EFFICACY OF SPINAL MANIPULATION THERAPY IN PIRIFORMIS SYNDROME. A Case Study.
Objective
The objective of this study is to describe the efficacy of spinal manipulation therapy in the clinical management of a patient with sciatica symptoms due to piriformis syndrome. This condition is overlooked or misdiagnosed easily in clinical practice.
Clinical features
A 35-year-old male visit in the clinic with chronic pain over the right lower back and the gluteal region. The pain becomes worse with prolong sitting. Physical examination showed reduced and painful lumbar movement on combined extension, right side rotation, and right side bending. Also, there is an increased right buttock pain on flexion, adduction and internal rotation of the right hip.
Intervention and outcome
A high-velocity low-amplitude thrust (HVLAT) spinal manipulation was used as a primary treatment along with muscle stretching, strengthening and neuromuscular training exercise as a home exercise program. The patient received 3 treatments over a period of 4 weeks. However, we could not evaluate the long term effect.
Conclusion
Spinal manipulative therapy can be used to treat the effect and possibly the cause of piriformis syndrome. Further, studies are warranted.
INTRODUCTION
Piriformis syndrome (PS) is a peripheral neuritis of the sciatic nerve caused by the compression of nerve trunk due to or related to, the excessive contraction, spasm, injury or inflammation of the piriformis muscle (Windisch & Braun, 2007; Cummings, 2000; Parziale, Hudgins & Fishman, 1996). Piriformis syndrome is frequently overlooked or misdiagnosed as it can mimic other common somatic dysfunctions such as sacroiliac (SI) dysfunctions, lumbar facet joint dysfunctions, sciatica, herniated intervertebral disc etc (O’Neill, McClain, Coleman & Thomas, 2008).
Piriformis syndrome is generally characterized by pain in the buttock, hips and lower limbs which worsen after sitting for longer than 15-20 minutes (Papadopoulos & Khan, 2004; Foster, 2002; Parziale et. al., 1996). Chronicity of PS may lead to pathologic conditions of the sciatic nerve, other surrounding nerves, vessels, and chronic somatic dysfunctions. This can eventually result in chronic radiating pain, paresthesia, hyperesthesia and muscle weakness. (Chaitlow, 1988 as cited in O’Neill et al., 2008). Delay in addressing PS may lead to compensatory or facilitative changes which can contribute to cervical, thoracic and lumbosacral dysfunctions and pain (Steiner, Staubs, Ganon & Buhlinger, 1987; TePoorten, 1969).
The aim of this study is to evaluate the effect of high-velocity low-amplitude thrust (HVLAT) manipulation in the treatment of piriformis syndrome along with other traditional physical therapy approach such as stretching and strengthening exercises.
Effect of Spinal Manipulation in Piriformis Syndrome. A case study
Anterior Cruciate Ligament (ACL)
hi, its interesting. look forward to read full study.
I am not sure where you are getting your info, but great topic. I needs to spend some time learning more or understanding more. Thanks for great information I was looking for this information for my mission.
Thank you.
I do consider all of the concepts you have presented on your post. They’re really convincing and will definitely work. Still, the posts are very short for beginners. May you please extend them a little from subsequent time? Thanks for the post.
Thanks for your suggestion. I really appreciate. I have posted the full article. Please, visit the site and write more feedback.
Good post. I learn something new and challenging on blogs I stumbleupon every day. It’s always useful to read through content from other authors and practice a little something from other sites.
Hello friends, its fantastic article concerning educationand completely explained, keep it up all the time.
Hi there every one, here every one is sharing these kinds of familiarity, so it’s pleasant to read this web site, and I used to pay a quick visit this blog all the time.
Thank you. Looking for more suggestions.
I visit everyday some blogs and blogs to read articles or reviews, but this blog provides quality based writing.
hello!,I love your writing so a lot! share we communicate extra approximately your article on AOL? I require a specialist on this space to unravel my problem. Maybe that is you! Taking a look ahead to see you.
Thank you. we can communicate.
Great work! This is the kind of info that are meant to be shared across the net. Shame on the search engines for now not positioning this publish upper. Thank you =)
Excellent article. Keep writing such kind of information on your page. Im really impressed by it.
