Shockwave Therapy for Hip Bursitis | ESWT | Greater Trochanteric Pain Syndrome (GTPS)

How can ESWT help hip pain? Greater Trochanteric Pain Syndrome (GTPS), also known as trochanteric bursitis or hip bursitis is a common condition where there is pain and tenderness over the outer hip or greater trochanteric region of the hip. The pain can come from going upstairs, standing from a sitting position, and lying on the involved hip. It was previously thought that trochanteric bursitis primarily involved inflammation of the bursae, which are fluid-filled sacs that cushion the tendons and muscles around the hip joint. However, the definition has expanded with more research. GTPS may involve irritation or injury to the tendons and muscles in the hip area. Specifically, the gluteus medius and gluteus minimus.

ESWT, or Extracorporeal Shockwave Therapy, is a non-invasive treatment modality that shows great results in helping people with GTPS. ESWT using the Piezowave involves the delivery of low energy focused shockwaves to the affected area, which helps to stimulate healing and reduce inflammation. These shockwaves promote tissue regeneration and improve blood flow to the affected area, aiding in the resolution of pain and discomfort associated with GTPS or hip bursitis. ESWT is particularly beneficial for people who have not responded well to conservative treatments such as rest, physical therapy, or medication. So, if you think you've done it all for your hip pain, think again.

One of the key advantages of ESWT in treating GTPS is its ability to target the underlying pathology directly. By delivering shockwaves to the affected hip region, ESWT helps to break down scar tissue, reduce inflammation, and promote tissue repair. This can lead to significant improvements in pain relief and functional mobility for people with GTPS.

There is another type of therapy called Radial Shockwave that we do not recommend for hip bursitis. We had the reps come in and we wanted it to work because it was a cheaper machine but it caused bruises on the hips. Come to find out that this is not the same sound wave and it can be destructive. Instead, we went with the Piezowave due to its precision and low energy focused shockwaves. Whereas, radial shockwave this unfocused and there are some big contraindications to radial shockwave.

ESWT delivered by the Piezowave is a safe and effective alternative to more invasive treatment options such as corticosteroid injections or surgery. Unlike these interventions, which may carry risks such as tendon rupture, infection, nerve damage, or prolonged recovery times, ESWT with low energy-focused shockwaves is associated with few adverse effects and requires no downtime.

RESEARCH
An overview of shock wave therapy in musculoskeletal disorders
http://cgmj.cgu.edu.tw/2604/260400.pdf
Focused Shockwave Treatment for Greater Trochanteric Pain Syndrome: A Multicenter, Randomized, Controlled Clinical Trial https://pubmed.ncbi.nlm.nih.gov/32769...
Conclusions: F-ESWT in association with a specific exercise program is safe and effective for GTPS, with a success rate of 86.8%
Greater trochanteric pain syndrome: focused shockwave therapy versus an ultrasound guided injection: a randomized control trial https://pubmed.ncbi.nlm.nih.gov/34784...
...at 12 months, across all outcomes, the ESWT group had significantly improved scores compared to the injection group. The Trendelenburg test was significantly improved in the f-ESWT group with 80% patients being negative compared to 20% in the injection group.

Dr Adam Fields is a practicing chiropractor in the Bay Area in Northern California and helps people daily in his office with many challenges that can be helped by shockwave therapy from tendinopathies, arthritis, cartilage regeneration, post surgical scar tissue, pelvic pain, altered biomechanics and more. He uses Endonasal Cranial Adjusting, the Muncie Technique, Extracorporeal Shockwave Therapy (ESWT), Class IV Laser Therapy, posture correction, lifestyle modification, muscle work, and other techniques to help his patients.

You can reach him for in-person (California) or telehealth appointments at https://fieldsfamilychiro.com/ and click "book online"

📸 Instagram ➔   / dradamfields  
👍 Facebook: https://web.facebook.com/DrAdamFields...

RESEARCH
*Outcomes of the treatment of trigger digits by extracorporeal shock wave therapy (ESWT) https://pubmed.ncbi.nlm.nih.gov/32135...
Chapters
00:00 Understanding Hip Pain: Causes and Symptoms
0:11 The Anatomy of Hip Bursitis and Greater Trochanteric Pain Syndrome (GTPS)
2:23 Why Cortisone Shots Might Not Be the Answer for Hip Bursitis
3:41 Piezowave Shockwave Therapy (ESWT): A Regenerative Solution for Hip Bursitis
4:55 Research Insights: Comparing ESWT to Traditional Treatments for Musculoskeletal Disorders
5:32 Long-Term Relief: The Benefits of Shockwave Therapy for Hip Bursitis versus Corticosteroids
7:34 Shockwave Therapy with Stretching and Exercises for Hip Stabilization