Effect of Integrated Neuromuscular Inhibition Technique in the Management of Piriformis Syndrome: A Case Report

Abstract

Introduction: Piriformis syndrome (PS) is one of the most commonly misdiagnosed neuromuscular conditions characterized by buttock pain which radiates down the ipsilateral lower extremity. This case report describes the use of integrated neuromuscular inhibition technique (INIT) in the management of a patient with piriformis syndrome (PS). Case Presentation: A 40-year-old man presented with a complaint of right buttock pain which radiated to the ipsilateral lower limb. The patient was diagnosed as having PS. The treatment of the patient included INIT followed by stretching exercises for 6-weeks. Outcome measurements included visual analogue scale (VAS), Rolland-Morris disability questionnaire (RMDQ), Sciatica bothersome index (SBI), Sciatica frequency index (SFI), and global rating of change scale (GROC) and were assessed at baseline (T0), at 3 (T1) and 6-weeks (T2) of intervention, and then at 12-weeks (T3) follow-up. Conclusions: At 12-weeks follow-up (T3), the outcomes indicated improvement in all symptoms (VAS = 0, RMDQ = 0, SBI = 0, SFI = 0, and GROC = +7). Integrated neuromuscular inhibition technique is effective in the management of a patient with piriformis syndrome.