This study aims to compare the effectiveness of two popular therapeutic interventions, dry needling and cupping therapy, in alleviating pain associated with Piriformis Syndrome. Piriformis Syndrome is a neuromuscular disorder caused by the compression or irritation of the sciatic nerve by the piriformis muscle, leading to buttock pain and radiating numbness.

The study will recruit participants diagnosed with Piriformis Syndrome and will randomly assign them to receive either dry needling or cupping therapy over a specific period. The primary outcome will be the reduction in pain intensity measured by standardized pain assessment tools. Secondary outcomes will include improvements in functional mobility and quality of life. By analyzing the efficacy and patient-reported outcomes of both therapies, the study aims to provide evidence-based recommendations for clinicians treating Piriformis Syndrome.

Inclusion Criteria:

• Adults aged between 18 to 65 years.
• Diagnosed with piriformis syndrome.
• Experiencing chronic pain for at least 3 months.
• Willingness to comply with the study protocol and attend all therapy sessions.

Exclusion Criteria:

• Recent surgery on the lower back or hip.
• Presence of systemic diseases affecting muscle function (e.g., multiple sclerosis, rheumatoid arthritis).
• Pregnant or breastfeeding women.
• Use of anticoagulant medication or having a bleeding disorder.
• Participating in another clinical trial simultaneously