Extracorporeal Shockwave Therapy in Greater Trochanteric Pain Syndrome

Review Article | Volume 3 | Issue 1 | JRS Jun – June 2023 | Page 22-25 | Oyama Arruda Frei Caneca Junior , Ibrahim Afranio Willi Liu .
DOI: 10.13107/jrs.2023.v03.i01.077

Author: Oyama Arruda Frei Caneca Junior [1], Ibrahim Afranio Willi Liu [2]

[1] Director of SMBTOC, Orthopedic Surgeon at GOT Recife (Orthopedics and Traumatology Group), Brazil,
[2] Director of the Brazilian Medical Society for Shockwave Treatment-SMBTOC and Brazilian Orthopedic Society-SBOT Pain Committee.

Address of Correspondence
Dr. Oyama Arruda Frei Caneca Junior,
Director of SMBTOC, Orthopedic Physician at GOT Recife (Orthopedics and Traumatology Group), Brazil.
E-mail: oyama.arruda@gmail.com

Abstract

Peritrochanteric hip pain or great trochanter pain syndrome (GTPS) is a frequent complaint in offices and is the most common cause of pain and tenderness affecting the lateral part of the hip. Traditional conservative treatment of GTPS includes the use of anti-inflammatory drugs, physical therapy, and changing activities of daily living. In resistant cases, shockwave treatment presents satisfactory results considered good and excellent in 70 to 80% of GTPS cases treated by this technique, reducing the need for other treatments and the use of medications for long eriods. The treatment of GTPS with shock waves can be performed with focal waves or radial pressure waves, with the application of 3 initial sessions with an interval of one week, frequencies between 4 and 6 Hz, with 500 initial pulses in the region and at least 2000 pulses using energy between medium and high intensity at the point of greatest sensitivity on palpation, It is also important to treat the trigger points of the hip region. Due to the anatomical characteristics of a deep joint and the frequent presence of an associated myofascial pain, hip pathologies are a good option for the concomitant use of focal and radial pressure waves.

Keywords: Greater trochanteric pain syndrome; Trochanteric bursitis; hip pain; lateral hip pain; Shock waves; Radial pressure waves.

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