Can a simple exam replace needles for piriformis diagnosis?
NCT ID NCT07473349
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study aims to see if common physical exams and diagnostic criteria can accurately identify piriformis syndrome, a cause of buttock pain. Researchers will enroll 75 adults with gluteal pain and compare exam results to an ultrasound-guided lidocaine injection into the piriformis muscle. If pain drops by half after the injection, it confirms the syndrome. The goal is to find reliable, non-invasive ways to diagnose this condition.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- lidocaine
- What this could lead to
- If successful, this could lead to a reliable, non-invasive way to diagnose piriformis syndrome, reducing the need for injections.
- What could go wrong
- This is a small, early-stage study with only 75 participants. The injection reference standard may not be perfect, and results may not apply to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 75 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Mar 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults aged 18 to 75 years * Presentation with gluteal pain * Pain on palpation in the piriformis region Exclusion Criteria: * History of injection to the lumbar, hip, or gluteal region within the last 3 months,including steroid, hyaluronic acid, or similar injections * History of hip surgery * Presence of active inflammatory rheumatic disease, including rheumatoid arthritis, ankylosing spondylitis, polymyalgia rheumatica, vasculitis, or similar conditions * Active skin or subcutaneous soft tissue infection in the gluteal region * Use of anticoagulant therapy that may contraindicate injection * Presence of a bleeding disorder * Uncontrolled diabetes mellitus and/or hypertension * History of neurological disease * Pregnancy or lactation * Presence of a psychiatric disorder * Known allergy to the injection agents * History of malignancy
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty
Istanbul, Turkey (Türkiye)
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a fluid injection between muscle layers ease piriformis pain?
- Can targeted muscle techniques outperform standard therapy for piriformis pain?
- Flat feet may be tied to a common cause of hip pain, study suggests
- Massage vs stretch: which eases piriformis pain better?
- Gentle muscle moves may ease piriformis pain – which works best?
- Laser or shockwave: which eases piriformis pain best?