ESWT vs Conventional Physical Therapy in Greater Trochanteric Pain Syndrome
A Prospective Randomized Controlled Trial Comparing the Effectiveness of Extracorporeal Shockwave Therapy and Conventional Physical Therapy in Patients With Greater Trochanteric Pain Syndrome
Kanuni Sultan Suleyman Training and Research Hospital
60 participants
Dec 1, 2025
INTERVENTIONAL
Conditions
Summary
This study aims to compare the effectiveness of Extracorporeal Shockwave Therapy (ESWT) with conventional physical therapy in patients with Greater Trochanteric Pain Syndrome (GTPS). GTPS is a common cause of lateral hip pain, often related to gluteal tendinopathy rather than trochanteric bursitis. Sixty patients will be randomly assigned to two groups: ESWT or conventional physical therapy (TENS, hot pack, ultrasound). Pain (VAS), hip function (Harris Hip Score), lower limb function (LEFS), and global improvement will be evaluated at baseline, week 3, and week 12. The purpose of this study is to determine which treatment provides greater pain relief and functional improvement.
Eligibility
Inclusion Criteria3
- Age between 18 and 65 years
- Lateral hip pain for at least 3 months
- Ability to understand study procedures and provide informed consent
Exclusion Criteria8
- Hip deformities
- Gluteus medius, gluteus minimus, or piriformis tendon tears
- Lumbar radiculopathy or history of lumbar spine surgery
- Recent trauma or active infection in the hip region
- Corticosteroid injection to the hip within the last 6 months
- Neurological, psychiatric, or rheumatologic diseases
- Active malignancy or systemic inflammatory disease
- Cognitive impairment preventing cooperation
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Interventions
ESWT applied with Elmed Vibrolith Ortho device at 15 Hz, 3 bar, 2000 pulses, 5 sessions over 3 weeks.
10 sessions of TENS (20 min), hot pack (20 min), and continuous ultrasound (1.5 W/cm², 5 min).
Locations(1)
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NCT07243327