Manual therapy in the diagnosis and treatment of piriformis syndrome – a case study

Journal Title: Medycyna Ogólna i Nauki o Zdrowiu - Year 2015, Vol 21, Issue 2

Abstract

Introduction. Piriformis syndrome was first described by Robinson in 1947 as the collection of symptoms of pain in the region of the lumbar spine or buttocks, radiating to the lower limb. This pathological entity may cause chronic pain, scarring around the sciatic nerve and, in severe cases, even paralysis. Objective. The paper presents a case of study of 46-year-old female patient suffering from long-lasting piriformis syndrome. Materials and methods. The functional tests included: Freiberg`s test, Pace`s test, Beatty`s test, FAIR tests, compression of the sacroiliac joints test, the Lasègue test and Thomayer`s test. The severity of pain was assessed using the Visual Analog Pain Scale (VAS). The following manual therapy techniques were applied: joint mobilization and functional soft tissue treatment. Results. After 10-day treatment and four months after treatment, Freiberg`s, Beatty`s, and Lasegue`s tests, along with the SIJ compression test, were negative. Immediately after completion of treatment, the pain complaints decreased from 7 scores to 1, according to the VAS scale. Four months after treatment, the patient reported light pain symptoms (2 acc. to the VAS scale), only during prolonged sitting (over 30 minutes). Conclusions. Manual therapy may be an effective method for the diagnosis and treatment of piriformis syndrome. The techniques used are safe and impose no burden on the patient. Follow-up treatment in home conditions may result in long-lasting effects of the treatment.

Authors and Affiliations

Kamil Zaworski, Robert Latosiewicz, Piotr Majcher, Tomasz Derewiecki

Keywords

Related Articles

Medical certificationin the context of the sense of health safety

Health safety is one of the most important aspects, both in the life of an individual, a specified community, or the whole population. This primarily concerns the necessity to provide an equal and easy access to medical...

Wybrane metaloproteinazy i ich inhibitory w przewidywaniu skuteczności tokolizy nifedypiną

[b]Wprowadzenie i cel pracy[/b]. Za jedną z przyczyn wystąpienia porodu przedwczesnego uważa się zakażenie wewnątrzmaciczne. Metaloproteinazy oraz ich inhibitory pełnią istotną rolę w czasie ciąży, porodu i połogu. Umożl...

Implementation of electronic medical records. Part 3 – training medical staff in the area of technical and legal use of sensitive data

Introduction: Information technology is increasingly more often considered as an important instrument for the improvement of patient safety, effectiveness and quality of care, especially in evidence based medicine. From...

The role of family midwife in Poland

Introduction: The profession of a midwife takes a central position in obstetric – gynaecological care. It has clearly defined legal responsibilities and powers. Although the occupational functions and the role of a midwi...

Prophylaxis of arterial hypertension

Arterial hypertension is among the most common civilization diseases, consisting in periodical or constant elevation of arterial blood pressure above the normal value of 140/90 mmHg. It is estimated that in Poland arteri...

Download PDF file
  • EP ID EP58499
  • DOI -
  • Views 157
  • Downloads 0

How To Cite

Kamil Zaworski, Robert Latosiewicz, Piotr Majcher, Tomasz Derewiecki (2015). Manual therapy in the diagnosis and treatment of piriformis syndrome – a case study. Medycyna Ogólna i Nauki o Zdrowiu, 21(2), 215-220. https://europub.co.uk/articles/-A-58499