Hiya! Quick question that’s totally off topic. Do you know how to make your site mobile friendly? My site looks weird when browsing from my iphone 4. I’m trying to find a template or plugin that might be able to resolve this issue. If you have any suggestions, please share. Many thanks!
Keep on writing, great job!
Hi there, simply was aware of your weblog via Google, and found that it is truly informative. I am gonna watch out for brussels. I will appreciate for those who proceed this in future. A lot of other people will probably be benefited out of your writing. Cheers!
The heart of your writing while sounding reasonable originally, did not sit properly with me personally after some time. Someplace within the sentences you managed to make me a believer unfortunately only for a very short while. I nevertheless have got a problem with your jumps in logic and you would do well to help fill in all those gaps. If you actually can accomplish that, I could undoubtedly be impressed.
Hey very cool blog!! Man .. Beautiful .. Amazing .. I will bookmark your site and take the feeds also…I’m happy to find so many useful info here in the post, we need develop more techniques in this regard, thanks for sharing. . . . . .
My relatives all the time say that I am killing my time here at web, however I know I am getting knowledge daily by reading such pleasant posts.
piriformis syndrome, spinal manipulation therapy, physical therapy, piriformi
qvzvbzvqxq http://www.gs96mi0833152q9dj8y3px77d6m3ycbes.org/
aqvzvbzvqxq
[url=http://www.gs96mi0833152q9dj8y3px77d6m3ycbes.org/]uqvzvbzvqxq[/url]
piriformis syndrome, spinal manipulation therapy, physical therapy, piriformi
ponbidcpth http://www.grf94702a9x9541k86uud5zkdkgy7o43s.org/
aponbidcpth
[url=http://www.grf94702a9x9541k86uud5zkdkgy7o43s.org/]uponbidcpth[/url]
First off I would like to say fantastic blog! I had a quick question which I’d like to ask if you do not mind. I was interested to know how you center yourself and clear your mind before writing. I’ve had a difficult time clearing my thoughts in getting my ideas out. I truly do enjoy writing however it just seems like the first 10 to 15 minutes are wasted simply just trying to figure out how to begin. Any suggestions or hints? Appreciate it!
Hi there to all, the contents present at this site are truly awesome for people knowledge, well, keep up the good work fellows.
piriformis syndrome, spinal manipulation therapy, physical therapy, piriformi
[url=http://www.g431a54wc3d4a7836w4ts9qgu4j99eifs.org/]uddhetvrim[/url]
addhetvrim
ddhetvrim http://www.g431a54wc3d4a7836w4ts9qgu4j99eifs.org/
piriformis syndrome, spinal manipulation therapy, physical therapy, piriformi
lmroxnmcow http://www.g83ectm0y956j0lvy67896firmd0e847s.org/
[url=http://www.g83ectm0y956j0lvy67896firmd0e847s.org/]ulmroxnmcow[/url]
almroxnmcow
piriformis syndrome, spinal manipulation therapy, physical therapy, piriformi
[url=http://www.g5k9tf41w60r58ldz6388d5s96nfms4ts.org/]utnbhvklmcr[/url]
tnbhvklmcr http://www.g5k9tf41w60r58ldz6388d5s96nfms4ts.org/
atnbhvklmcr
I really like what you guys tend to be up too. Such clever work and coverage! Keep up the great works guys I’ve incorporated you guys to my personal blogroll.
Hi there, after reading this awesome piece of writing i am too cheerful to share my knowledge here with colleagues.
There are no words to describe how bodacious this is.
Nice blog here! Also your web site loads up very fast! What web host are you using? Can I get your affiliate link to your host? I wish my web site loaded up as fast as yours lol
I think this is among the most vital information for me. And i’m glad reading your article. But should remark on some general things, The website style is great, the articles is really nice : D. Good job, cheers
hello!,I like your writing very much! share we communicate extra about
your post on AOL? I need a specialist in this house to unravel my problem.
May be that’s you! Looking forward to see you.
Thanks for finally writing about >piriformis syndrome, spinal manipulation therapy, physical therapy,
piriformi <Loved it!