Radial Shockwave Versus Low Level Laser Therapy in Patients With Chronic Piriformis Muscle Syndrome
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Conventional treatment, shockwave therapy, low level laser therapy.
- Who it may be relevant to
- Registry conditions: Extracorporeal Shock Wave, Radial Shock Wave, Low Level Laser, Piriformis Muscle Syndrome. Basic parameters: 30 years — 50 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Radial Extracorporeal Shockwave Versus Low Level Laser Therapy in Management of Patients With Chronic Piriformis Muscle Syndrome
Overview
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.
Detailed 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.
Interventions
- Other Conventional treatment
Physical therapy can be beneficial for patients with piriformis syndrome, including stretching exercises, local massage, and superficial heat. Traditional stretching techniques include external rotation, hip flexion, and adduction. A hot pack on the trigger point area for 10 minutes followed by passive stretching for 30 seconds each. - Device shockwave therapy
Shockwave therapy is a non-invasive alternative treatment for muscle disorders like sports and traumatic injuries, as it reduces pain and promotes soft tissue repair. In a study, patients in group A were treated with three sessions of Storz Medical Shock Wave MP100, each consisting of 2000 pulses with a total energy dose of 1080 mJ / mm. The study aimed to determine the location of the piriformis muscle in the prone position. - Device low level laser therapy
Low Level Laser Therapy, also known as Photo-biomodulation, is a low-intensity light therapy that triggers biochemical changes within cells, similar to photosynthesis in plants. It can treat nociceptive and neuropathic pain, but central pain has not been proven responsive to low level laser therapy.
Primary outcome measures
- Assessing the change of body mass index [Time frame: at baseline and after 6 weeks]
- assessing the change of pain intensity [Time frame: at baseline and after 6 weeks]
Secondary outcome measures (3)
- assessing the change of functional status [Time frame: at baseline and after 6 weeks]
- assessing the change of range of motion of lower limb [Time frame: at baseline and after 6 weeks]
- assessing the change of piriformis muscle thickness [Time frame: at baseline and after 6 weeks]
Eligibility criteria
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.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- out-patient clinic in physiotherapy department at EL KATEB Hospital — Giza
Identifiers
NCT: NCT06762197 · Mohamed-004968