Clinical trial NCT06762197: Radial Shockwave Versus Low Level Laser Therapy in Patients With Chronic Piriformis Muscle Syndrome
Official title: Radial Extracorporeal Shockwave Versus Low Level Laser Therapy in Management of Patients With Chronic Piriformis Muscle Syndrome
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Extracorporeal Shock Wave
Radial Shock Wave
Low Level Laser
Piriformis Muscle Syndrome
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2025-01-07
Enrollment: 63
Sex: ALL
Minimum age (years): 30
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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.

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.

Primary outcomes:
measure: Assessing the change of body mass index
timeFrame: at baseline and after 6 weeks
measure: assessing the change of pain intensity
timeFrame: at baseline and after 6 weeks
Secondary outcomes:
measure: assessing the change of functional status
timeFrame: at baseline and after 6 weeks
measure: assessing the change of range of motion of lower limb
timeFrame: at baseline and after 6 weeks
measure: assessing the change of piriformis muscle thickness
timeFrame: at baseline and after 6 weeks
Other outcomes:
Locations:
city: Giza
country: Egypt
facility: out-patient clinic in physiotherapy department at EL KATEB Hospital
Study officials:
References: