Effect of Ultrasound-guided Piriformis Muscle Corticosteroid Injection

Status Completed

Clinical Trial Summary

In this study, the investigators aim to compare the effect of extracorporeal shockwave therapy with ultrasound-guided piriformis coticosteroid injection in treatment of PS.

Clinical Trial Description

Piriformis syndrome (PS) is one of the common etiology of low back pain. The cause of PS is due to myofascial syndrome of piriformis muscle, leading to piriformis muscle spasm, string-like taut band, and trigger point. Consequently, it may compresses the sciatic nerve which arise from sciatic notch and passes under the piriformis muscle. Conservative treatment of PS includes therapeutic exercise, diathermy, and local steroid injection. Among them, as radiology techniques advance, ultrasound-guided piriformis injection becomes popular for diagnosis block and treatment. Nowadays, extracorporeal shockwave therapy has widely applied in musculoskeletal disease such as plantar fasciitis, tennis elbow, and calcific tendinitis of the shoulder. However, to the investigators best knowledge, there is no study comparing the therapeutic effect between local steroid injection and shockwave. In this study, the investigators aim to compare the effect of extracorporeal shockwave therapy with ultrasound-guided piriformis corticosteroid injection. This is a randomized controlled trial. 70 participants will be randomly divided into shockwave group and injection group. The participant in the shockwave group will receive one time extracorporeal shockwave therapy, and injection group will receive one time ultrasound-guided piriformis muscle corticosteroid injection. After the intervention, participant in both groups will receive home-based stretch exercise. Evaluation will be performed at baseline, 1 week, and 5 weeks after intervention. Outcome measures include the pain visual analog scale (VAS), hip range of motion, change of pressure pain threshold, and Oswestry Disability Index (ODI). ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT04684537
Study type	Interventional
Source	Shin Kong Wu Ho-Su Memorial Hospital
Contact
Status	Completed
Phase	N/A
Start date	January 1, 2021
Completion date	December 31, 2022

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT04387877` - Graston Technique in Deep Gluteal Syndrome	N/A
Recruiting	`NCT06130618` - The Effects of Ultrasound Guided Ozone and Lidocaine Injections in Piriformis Syndrome	N/A
Completed	`NCT05680402` - Effects of Soft Tissue Mobilization Technique and Piriformis Muscle Stretching Among Patients Having Piriformis Syndrome	N/A
Completed	`NCT04603703` - Sacroiliac Joint Manipulation Effect in Chronic Piriformis Syndrome.	N/A
Recruiting	`NCT05023005` - Strain-Counterstrain Treatment of Piriformis Pain	N/A
Completed	`NCT01752179` - Kinesio Taping Technique and Trigger Point	N/A
Completed	`NCT05848063` - Effects of Global Hip Versus Isolated Abductors Strengthening Exercises in Patients Withsecondary Piriformis Syndrome	N/A
Completed	`NCT05271071` - The Importance of Gluteus Maximus Muscle in Patients With Preliminary Diagnosis of Piriformis Syndrome	N/A
Completed	`NCT04842656` - Soft Tissue Techniques in Piriformis Syndrome	N/A
Not yet recruiting	`NCT05404607` - Effects of Fascial Distortion Model With and Without Neuromuscular Inhibition in Patients With Piriformis Syndrome	N/A
Not yet recruiting	`NCT05882799` - Ultrasound-guided vs. Blinded Dry Needling for Piriformis Syndrome	N/A
Recruiting	`NCT06102733` - Chronic Pelvic Pain in Females and Males
Not yet recruiting	`NCT05392933` - Investigation of the Presence of Piriformis Syndrome Accompanying Lumbar Radiculopathy	N/A
Completed	`NCT04588779` - Graston vs Manual Myofascial Release Technique in Piriformis Syndrome.	N/A
Completed	`NCT05742633` - Comparative Effect of Active Release Technique Versus Self-myofascial Release in Improving Piriformis Syndrome	N/A
Completed	`NCT05370378` - Effects of Hold Relax With Agonist Contraction and Active Release Therapy on Clinical Outcomes in Piriformis Syndrome	N/A
Recruiting	`NCT05915858` - Muscle Energy Technique and Stretching Exercise in Working Pregnant Women With Piriformis Syndrome	N/A

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.

Effect of Ultrasound-guided Piriformis Muscle Corticosteroid Injection Versus Extracorporeal Shock Wave Therapy for Piriformis Syndrome: a Randomized Control Trial

Clinical Trial Summary

Clinical Trial Description

Study Design

Related Conditions & MeSH terms