Radial Extracorporeal Shock Wave Therapy Versus Platelet-rich Plasma Injection for Greater Trochanteric Pain Syndrome

Istanbul Physical Medicine Rehabilitation Training and Research Hospital

Status

Completed

Conditions

Gluteal Tendinopathy

Greater Trochanteric Pain Syndrome

Treatments

Procedure: rESWT

Procedure: PRP injection

Study type

Interventional

Funder types

Other

Identifiers

NCT04537091

2020-309

Details and patient eligibility

About

Greater trochanteric pain syndrome (GTPS), is characterised by pain around the greater trochanter. Failure of first-line management for GTPS is followed by second-line treatments range from extracorporeal shock wave therapy (ESWT), corticosteroid or platelet-rich plasma (PRP) injections, and surgery. In a systematic reviews, PRP seems a viable effective and safe alternative option for GTPS after failed physical therapy. Also, positive results from previous systematic reviews involving radial ESWT (rESWT) as a treatment for GTPS.

In the literature review, there is no comparison of the effectiveness of ESWT and PRP injection in patients with GTPS. The aim of this study was to investigate the effects of rESWT and PRP injection on pain, hip disability, and quality of life in patients with GTPS

Full description

The pain and activities of daily living, referring to the previous week, and assessments of hip function (limping) and range of motion were evaluted by Harris Hip Score (HHS). The pain severity during rest and activity in the previous week was evaluted by Visual Analog Scale (VAS). The pain and activity limitation was evaluted by The Roles and maudsley (RM). The quality of life was evaluted by The EQ-5D-3L scale.

Enrollment

30 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

> 18 years old
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
MRI evidence of gluteus minimus or medius tendinopathy
Refractory to conservative management

Exclusion criteria

Presence of signs and symptoms of another cause of regional hip pain.
Full-thickness tear of the involved gluteal tendons, bursa, and intra-articular structures
Evidence of concomitant injury to the involved lower extremity, including radiculopathy or radiculitis, ischial tuberosity avulsion
Severe knee or hip osteoarthritis
Previous hip surgery or use of ESWT for GTPS.
Acute low back pain
Implanted pacemaker
Vascular, neurologic, rheumatic diseases.
Any neoplastic disorders
Blood coagulation disorders or use of antiplatelet or anticoagulant drugs
Pregnancy.