Journal of Mahatma Gandhi University of Medical Sciences and Technology

Register      Login

VOLUME 2 , ISSUE 1 ( January-April, 2017 ) > List of Articles

RESEARCH ARTICLE

To find the Efficacy of Therapeutic Laser for Piriformis Syndrome

Surendra Ojha, Chandan Jailiya

Citation Information : Ojha S, Jailiya C. To find the Efficacy of Therapeutic Laser for Piriformis Syndrome. J Mahatma Gandhi Univ Med Sci Tech 2017; 2 (1):14-17.

DOI: 10.5005/jp-journals-10057-0024

License: CC BY 3.0

Published Online: 01-12-2015

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

Introduction

Excessive static and dynamic muscle work/action of the piriformis causes Piriformis syndrome (PS). The sciatic nerve runs on bilateral side of posterior hip or thigh just closed to piriformis muscles or sometimes just passes through it. In case of PS, patients feel sharp radiating pain and paresthesia and muscle weakness in lower quadrants of limbs including low back, hip, and ankle.

Aims and objectives

The aim of the study was to compare and observe the effect of light amplification by stimulated emission of radiation (LASER) therapy and ultrasound therapy in case of PS. The purpose of this study was to investigate the effectiveness of laser therapy for the physiotherapy rehabilitation to restore range of motion (ROM) of lower limb and decrease pain and disability in PS.

Materials and methods

Thirty patients were taken for this study. The mean age in group I and group II were 28.2 ± 5.116 and 29.93 ± 4.793 respectively, and the patients were referred from orthopedic outpatient physiotherapy department of Mahatma Gandhi Hospital, Jaipur, Rajasthan, India. The duration of study was of 3 weeks. Baseline measurements of pain intensity, lower extremity functional disability, and ROM of all the subjects were measured using the visual analog scale (VAS), Lower Extremity Functional Scale, and goniometer respectively, and recorded as per test data for statistical analysis.

Results and conclusion

The results have shown that clinically there is a significant difference in the subjects treated with low-level laser and ultrasound efficient in treating pain, ROM, and function in subjects with PS. Between-the-group comparison of values of VAS readings for pain was found to be statistically significant (0.0001) for ROM, but was not found statistically significant for function.

How to cite this article

Ojha S, Jailiya C. To find the Efficacy of Therapeutic Laser for Piriformis Syndrome. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):14-17.


HTML PDF Share
  1. Piriformis syndrome and low back pain: a new classification and review of the literature. Orthop Clin North Am 2004 Jan;35(1):65-71.
  2. The piriformis syndrome. Am J Orthop (Belle Mead NJ) 1996 Dec;25(12):819-823.
  3. The piriformis muscle syndrome. J Am Osteopath Assoc 1974 Jun;73(10):799-807.
  4. The relation of arthritis of the sacro-iliac joint to sciatica: with one analysis of 100 Cases. Lancet. 1928;2:1119-23
  5. ; Simons, DG. Myofascial pain and dysfunction: the trigger point manual – the lower extremities. Vol. 2. Baltimore: Lippincott Williams & Wilkins; 1992. p. 186-214.
  6. Buttock, hip joint and thigh. In: Hollinshead, WH., editor. Anatomy for surgeons – the back and limbs. 3rd ed. New York: Harper and Row; 1982. p. 666-668, 702.
  7. Nerve entrapment syndromes as a cause of pain in the hip, groin and buttock. Sports Med 1999 Apr;27(4):261-274.
  8. Piriformis muscle syndrome: an underdiagnosed cause of sciatica. J Pain Symptom Manage 1991 Aug;6(6):374-379.
  9. A practical approach for the differential diagnosis of chronic leg pain in the athlete. Am J Sports Med 2005 Aug;33(8):1241-1249.
  10. Piriformis syndrome: assessment of current practice and literature review. Orthopedics 1998 Oct;21(10):1133-1135.
  11. Lower leg pain. Diagnosis and treatment of compartment syndromes and other pain syndromes of the leg. Sports Med 1999 Mar;27(3):193-204.
  12. Analgesic effect of He-Ne (632.8 nm) low-level laser therapy on acute inflammatory pain. Photomed Laser Surg 2005 Apr;23(2):177-181.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.