Little needle-scalpel for piriformis syndrome

Zhu, Qingyuan; Zhu, Siyuan; Xiong, Jun; Lu, Lunbin; Zhong, Zhiying; Tang, Genhua

doi:10.1097/md.0000000000025242

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…Piriformis Muscle Syndrome (PMS) is a neuromuscular condition characterized by restricted hip joint mobility, buttock soreness, tenderness, and numbness that extends to the back of the leg (1). Annually, approximately 2.4 million cases of piriformis syndrome are reported (2), with symptoms primarily arising from the compression or irritation of the sciatic nerve (3). The underlying causes of PMS include inflammation, trauma, hypertrophy of the piriformis muscle, anatomical variations in the sciatic nerve or piriformis muscle, and myofascial trigger points, which are particularly prevalent (4).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Dry Needling versus Cupping Therapy for Pain in Piriformis Syndrome

Shahzad,

Waqas Ashraf Chaudhary,

Muhammad Imran Baig

et al. 2024

JHRR

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Background: Piriformis syndrome is characterized by discomfort in the buttocks and throughout the course of the sciatic nerve. Dry needling modulates pain perception, disrupts pain signaling pathways, and induces local tissue responses. Cupping therapy facilitates localized blood flow, lymphatic drainage, and tissue oxygenation to alleviate muscular tension and improve circulation. Both interventions have shown promise in improving symptoms of piriformis syndrome. Objective: The purpose of this study was to evaluate the efficacy of dry needling versus cupping therapy in managing piriformis pain syndrome. Methods: This experimental study was conducted at Chaudhary Muhammad Akram Teaching and Research Hospital, Lahore, from October 2023 to May 2024. Eighty participants diagnosed with piriformis syndrome, aged between 18 and 65 years, were randomly assigned to one of two groups: Group A (dry needling) and Group B (cupping therapy). Exclusion criteria included pregnancy and previous surgical interventions for piriformis syndrome. Both groups received their respective treatments three times a week for six weeks. Pain intensity was measured using the Visual Analogue Scale (VAS), disability was assessed with the Oswestry Disability Index (ODI), and quality of life was evaluated using a standardized questionnaire. Data were analyzed using SPSS version 25, with paired sample t-tests used for within-group comparisons and independent sample t-tests for between-group comparisons. Statistical significance was set at p < 0.05. Results: In the dry needling group, the mean VAS score decreased from 6.216 ± 1.931 to 3.432 ± 0.987 (p < 0.001), while the cupping therapy group saw a reduction from 6.108 ± 2.195 to 4.189 ± 1.697 (p < 0.001). The mean ODI score in the dry needling group decreased from 27.432 ± 7.617 to 10.054 ± 3.036 (p < 0.001), and in the cupping therapy group from 26.270 ± 7.209 to 12.918 ± 7.495 (p < 0.001). Quality of life scores improved significantly in both groups, with the dry needling group showing a mean reduction from 12.702 ± 3.673 to 7.270 ± 1.627 (p < 0.001), and the cupping therapy group from 13.027 ± 3.523 to 8.270 ± 1.609 (p < 0.001). Conclusion: Both dry needling and cupping therapy are effective interventions for managing piriformis pain syndrome, with dry needling showing greater improvements in pain reduction, disability reduction, and quality of life. These findings support the use of dry needling as a preferred therapeutic option for piriformis syndrome.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Dry Needling versus Cupping Therapy for Pain in Piriformis Syndrome

Shahzad,

Waqas Ashraf Chaudhary,

Muhammad Imran Baig

et al. 2024

JHRR

View full text Add to dashboard Cite

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“…In clinical practice, PS is mainly treated with anti-inflammatory, antipyretic and analgesic drugs such as diclofenac sodium or ibuprofen, but their efficacy is not satisfactory and they are often accompanied by certain side effects and gastrointestinal adverse reactions. 6 Therefore, there is an urgent need to find alternative therapies, especially traditional Chinese medicine therapies.…”

