Piriformis Syndrome; Extracorporeal Shock Wave Therapy and Dry Needling

Not Applicable

Completed

• Conditions: Piriformis Syndrome; Extracorporeal Shock Wave Therapy
• Interventions: Other: Dry needling+stretching exercises; Other: ESWT+stretching exercises

• Registration Number: NCT06530862
• Lead Sponsor: Istanbul Training and Research Hospital

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2024-02-03
• Study First Submitted: 2024-07-27
• Study First Submitted QC: 2024-07-27
• Study First Posted: 2024-07-31
• Status Verified: 2024-08
• Primary Completion: 2024-08-23
• Study Completion: 2024-08-23
• Last Update Submitted: 2024-08-28
• Last Update Posted: 2024-08-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 44

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Dry needling	Dry needling+stretching exercises	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.
ESWT group	ESWT+stretching exercises	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.

Primary Outcome Measures

Name	Time	Method
Visual analog scale (VAS) score	7 months	Pain was evaluated with a Visual analog scale (VAS) score
Lower extremity functiunal scale (LEFS)	7 months	Pain was evaluated with a Lower extremity functiunal scale (LEFS (minimum=0, maximum=80)) The higher the score, the better the result
Oswestry disability index (ODI)	7 months	Pain was evaluated with a Oswestry disability index (ODI (minimum=0, maximum=60))The lower the score the better the result

Trial Locations

Locations (1)

Burak Tayyip Dede; 🇹🇷 Istanbul, Turkey