ESWT vs Conventional Physical Therapy in Greater Trochanteric Pain Syndrome

NCT07243327 | Recruiting

• 1 other identifier: BTAS-ESWT-2025-01
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Greater Trochanteric Pain Syndrome

Keywords

Extracorporeal shockwave therapy; Physical therapy; Hip pain; ESWT

Outcome Measures

Primary Outcomes (1)

• Change in Visual Analog Scale (VAS) Pain Score

  Pain intensity will be assessed using a 0-10 Visual Analog Scale (VAS) for activity, rest, and night pain. The primary endpoint is the change in VAS score from baseline to Week 12.

  Baseline, Week 3, and Week 12

Secondary Outcomes (3)

• Harris Hip Score

  Baseline, Week 3, and Week 12

• Lower Extremity Functional Scale (LEFS)

  Baseline, Week 3, and Week 12

• Global Rating of Change (GROC)

  Week 3 and Week 12

Study Arms (2)

ESWT Group

EXPERIMENTAL

Extracorporeal shockwave therapy applied 5 sessions over 3 weeks (15 Hz, 3 bar, 2000 pulses). Standard hip exercises included.

Device: Extracorporeal Shockwave Therapy (ESWT)

Conventional Physical Therapy Group

ACTIVE COMPARATOR

10 sessions of TENS (20 min), hot pack (20 min), and continuous ultrasound (1.5 W/cm², 5 min). Standard hip exercises included.

Other: TENS; Hot Pack; Ultrasound

Interventions

Extracorporeal Shockwave Therapy (ESWT) DEVICE

ESWT applied with Elmed Vibrolith Ortho device at 15 Hz, 3 bar, 2000 pulses, 5 sessions over 3 weeks.

ESWT Group

TENS; Hot Pack; Ultrasound OTHER

10 sessions of TENS (20 min), hot pack (20 min), and continuous ultrasound (1.5 W/cm², 5 min).

Conventional Physical Therapy Group

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age between 18 and 65 years
• Lateral hip pain for at least 3 months
• Ability to understand study procedures and provide informed consent

You may not qualify if:

• 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

Sponsors & Collaborators

• Kanuni Sultan Suleyman Training and Research Hospital: lead

Study Sites (1)

Kanuni Sultan Süleyman Training and Research Hospital

Istanbul, 34303, Turkey (Türkiye)

RECRUITING

MeSH Terms

Interventions

Extracorporeal Shockwave Therapy; Transcutaneous Electric Nerve Stimulation; High-Energy Shock Waves

Intervention Hierarchy (Ancestors)

Ultrasonic Therapy; Diathermy; Hyperthermia, Induced; Therapeutics; Physical Therapy Modalities; Rehabilitation; Electric Stimulation Therapy; Analgesia; Anesthesia and Analgesia; Ultrasonic Waves; Sound; Radiation, Nonionizing; Radiation; Physical Phenomena

Study Officials

• Zeynep Karakuzu Güngör

  Kanuni Sultan Suleyman Training and Research Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Zeynep Karakuzu Güngör, M.D

CONTACT

+90 507 775 03 75; zeynepkarakuzu@hotmail.com.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Kanuni Sultan Suleyman Training and Research Hospital

Model Details: Two-arm, parallel-group, randomized controlled trial (1:1 allocation).

Study Record Dates

• First Submitted: November 14, 2025
• First Posted: November 21, 2025
• Study Start: December 1, 2025
• Primary Completion: March 1, 2026
• Study Completion: March 1, 2026
• Last Updated: January 27, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)