Comparison of Ultrasound-guided Steroid Injection and Dry Needling in Piriformis Muscle Syndrome

NCT ID: NCT06095180

Last Updated: 2023-10-23

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-11-28
• Study Completion Date: 2024-08-26

Brief Summary

The aim of this study is to to compare its effectiveness ultrasound-guided steroid injection, dry needling treatments and exercises in patients diagnosed with piriformis syndrome.

Detailed Description

Piriformis syndrome is a painful entrapment neuropathy caused by compression of the sciatic nerve under the piriformis muscle. The most common cause is myofascial pain syndrome. There is no gold standard treatment for piriformis syndrome. The main purpose of treatment methods is to reduce local pain, muscle tension and spasm. This work; it will contribute to the literature by comparing steroid, dry needling and exercise treatments in patients with piriformis syndrome.

Conditions

Piriformis Muscle Syndrome

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

corticosteroid group

In the steroid group, 4 mL lidocaine 2% + 1 mL betamethasone injection will be administered under ultrasound guidance and conventional treatment will be given (conventional treatment includes piriformis stretching exercises. It will be stated that patients should do 2 sets a day and each set should be 10 repetition)

Group Type: ACTIVE_COMPARATOR

corticosteroid injection

Intervention Type: OTHER

In the steroid group, 4 mL lidocaine 2% + 1 mL betamethasone injection will be administered under ultrasound guidance and conventional treatment will be given (conventional treatment includes piriformis stretching exercises. It will be stated that patients should do 2 sets a day and each set should be 10 repetition)

dry needling group

In the dry needling group, a total of 3 sessions of dry needling will be performed once a week using a 0.60×100 mm sterile needle under ultrasound guidance and conventional treatment will be given ((conventional treatment includes piriformis stretching exercises. It will be stated that patients should do 2 sets a day and each set should be 10 repetition)

Group Type: ACTIVE_COMPARATOR

dry needling

Intervention Type: OTHER

In the dry needling group, a total of 3 sessions of dry needling will be performed once a week using a 0.60×100 mm sterile needle under ultrasound guidance and conventional treatment will be given ((conventional treatment includes piriformis stretching exercises. It will be stated that patients should do 2 sets a day and each set should be 10 repetition)

control group

The conventional treatment group (control group) will be given piriformis stretching exercises including hip and knee flexion, hip abduction and external rotation in the supine position. It will be stated that patients should do 2 sets a day and each set should be 10 repetitions.

Group Type: OTHER

exercise

Intervention Type: OTHER

The conventional treatment group (control group) will be given piriformis stretching exercises including hip and knee flexion, hip abduction and external rotation in the supine position. It will be stated that patients should do 2 sets a day and each set should be 10 repetitions.

Interventions

corticosteroid injection

In the steroid group, 4 mL lidocaine 2% + 1 mL betamethasone injection will be administered under ultrasound guidance and conventional treatment will be given (conventional treatment includes piriformis stretching exercises. It will be stated that patients should do 2 sets a day and each set should be 10 repetition)

Intervention Type: OTHER

dry needling

In the dry needling group, a total of 3 sessions of dry needling will be performed once a week using a 0.60×100 mm sterile needle under ultrasound guidance and conventional treatment will be given ((conventional treatment includes piriformis stretching exercises. It will be stated that patients should do 2 sets a day and each set should be 10 repetition)

Intervention Type: OTHER

exercise

The conventional treatment group (control group) will be given piriformis stretching exercises including hip and knee flexion, hip abduction and external rotation in the supine position. It will be stated that patients should do 2 sets a day and each set should be 10 repetitions.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. Age between 18-60,

2. Hip pain for ≥1 month

3. Local piriformis pain with prolonged sitting (>20 minutes) and increased sensitivity

4. Patients with suspected piriformis syndrome based on clinical maneuvers

5. Signing and informed consent from showing consent to participate in the study

Exclusion Criteria

1. Hip surgery

2. Lumbar disc disease

3. History of inflammatory hip disease

4. Medical treatment for pain is started

5. Neurological deficit

6. Breastfeeding or pregnant

7. Allergy to local anesthetic

8. Use of anticoagulants

9. Body mass index >35

10. Active psychiatric illness

11. Uncontrolled hypertension and diabetes mellitus disease

12. Noncompensated chronic lung/heart/renal failure

13. History of vascular/tumoral disease

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Gaziler Physical Medicine and Rehabilitation Education and Research Hospital

OTHER

Sponsor Role: lead

Responsible Party

Yasin Demir

Associate Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Ayşenur Şimşek Yağlıoğlu, MD

Role: PRINCIPAL_INVESTIGATOR

Ankara Gaziler Physical Medicine and Rehabilitation Education and Research Hospital

Central Contacts

Ayşenur Şimşek Yağlıoğlu, MD

Role: CONTACT

aysenursimsek33@gmail.com

+903122912444

Other Identifiers

41

Identifier Type: -

Identifier Source: org_study_id