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2020, Number 1

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Rev Cub de Med Fis y Rehab 2020; 12 (1)

Shockwave treatment in painful trochanter syndrome

Chiesa R, Vacas R, Rodríguez B, Madera L, Garvín L

Language: Spanish
References: 11
Page: 1-14
PDF size: 425.34 Kb.


ABSTRACT

Introduction: The trochanter major pain syndrome affects 10 to 25% of the population, which is, sometimes, difficult to relieve with conventional treatments.
Objective: To analyze the improvement in pain and satisfaction of patients with pain in the trochanter major after piezoelectric extracorporeal shock waves treatment.
Methods: This is a quasi-experimental retrospective study of 70 patients from June 2015 to June 2017. Inclusion criteria: subjects older than 18 years suffering from pain for six months, resistant to conservative treatment and without tendon tear on ultrasound. Depth of focus was determined by ultrasound. There were three treatment sessions, weekly frequency and review three months after. Self-stretching and cessation of impact sports were recommended. Pain was quantified using the Visual Analog Scale before and after each session and at three months. Satisfaction was assessed at three months through the Roles and Maudsley score.
Results: 91.4% of the sample were women and the mean age was 58.94 years. 2000 pulses were applied per session. The average energy density was 0.46 mJ/mm²; the median depth of focus was 25 mm and the frequency used was, 8 Hz. The mean initial pain was 7.1 and the final was 3.13. The mean relative improvement of pain at three months was 52.43% (p < 0.05); the treatment satisfaction was rated as excellent or good by 63.1% of the patients. 82.6% of cases reported pain relief.
Conclusions: The treatment with piezoelectric shock waves with ultrasound support is safe and effective in the short and medium term in trochanteric pain syndrome.


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