Comaparative Effects of Bowen Technqiue With and Withour Extracorporeal Shock Wave in Patientys With Deep Gliteal Pain Syndrome.

A single-blinded, randomized controlled trial consisting of 46 participants with Deep Gluteal syndrome, calculated by the G power tool with an attrition rate of 5 % will be conducted. Participants will be recruited using non-probability convenience sampling based on pre-defined inclusion and exclusion criteria. Participants will be randomly assigned into two groups with 23 participants each group. Group A will receive Bowen Technique with extracorporeal shockwave therapy. Group B will receive Bowen Technique without extracorporeal shockwave therapy in conjunction with conventional therapy. Primary outcomes like pain, functional level and ROM will be measured at baseline and post-intervention using the Lower extremity functional scale (LEFS), Numeric Pain Rating scale (NPRS), and Goniometer. Data will be analyzed by IBM SPSS 26.0 with the Shapiro-Wilk test to confirm the normality.

Inclusion Criteria: * Individuals aged 25 to 45 years, including both genders 55 * Positive FAIR, Active Piriformis Test, Seated Piriformis Stretch Test 56,6,57 * NPRS pain score ≥ 3/10 55 * For a minimum of four weeks, there has been unilateral discomfort in the buttock, with or without accompanying posterior thigh pain, exacerbated by sitting 58 Exclusion Criteria: * Previous surgery involving the ipsilateral hip, pelvis, lumbar spine, or sacroiliac joint 34 * Women who were pregnant or nursing were excluded 59 * Medical conditions such as tumors or fractures 60 * Neuromuscular disorders that impair normal lumbopelvic morphology or progressive neurologic disease 60 * Disc pathologies identified through radiological imaging 17 * Pathologies of the hip joint and soft tissues 17 * Recent trauma history 17 * History of polyneuropathy, sciatic nerve injury, rheumatological disease, or malignancy 17 * Corticosteroid therapy or opioid-derived analgesia for pain during the previous month 17