Comparing the Effectiveness of Thiocolchicoside and Triamcinolone in Piriformis Syndrome Treatment


DERE K., AKBAŞ M., SEN H., TEKSOZ E., YEGIN A., OZKAN S., ...Daha Fazla

TURKIYE KLINIKLERI TIP BILIMLERI DERGISI, cilt.29, sa.5, ss.1267-1272, 2009 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 29 Sayı: 5
  • Basım Tarihi: 2009
  • Dergi Adı: TURKIYE KLINIKLERI TIP BILIMLERI DERGISI
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.1267-1272
  • Anahtar Kelimeler: Thiocolchicoside, triamcinolone, PHYSICAL-THERAPY, MUSCLE, INJECTION, PHARMACOKINETICS, SPASM, PAIN
  • Akdeniz Üniversitesi Adresli: Evet

Özet

Objective: We aimed to investigate the effect of thiocolchicoside, a drug never used in piriformis syndrome (PS) treatment before and to compare these effects with triamcinolone, that has been used in the routine treatment for PS. Material and Methods: Our study was designed as a randomized and multicentral study in 60 patients where group I (n = 30) received triamsinolon and group II (n = 30) received thiocolchicoside. The pressure values of the trigger points were measured with an algometer at baseline, and at I month and 3 months after the procedure. The subjective complaints of the patients were evaluated with visual analog scale (VAS). Results: The demographical data and their evaluations at baseline were similar. In all groups, the trigger point pressure values were significantly higher (p = 0.019) and VAS values were significantly lower (p = 0.001) when compared to baseline values. While this significant decrease in VAS values continued in group I at 3 months, no such difference was observed in group II. Conclusion: In conclusion, triamcinolone has a similar effect compared to thiocolchicoside at one month following the administration, but the effect of triamsinolon continues at 3 months also. Thus, triamcinolone is more effective than thiocolchicoside in one-dose-shot-treatments in PS patients. Nevertheless, thiocolchicoside is still an alternative for the treatment in PS patients where triamcinolone cannot be used.