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Non-surgical management of piriformis syndrome: a systematic review

Cramp, Fiona (Alice); Bottrell, Oliver; Campbell, Hannah; Ellyatt, Peter; Smith, Claire; Wilde, Benjamin

Authors

Fiona Cramp Fiona.Cramp@uwe.ac.uk
Professor in Long Term Conditions

Oliver Bottrell

Hannah Campbell

Peter Ellyatt

Claire Smith

Benjamin Wilde



Abstract

© 2007 Maney Publishing. The aim of this review was to identify and evaluate the evidence for the non-surgical management of Piriformis Syndrome. A systematic review of electronic databases was carried out up to February 2006. This was supplemented by hand searching journals and 'snow-balling' from reference lists. Strict inclusion/exclusion criteria were applied. Five independent observers reviewed the methodological quality of the core studies using the published Physiotherapy Evidence Database (PEDro) critique tool. Differences were resolved by consensus. Two studies met the inclusion/exclusion criteria. PEDro scores were 6/10 and 10/10. Both studies demonstrated positive effects for botulinum toxin type A (Botox) injections compared to a placebo or control treatment. One study identified this positive effect in addition to a physiotherapy protocol. Evidence implies that Botox is a potentially successful treatment for Piriformis Syndrome; however, a paucity of high-quality clinical trials limits evidence of its overall efficacy. Further clinical trials of the effectiveness of non-surgical measures in the management of this syndrome are indicated.

Citation

Cramp, F. (., Bottrell, O., Campbell, H., Ellyatt, P., Smith, C., & Wilde, B. (2007). Non-surgical management of piriformis syndrome: a systematic review. Physical Therapy Reviews, 12(1), 66-72. https://doi.org/10.1179/108331907X175014

Journal Article Type Review
Publication Date Mar 1, 2007
Journal Physical Therapy Reviews
Print ISSN 1083-3196
Electronic ISSN 1743-288X
Publisher Taylor & Francis
Peer Reviewed Peer Reviewed
Volume 12
Issue 1
Pages 66-72
DOI https://doi.org/10.1179/108331907X175014
Keywords review, musculoskeletal, piriformis, botulinum toxin, systematic review, piriformis syndrome, physiotherapy
Public URL https://uwe-repository.worktribe.com/output/1029197
Publisher URL http://dx.doi.org/10.1179/108331907X175014