Ultrasound-guided Dry Needling Treatment of Myofascial Trigger Points for Piriformis Syndrome Management: A Case Series

Fusco, Pierfrancesco; Carlo, Stefano Di; Scimia, Paolo; Degan, Giulia; Petrucci, Emiliano; Marinangeli, Franco

doi:10.1016/j.jcm.2018.04.002

Cited by 29 publications

(27 citation statements)

References 5 publications

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“…This study showed that ultrasound‐guided DN is an effective therapeutic approach for pain management in PMS patients. This finding is consistent with a previous case series showing that sono‐guided DN had a good effect on the decrement of buttock pain intensity in PMS patients …”

Section: Discussionsupporting

confidence: 93%

“…This finding is consistent with a previous case series showing that sono-guided DN had a good effect on the decrement of buttock pain intensity in PMS patients. 29 The mechanisms of action of DN in PMS patients are not well established. The effectiveness of DN is mostly based on other conditions, such as the presence of myofascial pain syndrome or trigger points.…”

Section: Pain Intensitymentioning

confidence: 99%

“…This effect is in agreement with the conclusion of a recent case series that addressed the efficacy of DN in PMS patients. 29 The find-…”

Section: Disabilitymentioning

confidence: 99%

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Ultrasound‐guided dry needling decreases pain in patients with piriformis syndrome

et al. 2019

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Introduction Piriformis muscle syndrome (PMS) is a disorder that can lead to symptoms of buttock pain and limited hip‐joint mobility, and may have an impact on quality of life. Methods Thirty‐two patients with PMS were randomized to the treatment group, which included three sessions of ultrasound‐guided dry needling (DN) of the piriformis muscle (n = 16), or a waitlist control group (n = 16). The primary outcome was pain intensity measured on the visual analog scale recorded at baseline and then at 72 hours and 1 week after treatment. Results At 1‐week follow‐up, pain intensity was significantly less in the DN group than in the waitlist control group (−2.16 [−1.01 to −3.32], P = .007) by an amount consistent with clinically meaningful improvement. Discussion The findings suggest that DN resulted in clinically meaningful short‐term improvement in pain intensity of patients with PMS.

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Section: Discussionsupporting

confidence: 93%

Section: Pain Intensitymentioning

confidence: 99%

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Ultrasound‐guided dry needling decreases pain in patients with piriformis syndrome

et al. 2019

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“…Ultrasound has been established as a reliable tool to diagnostically visualize myofascial trigger points, which may be seen in a piriformis muscle with increased resting tone . In addition, high‐resolution ultrasound has been used to diagnose nerve entrapment in the upper extremities, as nerve compression is correlated with increased nerve cross‐sectional area as seen on ultrasound .…”

Section: Diagnosismentioning

confidence: 99%

“…18 Ultrasound has been established as a reliable tool to diagnostically visualize myofascial trigger points, which may be seen in a piriformis muscle with increased resting tone. [47][48][49] In addition, high-resolution ultrasound has been used to diagnose nerve entrapment in the upper extremities, as nerve compression is correlated with increased nerve cross-sectional area as seen on ultrasound. 50 Ultrasound has been shown to be a reliable tool in the assessment of the sciatic nerve cross-sectional area in healthy controls, 51 but additional research is needed regarding the ultrasonographic assessment of the sciatic nerve in patients with suspected piriformis syndrome.…”

Section: Imagingmentioning

confidence: 99%

Piriformis Syndrome: A Narrative Review of the Anatomy, Diagnosis, and Treatment

Probst

Stout

Hunt

2019

PM&R

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Piriformis syndrome is a form of sciatica caused by compression of the sciatic nerve by the piriformis muscle. It is a relatively uncommon, but not insignificant, cause of sciatica. The diagnosis of piriformis syndrome is complicated by the large differential diagnosis of low back and buttock pain with many diagnoses having overlapping symptoms. This narrative review highlights the relevant anatomy, history, physical exam maneuvers, electrodiagnostic findings, and imaging findings that are used to diagnose piriformis syndrome. Also discussed are posterior gluteal myofascial pain syndromes that mimic piriformis syndrome. The review then outlines the different treatment options for piriformis syndrome including conservative treatment, injections, and surgical treatment. In addition, it provides the reader with a clinical framework to better understand and treat the complex, and often misunderstood, diagnosis of piriformis syndrome.

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Technology-Enhanced Learning (TEL) in Anaesthesia: Ultrasound Simulation Training for Innovative Locoregional Anaesthesia

Cofini

Vittorini

Petrucci

et al. 2020

Methodologies and Intelligent Systems for Technology Enhanced Learning, 10th International Conference

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Ultrasound-guided Dry Needling Treatment of Myofascial Trigger Points for Piriformis Syndrome Management: A Case Series

Abstract: For these 3 patients with piriformis syndrome who were treated with ultrasound-guided dry-needling treatment, their symptoms resolved and their quality of life improved.

Cited by 29 publications

References 5 publications

Ultrasound‐guided dry needling decreases pain in patients with piriformis syndrome

Ultrasound‐guided dry needling decreases pain in patients with piriformis syndrome

Piriformis Syndrome: A Narrative Review of the Anatomy, Diagnosis, and Treatment

Technology-Enhanced Learning (TEL) in Anaesthesia: Ultrasound Simulation Training for Innovative Locoregional Anaesthesia

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