Post-Isometric Relaxation vs Reciprocal Inhibition for Piriformis Syndrome

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized controlled trial compares two muscle-energy technique approaches for piriformis syndrome. Forty adults with clinically confirmed Piriformis syndrome are randomized to receive either post-isometric relaxation or reciprocal inhibition, in addition to standard conservative care, over four weeks. All participants get cold packs, TENS, ultrasound, stretching, and core/hip strengthening, with the only difference being the 10-minute METs technique. Outcomes include pain, range of motion, and functional disability measured at baseline and after treatment. The study aims to inform physiotherapy practice by identifying which METs approach better complements conventional therapy.

Why it matters

Who can join: the full rules

Inclusion Criteria:

\- Piriformis syndrome clinically confirmed via special tests (e.g., FAIR test, Freiberg sign, Pace test)

* Both gender male and female.
* Age between 25 and 40 years.
* Presence of antalgic gait due to pain.
* Moderate to severe pain (e.g., NPRS score ≥ 4)
* Voluntary consent to participate in the study.
* Medically stable, no acute or unstable medical conditions that would interfere with participation.

Exclusion Criteria:

* Lumber disc herniation or radiculopathy confirmed by imaging or neurological signs

  * History of hip or pelvis surgery.
  * Other neuromuscular or musculoskeletal disorders e.g., stroke, multiple sclerosis, or rheumatoid arthritis
  * Recent lower limb fracture or injury within the last 6 months.
  * Pregnancy due to potential risks and altered biomechanics.
  * Inability to follow instruction
  * Ongoing physiotherapy or alternative treatments

Where it's running

• Ghurki Hospital Lahore
  Lahore, Punjab Province, Pakistan Recruiting

Study contacts

• Principal investigator: Hira Shaukat, Mphill — Riphah International University
• Study coordinator: Imran Amjad
• Email: Imran.amjad@riphah.edu.pk
• Phone: 03324390125

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.