FP13.5 Time to reconsider conservative treatment recommendations for Deep Gluteal Syndrome: A scoping review

Clicks: 11
ID: 331217
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Steady

Ranked #216 of 444 articles by views in Journal of hip preservation surgery

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 444 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract ICLB13 - Outside the Joint: Mastering Extra-Articular Pain and Hip-Spine Basics, Session Room 6 (BMCC Level 3), October 9, 2026, 14:00 - 16:00 Background Deep gluteal syndrome (DGS) represents a challenge for clinicians and researchers. To date, there is no clarity on which of the approaches proposed in the literature is the most appropriate for diagnosing and treating this type of pathology. Aim The aim of the study is to qualitatively analyze evidence on the classification and management of both conservative and non-conservative approaches to DGS, in terms of pain, function, disability and quality of life. Material and method This scoping review was conducted in accordance with the PRISMA for Scoping Reviews (PRISMA-ScR) guidelines, considering an adult population diagnosed with DGS and with no specific causes of low back pain. The review analyzed the Medline, Scopus and Web of Science databases from inception to 3 January 2025. Results Classification and management of DGS show considerable heterogeneity. The term ‘piriformis syndrome’ is still the most widely used. The prevailing symptoms include deep gluteal pain radiating along the lower limb, aggravated by a maintained sitting position. The most common diagnostic tests are the Freiberg Maneuver, the Flexion, Adduction and Internal Rotation (FAIR) Test, the Pace Maneuver and Beatty's Maneuver. Evidence indicates a potential benefit from multimodal physiotherapy treatments, although there is a lack of clarity regarding dosage, duration and long-term efficacy. Physical and infiltrative therapies have conflicting results, with limited evidence in favor of botulinum toxin type A infiltration. Surgery is a valid option in cases of refractory conservative treatment. The most evaluated outcomes are pain followed by function and disability. Conclusion Given the wide variability and often poor methodological validity of the studies currently available on DGS, future studies need to analyze standardized management methods and prolonged follow-ups. Currently, multimodal and multidisciplinary programmes based on physiotherapy and injections, particularly of botulinum toxin type A, appear to be the most promising for reducing pain in the short term. Surgery appears to be an effective option in cases where conservative therapy fails.
Reference Key
openalex_W7220418969 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Marco Gallotti
Are you one of these authors? Claim your profile
Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.101
URL
https://doi.org/10.1093/jhps/hnag043.101
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.