Year: 2025 | Month: November | Volume: 15 | Issue: 11 | Pages: 53-59
DOI: https://doi.org/10.52403/ijhsr.20251108
Effect of Ultrasound and Piriformis Stretching in Reducing Pain and Improving Functional Activities in Patients with Piriformis Syndrome: A Randomised Controlled Trial
Rama Krishna Sai Aremanda1, Gireeshma Mallavarapu2, Nava Tejaswi Gaddam3, Roshni Shanavas Syed4, Lakshmi Alekhya Dasari5, Harsha Sri Vidya Mandali6
1,2,3Graduates, Department of Physiotherapy, SIMS College of Physiotherapy, Dr NTR University of Health Science, Guntur, India.
4,6Assistant Professor, Department of Physiotherapy, SIMS College of Physiotherapy, Dr NTR University of Health Science, Guntur, India.
5Professor, Department of Physiotherapy, SIMS College of Physiotherapy, Dr NTR University of Health Science, Guntur, India.
Corresponding Author: Rama Krishna Sai Aremanda
ABSTRACT
Objective: Piriformis syndrome is a neuromuscular disorder that occurs when the piriformis muscle compresses or otherwise irritates the sciatic nerve, eliciting pain, tingling and numbness in the buttock region. In piriformis syndrome, a spasming piriformis muscle leads to compression of the sciatic nerve, which limits a person's ability to perform day-to-day activities due to pain and tingling/numbness. The Undiagnosed Somatic Dysfunction turns into long-term dysfunction and can lead to more complex neuromuscular impairments and muscle weakness. This study aims to determine the effectiveness of combining ultrasound therapy with piriformis stretching as a physiotherapy
Material and Methods: The total number of subjects in the present study was 30, and all met the requirements for diagnosis of piriformis syndrome. 15 subjects were assigned to Group A, which received a diathermy and stretching intervention. 15 subjects in Group B received no treatment. Group A pre- and post-intervention data will be obtained during the 12-week session.
Results: Based on the analysis using the Likert scale and lower extremity functional scale in Group A and Group B, Group A showed an extreme statistical significance with a p-value < 0.0001.
Conclusion: Both ultrasound and piriformis stretching are efficient in decreasing pain and disability, increasing muscle stretching and improving ROM of the hip joint in piriformis syndrome
Key words: ultrasound, stretching therapy, piriformis syndrome, Likert scale, lower extremity functional scale.