Extracorporeal Shockwave Treatment for Greater Trochanteric Pain Syndrome
Italy103 participantsStarted 2018-06-01
Plain-language summary
Greater trochanteric pain syndrome (GTPS) is characterized by pain over the greater trochanter, which can refer down the lateral aspect of the hip. Historically, conservative treatments such as rest/activity modification, anti-inflammatory medication, physiotherapy and local corticosteroid injection, are employed as first-line management, with some refractory cases requiring surgical intervention.
Acknowledging the unpredictable response and frequent recurrences associated with traditional non operative treatment, the risks and prolonged rehabilitation associated with surgery, and the favorable results from prior studies involving radial pressure waves as a treatment for GTPS, the aim of this study is to investigate the dose-related effect of focalized shockwave treatment at different total energy influx in patients with chronic GTPS.
Who can participate
Age range18 Years
SexALL
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Inclusion criteria
✓. Patients of either sex, aged oved 18 years, complaining of pain located anterior, lateral or posterior to the great trochanter for more than 3 months.
✓. Pain while lying on the affected side.
✓. Local tenderness on palpation of the area of the great trochanter of patients with this symptom as the reason for the consultation.
Exclusion criteria
✕. Presence of signs and symptoms of another cause of regional hip pain.
✕. Presence of hip internal rotation 20° and extension deficit or other range of motion limitation 10º
✕. Previous hip surgery or use of ESWT for GTPS.
✕. Acute low back pain
✕. Vascular, neurologic, rheumatic diseases.
✕. Tumor in the area or local infection to the hip joint region.
✕. Pregnancy.
What they're measuring
1
Visual Analogue Scale (VAS) for the estimation of the intensity of pain