Radial Shockwave Versus Low Level Laser Therapy in Patients With Chronic Piriformis Muscle Syndrome

Cairo University (CU)

Status: Not yet enrolling

Conditions: Piriformis Muscle Syndrome; Radial Shock Wave; Low Level Laser; Extracorporeal Shock Wave

Treatments: Other: Conventional treatment; Device: shockwave therapy; Device: low level laser therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06762197

Mohamed-004968

Details and patient eligibility

About

The study aims to compare the effects of radiation shockwave and low-level laser therapy on piriformis muscle thickness, lower extremity function, pain intensity, and hip range of motion in patients with piriformis syndrome.

Full description

Low back pain affects 75%-84% of the general population in developed countries, with piriformis syndrome being more common in women. piriformis syndrome is a neuromuscular disorder caused by the compression of the sciatic nerve in the infra-piriformis canal, causing sciatic pain, tingling, and numbness. Few studies have examined the effectiveness of shockwave therapy in treating piriformis syndrome, but this study aims to compare results to improve treatment outcomes, save time and money, and add value to physical therapy.

Enrollment: 63 estimated patients

Sex: All

Ages: 30 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Sixty patients' males and females with piriformis syndrome

  • Their age will range from 30-50 years old
  • Body mass index will be 25 to 30 (kg/m²).

• Both males and females.

• Low back pain radiating to posterior thigh, calf and Foot.

• Chronic piriformis syndrome due to micro trauma.

• Gluteal pain with or without radiation through sciatic nerve pathway.

• Faber test and Fair test and Beatty test positive.

• Diagnosed sub-acute and chronic piriformis syndrome.

• One-sided piriformis syndrome.

• Tenderness over lower back, buttocks and hip joint.

Exclusion criteria

• Piriformis syndrome due to macro trauma.

• Lumbo-sacral disc lesion and spinal stenosis.
• Lumbar spondylolisthesis.
• Pregnancy
• Recent fracture and surgery of spine, hip, knee and Ankle.
• Baker's cyst.
• Degenerative disease of spine and hip.
• Intermittent vascular claudication.
• Past history of vertebral fracture and spinal surgery
• Spinal tuberculosis.
• Rheumatoid disease.
• Disc pathology and mechanical back pain.
• Presence of malignant disease.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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63 participants in 3 patient groups

conventional program

Active Comparator group

Description:

twenty one patients of chronic piriformis muscle syndrome will be treated by the conventional physical therapy program in the form of (hot packs, local massage and stretching exercise) for 6 weeks (two times per week).

Treatment:

Other: Conventional treatment

Radial Extracorporeal shock wave

Experimental group

Description:

twenty one patients of chronic piriformis muscle syndrome will be treated with Radial Extracorporeal shock wave in addition to the conventional physical therapy program in the form of (hot packs, local massage and stretching exercise) for 6 weeks (two times per week).

Treatment:

Device: shockwave therapy

Other: Conventional treatment

low level laser therapy

Experimental group

Description:

twenty one patients of chronic piriformis muscle syndrome will be treated with low level laser therapy in addition to the conventional physical therapy program in the form of (hot packs, local massage and stretching exercise) for 6 weeks (two times per week).

Treatment:

Device: low level laser therapy

Other: Conventional treatment