Effect of Class IV LASER Therapy as an Adjunct to Conventional Physical Therapy on Piriformis Syndrome: A Case Report

Piriformis syndrome is a clinical condition characterised by the entrapment of sciatic nerve beneath the piriformis muscle, resulting in non discogenic sciatica. This syndrome is often neglected despite its capacity to induce considerable pain and functional impairments. Physical therapy plays a cru...

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Main Authors: Tushar Sharma, Pooja Mehra, Nitesh Verma, Aksh Chahal, Nikita Rathore
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2025-05-01
Series:Journal of Clinical and Diagnostic Research
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Online Access:https://jcdr.net/articles/PDF/21035/76341_CE[Ra1]_F(IS)_QC(SD_IS)_PF1(VD_SS)_PFA(OM)_PN(SL).pdf
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author Tushar Sharma
Pooja Mehra
Nitesh Verma
Aksh Chahal
Nikita Rathore
author_facet Tushar Sharma
Pooja Mehra
Nitesh Verma
Aksh Chahal
Nikita Rathore
author_sort Tushar Sharma
collection DOAJ
description Piriformis syndrome is a clinical condition characterised by the entrapment of sciatic nerve beneath the piriformis muscle, resulting in non discogenic sciatica. This syndrome is often neglected despite its capacity to induce considerable pain and functional impairments. Physical therapy plays a crucial role in the management of such conditions, providing customised interventions aimed at symptom alleviation and functional restoration. Class IV Light Amplification by Stimulated Emission of Radiation (LASER) therapy has surfaced as a promising therapeutic approach for a variety of musculoskeletal conditions. LASER therapy possesses the potential to effectively mitigate pain associated with piriformis syndrome while enhancing patient outcomes. Hereby, the authors present a case study involving a 27-year-old male patient who reported experiencing pain in the right hip region. He exhibited an antalgic gait and faced difficulties with daily activities due to the intensity of pain. The outcome measures comprised evaluations of hip Range of Motion (ROM), the Numeric Pain Rating Scale (NPRS) and the Oswestry Low Back Disability Questionnaire (ODI). Following two weeks of consistent physiotherapy interventions and one week of subsequent follow-up, the patient demonstrated a notable reduction in pain, allowing him to return to normal activities. The present findings substantiate the efficacy and safety of Class IV LASER therapy as a non invasive intervention for the treatment of patients with piriformis syndrome, with no adverse effects observed in both the short and long-term.
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spelling doaj-art-bde8f443d55842b485fc2e29763de2522025-08-20T02:33:35ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-05-01195YD06YD0910.7860/JCDR/2025/76341.21035Effect of Class IV LASER Therapy as an Adjunct to Conventional Physical Therapy on Piriformis Syndrome: A Case ReportTushar Sharma0Pooja Mehra1Nitesh Verma2 Aksh Chahal3Nikita Rathore4BPT Student, Department of Physiotherapy, Maharishi Markandeshwar Medical College and Hospital, Kumarhatti, Solan, Himachal Pradesh, India.Assistant Professor, Department of Physiotherapy, Maharishi Markandeshwar Medical College and Hospital, Kumarhatti, Solan, Himachal Pradesh, India.Assistant Professor, Department of Physiotherapy, Maharishi Markandeshwar Medical College and Hospital, Kumarhatti, Solan, Himachal Pradesh, India.Professor and Research Professor, Department of Physiotherapy and Galgotias Multi-Disciplinary Research and Development Cell, Galgotias University, Greater Noida, Uttar Pradesh, India.Chief Physiotherapist, Pain and Strains Rehabilitation Clinic, Jaipur, Rajasthan, India.Piriformis syndrome is a clinical condition characterised by the entrapment of sciatic nerve beneath the piriformis muscle, resulting in non discogenic sciatica. This syndrome is often neglected despite its capacity to induce considerable pain and functional impairments. Physical therapy plays a crucial role in the management of such conditions, providing customised interventions aimed at symptom alleviation and functional restoration. Class IV Light Amplification by Stimulated Emission of Radiation (LASER) therapy has surfaced as a promising therapeutic approach for a variety of musculoskeletal conditions. LASER therapy possesses the potential to effectively mitigate pain associated with piriformis syndrome while enhancing patient outcomes. Hereby, the authors present a case study involving a 27-year-old male patient who reported experiencing pain in the right hip region. He exhibited an antalgic gait and faced difficulties with daily activities due to the intensity of pain. The outcome measures comprised evaluations of hip Range of Motion (ROM), the Numeric Pain Rating Scale (NPRS) and the Oswestry Low Back Disability Questionnaire (ODI). Following two weeks of consistent physiotherapy interventions and one week of subsequent follow-up, the patient demonstrated a notable reduction in pain, allowing him to return to normal activities. The present findings substantiate the efficacy and safety of Class IV LASER therapy as a non invasive intervention for the treatment of patients with piriformis syndrome, with no adverse effects observed in both the short and long-term.https://jcdr.net/articles/PDF/21035/76341_CE[Ra1]_F(IS)_QC(SD_IS)_PF1(VD_SS)_PFA(OM)_PN(SL).pdflight amplification by stimulated emission of radiationmusculoskeletal disordersnumeric pain rating scalepainrange of motionsciatic nerve
spellingShingle Tushar Sharma
Pooja Mehra
Nitesh Verma
Aksh Chahal
Nikita Rathore
Effect of Class IV LASER Therapy as an Adjunct to Conventional Physical Therapy on Piriformis Syndrome: A Case Report
Journal of Clinical and Diagnostic Research
light amplification by stimulated emission of radiation
musculoskeletal disorders
numeric pain rating scale
pain
range of motion
sciatic nerve
title Effect of Class IV LASER Therapy as an Adjunct to Conventional Physical Therapy on Piriformis Syndrome: A Case Report
title_full Effect of Class IV LASER Therapy as an Adjunct to Conventional Physical Therapy on Piriformis Syndrome: A Case Report
title_fullStr Effect of Class IV LASER Therapy as an Adjunct to Conventional Physical Therapy on Piriformis Syndrome: A Case Report
title_full_unstemmed Effect of Class IV LASER Therapy as an Adjunct to Conventional Physical Therapy on Piriformis Syndrome: A Case Report
title_short Effect of Class IV LASER Therapy as an Adjunct to Conventional Physical Therapy on Piriformis Syndrome: A Case Report
title_sort effect of class iv laser therapy as an adjunct to conventional physical therapy on piriformis syndrome a case report
topic light amplification by stimulated emission of radiation
musculoskeletal disorders
numeric pain rating scale
pain
range of motion
sciatic nerve
url https://jcdr.net/articles/PDF/21035/76341_CE[Ra1]_F(IS)_QC(SD_IS)_PF1(VD_SS)_PFA(OM)_PN(SL).pdf
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