Piriformis Syndrome; Extracorporeal Shock Wave Therapy and Dry Needling

Comparison of the Efficacy of ESWT and Dry Needling Treatments in the Management of Piriformis Syndrome; A Randomized Study

This study is being conducted on patients with piriformis syndrome. Patients are divided into two groups by list randomization method: Extracorporeal shock wave therapy (ESWT) group and Dry neddling (DN) group. Both groups of patients agreed to perform basic stretching exercises. The ESWT group received 3 sessions of radial ESWT, 1 session per week. The DN group received 3 sessions of ultrasound-guided needling, 1 session per week. Clinical evaluations of the participants were performed at the beginning of treatment, 1 month, and 3 months after treatment.

Inclusion Criteria:

• >18 years
• Complaint for more than 3 months

Exclusion Criteria:

• disc pathologies according to radiological imaging
• hip joint and soft tissue pathologies
• recent history of trauma, history of surgery in the lumbar and hip region
• history of rheumatologic disease
• history of polyneuropathy
• history of sciatic nerve injury
• history of malignancy
• opioid analgesia or corticosteroid intervention for pain in the last month
• patients receive another treatment during the study
• Having a contraindication for DN treatment or ESWT treatment