than 3 months

Exclusion criteria

• disc pathologies according to radiological imaging
• hip joint and soft tissue pathologies
• recent history of trauma, history of surgery in the lumbar and hip region
• history of rheumatologic disease
• history of polyneuropathy
• history of sciatic nerve injury
• history of malignancy
• opioid analgesia or corticosteroid intervention for pain in the last month
• patients receive another treatment during the study
• Having a contraindication for DN treatment or ESWT treatment

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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44 participants in 2 patient groups

ESWT group

Active Comparator group

Description:

Patients in this group received three sessions of ESWT at an energy density of 4 bars and a frequency of 2,000 shocks/min at 5 Hz for three weeks, each session once a week.

Treatment:

Other: ESWT+stretching exercises

Dry needling

Active Comparator group

Description:

The piriformis muscle of the patients in the group will be dry needled with 0.6\*80 mm acupuncture needles under ultrasound guidance for 3 sessions at one week intervals.

Treatment:

Other: Dry needling+stretching exercises