Neural Gliders With and Without ESWT for Deep Gluteal Syndrome

This study is a randomized controlled trial comparing Neural Gliders with and without Extracorporeal Shock Wave Therapy (ESWT) in patients with Deep Gluteal Syndrome. A total of 44 participants are divided equally into two groups: Group A receives neural gliders, ESWT, and conventional physiotherapy, while Group B receives neural gliders with conventional physiotherapy only. The study evaluates changes in pain, functional disability, and nerve mechano-sensitivity using NPRS, ODI, LEFS, Slump Test, FAIR Test, and SLR. Its aim is to determine whether adding ESWT provides greater clinical improvement than neural gliders alone.

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