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CASE REPORT
Manual therapy in the diagnosis and treatment of piriformis syndrome – a case study
 
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1
Dział Rehabilitacji SPZOZ Parczew; Zakład Rehabilitacji i Fizjoterapii Uniwersytetu Medycznego w Lublinie
 
2
Zakład Rehabilitacji i Fizjoterapii Uniwersytetu Medycznego w Lublinie
 
 
Corresponding author
Kamil Zaworski   

Polna 65/20, 21‑200 Parczew
 
 
Med Og Nauk Zdr. 2015;21(2):215-220
 
KEYWORDS
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.

Material 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.

 
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ISSN:2083-4543
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