Section: Introductionmentioning

confidence: 99%

Acupuncture Methods for Piriformis Syndrome: A Protocol for Systematic Review and Network Meta-Analysis

He¹,

Miao²,

Fan³

et al. 2023

JPR

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Background Piriformis syndrome (PS) is a common disease that is difficult to clinically treat, which seriously affects people’s health and living quality. Multiple clinical studies have demonstrated that acupuncture therapy is an effective treatment for PS, but the optimal method of various acupuncture methods has remained unknown. The aim of this study protocol is to compare the efficacy and the safety of different acupuncture methods for PS. Methods We will search seven electronic bibliographic databases (PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure, Wanfang Database, Chinese Biomedical Literature Database, and Chongqing VIP Database) from inception to June 2023. Randomized controlled trials (RCTs) will be selected for assessing the effectiveness of acupuncture therapy on PS. Primary outcome measure for this study is pain intensity, and the secondary outcomes are clinical symptoms and signs, physical activity, effective rate, and adverse events. Study selection, data extraction, and risk of bias assessment will be independently completed by at least two reviewers. Then, standard pairwise meta-analysis and network meta-analysis will be conducted using Revman 5.3, Stata V.15.1 and OpenBUGS V.3.2.3. The heterogeneity will be explored by subgroup, meta-regression, and sensitivity analysis, if applicable. Finally, Grading of Recommendations, Assessment, Development and Evaluation (GRADE) pro system will be used to evaluate the quality of evidence. Results Our systematic review and network meta-analysis will identify the best acupuncture treatment method for PS patients. Conclusion The results of our review will help decision-makers make educated choices regarding evidence-based acupuncture management options for PS. Prospero Registration Number No. CRD42022335028.

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“…However, the effectiveness of these treatments is often suboptimal and they may be associated with undesirable side effects and gastrointestinal complications. 9 Hence, there exists a pressing necessity to explore alternative therapeutic modalities, particularly those rooted in traditional Chinese medicine.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Acupoint Selection and Combinations in Acupuncture Treatment of Piriformis Syndrome: A Protocol for Data Mining

He,

Miao,

Fan

et al. 2023

JPR

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Background: Piriformis syndrome (PS) is a neuromuscular condition characterized by discomfort in the gluteal region. The efficacy of acupuncture as a treatment modality for PS has been substantiated through a multitude of clinical trials. However, certain queries persist, such as the optimal approach for identifying the most efficacious acupoints. The objective of this study is to perform an initial data mining analysis aimed at identifying the optimal acupoint selection and combinations for the treatment of PS. Methods: We will search 7 electronic bibliographic databases (PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure, Wanfang Database, Chinese Biomedical Literature Database and Chongqing VIP Database) from inception to June 2023. We will select clinical trials that evaluate the efficacy of acupuncture therapy in the management of PS. Exclusions will be made for reviews, protocols, animal trials, case reports, systematic reviews, and meta-analyses. The primary outcome measure will be clinical outcomes associated with PS. Descriptive statistics will be performed in Excel 2019. Association rule analysis will be performed in SPSS Modeler 18.0. Exploratory factor analysis and cluster analysis will be performed in SPSS Statistics 26.0. Results: This study will investigate the most effective acupoint selection and combinations for patients with PS. Conclusion: Our findings will provide evidence for the effectiveness and potential treatment prescriptions of acupoint application for patients with PS, helping clinicians and patients make a more informed decision together.

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Little needle-scalpel for piriformis syndrome

Cited by 4 publications

References 10 publications

Effectiveness of Dry Needling versus Cupping Therapy for Pain in Piriformis Syndrome

Effectiveness of Dry Needling versus Cupping Therapy for Pain in Piriformis Syndrome

Acupuncture Methods for Piriformis Syndrome: A Protocol for Systematic Review and Network Meta-Analysis

Analysis of Acupoint Selection and Combinations in Acupuncture Treatment of Piriformis Syndrome: A Protocol for Data Mining

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