Greater Trochanteric Pain Syndrome. Trochanteric bursitis, unspecified hip
Conditions
Interventions
Intervention 1: Intervention group: In this group, corticosteroid injections will be administered under ultrasound guidance. The intervention involves the injection of 1 ml of 40 mg Triamcinolone Acet
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
40 Years to No maximum
Inclusion criteria
Inclusion criteria: Age > 40 Soft tissue swelling at the site of the greater trochanter Pain in the hip joint area (score above 5 according to the VAS scale) Tenderness at the greater trochanter site upon palpation Ultrasound evidence of increased synovial thickness and fluid accumulation in the greater trochanter bursa Ultrasound evidence of inflammation in the tendons surrounding the greater trochanter
Exclusion criteria
Exclusion criteria: Concurrent rheumatologic diseases Presence of calcification at the site of corticosteroid/prolotherapy injection Presence of skin infection at the site of corticosteroid/prolotherapy injection History of drug injection or physical therapy at the intervention site within the past two months Positive history of coagulative disorders Positive history of lumbosacral radiculopathy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual Analogue Scale. Timepoint: Before and after treatment (1 week, 2 months, 6 months). Method of measurement: The visual scale is shown to the patient, and they are asked to rate the intensity of the pain they are experiencing from 0 to 10. | — |
Secondary
| Measure | Time frame |
|---|---|
| Range of Motion (ROM). Timepoint: Before and after treatment (1 week, 2 months). Method of measurement: The hip joint's range of motion is measured using a goniometer. For this purpose, the patient performs internal rotation, external rotation, adduction, and abduction maneuvers, and the evaluator measures the joint's range of motion while the patient is lying down.;Short Form (36) Health Survey Score. Timepoint: Before and after treatment (1 week, 2 months). Method of measurement: The SF-36 is a health-related quality of life questionnaire introduced in 1992. It contains 36 questions, with responses varying across different dimensions, though most are on a Likert scale. This questionnaire covers eight dimensions: physical functioning (10 questions), role limitations due to physical health (4 questions), role limitations due to emotional problems (3 questions), energy and vitality (4 questions), emotional well-being (5 questions), social functioning (2 questions), pain (3 questions), and general health (5 questions). The lowest score on this questionnaire is 0, and the highest score is 100.;Harris Hip Score (HHS). Timepoint: Before and after treatment (1 week, 2 months). Method of measurement: The Harris Hip Score is a quantitative scale used to assess the level of disability in the hip joint. It consists of 12 items divided into four sections: pain severity (1 item, score 0 to 44), function (7 items, score 0 to 47), absence of deformity (1 item, score 0 to 4), and range of motion (2 items, score 0 to 5). In this scale, a total score of 0 indicates the highest level of disability, while a score of 100 indicates the least disability.;Clinical Global Impression (CGI). Timepoint: Before and after treatment (1 week, 2 months). Method of measurement: The CGI is comprised of two accompanying measures that assess the following: (a) the severity of psychopathology on a scale of 1 to 7, and (b) change from the start of treatment on a similar seven-point scale. After clinical | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactArash Babaei-Ghazani
Iran University of Medical Sciences
Outcome results
None listed