Ultrasound-Guided Interfascial Hydrodissection for Gluteal Myofascial Pain in Piriformis Syndrome: A Prospective Study
NCT07326982 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 42
Last updated 2026-03-13
Summary
This randomized, double-blind prospective trial investigates whether ultrasound-guided interfascial hydrodissection using 10% dextrose is more effective than dry needling in treating gluteal myofascial pain coexisting with piriformis syndrome. Following diagnostic piriformis injection response, eligible patients will be randomized into two treatment arms and followed at 1 hour, 1 week, 1 month, and 3 months. The primary hypothesis is that interfascial hydrodissection will provide superior long-term analgesic outcomes due to fascial separation, neuromodulation, and nociceptor suppression.
Conditions
- Piriformis Syndrome
- Gluteus Maximus Myofascial Pain
Interventions
- PROCEDURE
-
Ultrasound-Guided Interfascial Hydrodissection
Ultrasound-guided interfascial hydrodissection is performed in the interfascial plane between the gluteus maximus and piriformis muscles.
- PROCEDURE
-
Ultrasound-Guided Gluteus Maximus Dry Needling
Ultrasound-guided dry needling is performed on the gluteus maximus muscle without fluid administration.
Sponsors & Collaborators
-
Istanbul University - Cerrahpasa
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-03-26
- Primary Completion
- 2026-06-28
- Completion
- 2026-09-28
Countries
- Turkey (Türkiye)
Study Locations
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