Piriformis Syndrome a neuromuscular condition characterized by compression or irritation of the sciatic nerve by the piriformis muscle, leading to pain, numbness, or tingling in the buttock and along the path of the sciatic nerve down the leg. Piriformis Syndrome, Sciatic Nerve, Magnetic Stimulation Therapy, Neuromuscular Diseases, Pain Management, Randomized Controlled Trial, Rehabilitation, Low Back Pain, Physical Therapy Modalities, Non-Invasive Treatment
Conditions
Interventions
rPMS and Rehabilitation standard protocol for pirifiromis syndrome which include stretching and strengthening muscle around hips,Rehabilitation standard protocol for pirifiromis syndrome which include
rPMS + conventional rehabiliation,Sham + conventional rehabiliation
Sponsors
Ramathibodi hospital, Mahidol university
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1 Patients were diagnosis of piriformis syndrome based on any of clinical diagnostic criteria including Pace sign, Freiberg sign, or FAIR test 2 Visual Analogue Scale (VAS) at least 5 3 Duration of symptoms at least 3 months 4 Minimum age of 18 years 5 Medically stable
Exclusion criteria
Exclusion criteria: 1 Patients with contraindication for magnetic stimulation; cardiac pacemakers, magnetic materials near the intended stimulation site 2 Patients with pregnancy 3 Patients with evidence of lumbar discopathy on magnetic resonance imaging or electrodiagnostic study, signs of coxopathy, mechanical or inflammatory disorders of the sacroiliac joint, any inflammatory or infectious pelvic disorder. 4 Patients with history of lumbar surgery, history of lumbar epidural block within 6 months prior to study. 5 Patients suspected of having lumbosacral radiculopathy will undergo an electrodiagnostic test. If the test confirms lumbosacral radiculopathy, they will be excluded. 6 Patients with unstable vital signs
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual Analog Scale (VAS) Baseline, immediately after the final treatment session, and at 2, 4 week follow-up after last session 10-centimeter Visual Analog Scale (VAS), where participants mark their pain level on a horizontal line ranging from no pain to worst imaginable pain. | — |
Secondary
| Measure | Time frame |
|---|---|
| Oswestry Disability Index (ODI) Baseline and at 2, 4 week follow-up after last session 10 sections that assess the degree of disability related to back pain. Each section is scored from 0 to 5, with total scores converted to a percentage; higher scores indicate greater disability.,36-Item Short Form Survey (SF-36) Baseline and at 2, 4 week follow-up after last session a validated tool measuring overall health status across 8 domains. The result, on an individual scale, was expressed as a standardized value for each dimension, ranging from 0 to 100 | — |
Countries
Thailand
Contacts
Public ContactPipat Puengseangdee
Faculty of Rehabilitation, Ramathibodi Hospital, Mahidol University
Outcome results
None listed