Comparison of Ozone and Steroid Injection in Patients With Greater Trochanteric Pain Syndrome

• Status: Completed
• Trial end date: 2021-08-01
• Target enrollment: 0
• Participant gender: All

Summary

Between the large trochanter and the muscles adhering to it, trochanteric bursa and several other bursa may be found. Trochanteric bursitis can be alone or together with tendinitis of other bursa and adhering muscles. The first is called trochanteric bursitis, the second is called hip periarthritis, which is difficult to distinguish clinically. It is more common in women of middle age. The main complaint is the large trochanter and pain on the side of the thigh. Pain is aggregated by walking abduction and external rotation by walking, lying down with hip movements. The palpation is sensitive to the top of the large trochanter. There may also be tenderness in the muscles in the lateral of the thigh. On plain radiographs, slight irregularities or peritrocanteric calcifications can be seen in the large trochanter. Bone scintigraphy shows local increased involvement. In differential diagnosis, stress fractures, local infection and bone and soft tissue tumors should be considered.

Rest is recommended in treatment. Activities such as running, standing for a long time are prohibited. Ice application can be given in the acute period. Non-steroidal anti-inflammatory (SOAI) drugs, analgesics, TENS can be used for pain relief. In cases where conventional treatments are insufficient, that is, the patient's pain is still continuing and functional recovery is inadequate, some alternative methods are also applied. These treatments include ozone, prolotherapy injection applications, dry needling, acupuncture, hirudotherapy, phytotherapy, mesotherapy, balneotherapy, kinesiobanding, etc. d. In our study, we aim to compare the effectiveness of ozone injection in patients diagnosed with trochanteric bursitis and to compare steroid injection with the application of ozone therapy.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey
• Treatments: Betamethasone

Criteria

Inclusion Criteria:

1. Over 18 years of age, under 75 years of age

2. Lateral hip pain

3. Having pain for at least 3 months

4. The VAS value should be minimum 4 and pain is increased by pressing on t.major.

5. Conservative treatment failure

Exclusion Criteria:

1. Motor and / or sensory impairment compatible with radiculopathy

2. Connective tissue disease

3. Pregnancy

4. Active infection, immune system disorders, unresolved fractures

5. Hip op history, bursectomy / ilio-tibial band elongation

6. Steroid injection history in the past 4 months

7. Physical therapy history for trochanteric bursitis in the last 4 months

8. Rheumatological patients, pregnancy, Patients with a history of cancer