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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ESWT group | Active Comparator | Patients in this group received three sessions of ESWT at an energy density of 4 bars and a frequency of 2,000 shocks/min at 5 Hz for three weeks, each session once a week. |
|
| Dry needling | Active Comparator | The piriformis muscle of the patients in the group will be dry needled with 0.6*80 mm acupuncture needles under ultrasound guidance for 3 sessions at one week intervals. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ESWT+stretching exercises | Other | Participants in this group will receive ESWT treatment |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Visual analog scale (VAS) score | Pain was evaluated with a Visual analog scale (VAS) score | 7 months |
| Lower extremity functiunal scale (LEFS) | Pain was evaluated with a Lower extremity functiunal scale (LEFS (minimum=0, maximum=80)) The higher the score, the better the result | 7 months |
| Oswestry disability index (ODI) | Pain was evaluated with a Oswestry disability index (ODI (minimum=0, maximum=60))The lower the score the better the result | 7 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Burak Tayyip Dede | Istanbul | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D055958 | Piriformis Muscle Syndrome |
| ID | Term |
|---|---|
| D020426 | Sciatic Neuropathy |
| D020422 | Mononeuropathies |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
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Participants will be randomly divided into 2 groups and will be treated with ESWT or Dry needling
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| Dry needling+stretching exercises |
| Other |
Participants in this group will receive Dry needling treatment |
|
| D009422 | Nervous System Diseases |
| D009408 | Nerve Compression Syndromes |
| D009437 | Neuralgia |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D017699 | Pelvic Pain |