Soft Tissue Techniques in Piriformis Syndrome
Piriformis Syndrome
About this trial
This is an interventional treatment trial for Piriformis Syndrome
Eligibility Criteria
Inclusion Criteria:
- Chronic pain in the buttock and hip area
- Tenderness to palpation over the sciatic notch
- Positive FABER (flexion, abduction, external rotation),FAIR (flexion, adduction, internal rotation) maneuvers.
Exclusion Criteria:
- Malignancies
- History of steroid therapy
- Rheumatoid arthritis/ Osteoarthritis
- Pain medications/ muscle relaxants
- Osteoporosis
- Fracture of femur and hip joint dislocation
Sites / Locations
- Shifa International Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Active release technique alongwith conventional treatment
Post isometric relaxation alongwith conventional treatment
Patients in Group A will receive active release technique. ART will be applied with patient in prone lying, knee flexed at 90. The therapist will place his elbow tip on taut band of piriformis and direct pressure is applied, patient is then asked to do internal rotation of hip, in order to achieve lengthening of the muscle. This will be repeated 5-7 times(22).
Patients in group B will receive post isometric relaxation technique. Patient lying in supine position, with the treated leg is placed into flexion at the hip and knee, so that the foot rests on the table lateral to the contra lateral knee (the leg on the side to be treated is crossed over the other). Therapist places one hand on the contra lateral ASIS to prevent pelvic motion, while the other hand is placed against the lateral flexed knee as this is pushed into resisted abduction to contract piriformis (PIR MET). The starting position will be the 1st sign of resistance towards end range. Therapist Force will be same as patient's force. Initial effort is approximately 20% of patient's strength. Duration of contraction is 7-10 seconds with three repetitions(32)