पाइरिफॉर्मिस सिंड्रोम: 3–6 महीनों में प्रथम-पंक्ति चिकित्सा द्वारा दर्द कम न होने पर क्या करें

References

DOI: 10.5812/aapm.112825

1. Neuropathic agents such as gabapentin and pregabalin have also been used in patients who have not responded adequately to NSAIDs.
2. In each of the patients, deep needling was performed by using a convex probe and a 0.30 × 60 mm needle, while targeting the piriformis and gluteus muscles.
3. These patients were treated for 10 days and were followed for 6 months and had complete resolution of their symptoms by the end of treatment and experienced no recurrence of pain.
4. When compared to the conventional acupuncture group, the triple acupuncture group was more likely to recover after therapy (RR = 1.19, CI: 1.04, 1.36).
5. The 51 patients in the treatment group received six sessions of lidocaine injections and during each session were given piriformis muscle injections, T11-S2 segmental injections, and a sacral canal injection.
6. The group that received ultrasound-guided deep needling had a significantly lower pain rating at the one-week measurement compared to the control group.
7. There was also a greater decrease in disability and pressure pain threshold, as well as an increased hip range of motion in the group that received dry needling.