Development of the Benefits of Using Manual SOP Therapy in Cases Low Back Pain at Causa Piriformis Syndrome

  • Riza Marcelia Universitas Muhammadiyah Surakarta, Indonesia
  • Totok Budi Santoso Universitas Muhammadiyah Surakarta, Indonesia
Keywords: Low Back Pain, Piriformis Syndrome, Manual Therapy, Visual Analog Scale.


Low Back Pain at Causa Piriformis Syndrome is a musculoskeletal disorder that causes pain in the fifth lumbar and first sacral areas that radiates to the feet and legs due to an abnormal neuromuscular condition of the piriformis muscle or compression or irritation of the sciatic nerve running below through the muscles. muscle. Low back pain itself is something that is common in patients so patients seek medical help, whereas piriformis syndrome is a case that is difficult to diagnose. Electrodiagnostic consultants are often asked to differentiate between piriformis syndrome and radiculopathy. Low back pain at causa piriformis syndrome is caused by activities carried out in the wrong way and carried out repeatedly as well as a lack of education which results in pain in the back and radiating to the legs. This case study aims to find the benefits of physiotherapy intervention in the form of manual therapy such as stretching of the postural muscles, myofascial release, dynamic muscle adaptation, contract relax of the piriformis muscle, hip traction, and physiological movements in the lumbar region and the piriformis muscle. The research method used is a case study. The respondent used was a 48 year old patient who was a housewife who had retired from office work. This research was conducted 8 times for one month. Patients were evaluated using a visual analog scale (VAS). The results of using intervention in the form of manual therapy show a reduction in pain in low back pain at causa piriformis syndrome from a pressure pain scale of 8 to 3, movement pain from 8 to 2 and silent pain from 2 to 1. In conclusion, providing manual therapy intervention has benefits in Reduces pain in the lower back and piriformis syndrome muscle.


Casiano, V. E., Sarwan, G., Dydyk, A. M., & Varacallo, M. (2019). Back pain. Treasure Island: StatPearles Publishing.

Colby, L. A. (2007). Therapeutic exercise: foundations and techniques. FA Davis Company.

Cuenca-Martínez, F., Cortes-Amador, S., & Espí-López, G. V. (2018). Effectiveness of classic physical therapy proposals for chronic non-specific low back pain: a literature review. Physical Therapy Research, 21(1), 16-22.

Cuenca-Martínez, F., Grande-Alonso, M., Suso-Martí, L., & La Touche, R. (2019). Therapeutic exercise based on biobehavioral approach for the rehabilitation of a radial nerve injury after surgical removal of a schwannoma: a case report. Journal of exercise rehabilitation, 15(4), 628.

Dorland, W. A. N. (2012). Kamus Saku Kedokteran Dorland Edisi 28. Jakarta: EGC.

Franke, H., Franke, J. D., & Fryer, G. (2014). Osteopathic manipulative treatment for nonspecific low back pain: a systematic review and meta-analysis. BMC musculoskeletal disorders, 15(1), 1-18.

Hopayian, K., & Danielyan, A. (2018). Four Symptoms Define the Piriformis. European Journal of Orthopedic Surgery & Traumatology, 28(2), 155-164.

Jamtvedt, G., Young, J. M., Kristoffersen, D. T., O'Brien, M. A., & Oxman, A. D. (2006). Does telling people what they have been doing change what they do? A systematic review of the effects of audit and feedback. Quality & safety in health care, 15(6), 433.

Mitra, S. R., Roy, S., Dutta, A. S., Ghosh, A., Roy, R., & Jha, A. K. (2014). Piriformis syndrome: a review. Journal of Evolution of Medical and Dental Sciences, 3(14), 3804-3815.

Norbury, J. W., Morris, J., Warren, K. M., Schreiber, A. L., Faulk, C., Moore, D. P., ... & ABPN, A. (2012). Diagnosis and management of piriformis syndrome. Pract Neurol, 8(3), 24-7.

Putz, R., & Pabst, R. (2006). Atlas Anatomi Manusia Sobotta Jilid 1 Edisi 22. Jakarta: EGC.

Ramdas, J., & Jella, V. (2018). Prevalence and Risk Factors of Low Back Pain. International Journal of Advances in Medicine, 5(5), 1120.

Rice, D., McNair, P., Huysmans, E., Letzen, J., & Finan, P. (2019). Best Evidence Rehabilitation for Chronic Pain Part 5: Osteoarthritis. Journal of Clinical Medicine, 8(11), 1769.

How to Cite
Marcelia, R., & Santoso, T. B. (2024). Development of the Benefits of Using Manual SOP Therapy in Cases Low Back Pain at Causa Piriformis Syndrome. International Journal of Science and Society, 6(1), 56-61.