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IRCT20151123025202N16 IRCT 2021-07-17 Hamedan University of Medical Sciences Comparison of the effect of corticosteroids and extracorporeal shockwave therapy in the treatment of pes anserine bursitis Comparing the efficacy of local corticosteroid injection and Extracorporeal shockwave therapy in patients diagnosed with pes anserine bursitis 2021-08-06 anticipated 60 Complete https://irct.ir/trial/57461 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: 60 eligible patients will be selected by convenience sampling. The samples will be randomly coded in two groups E and C with computer software and the relevant codes will be entered in the raw checklists. Upon patient referral, one of the checklists will be randomly assigned to each patient. If the selected code is E, the patient will be Will be allocated to ESWT treatment group and if C will be Will be allocated to topical corticosteroid injection group, Blinding description: In this single blinded study, the evaluator of intervention outcomes will blinded about the patients' group therapy. 3 Pes anserine bursitis. Intervention 1: Intervention group: Patients in this group will receive extra corporeal shock wave therapy (ESWT). ESWT will be done in one session per week for 3 consecutive weeks. ESWT will be performed while the patient is lying on a quiet bed at the point where the greatest intensity of tenderness is found. Device settings: frequency 4 Hz, pulse 1500, energy 20.15 mj / mm. Intervention 2: Intervention group: Patients in this group will receive a local injection of corticosteroids. For this purpose, first knee ultrasound is performed and the appropriate point for injection will be identified and marked; Then, under ultrasound guidance, 40 mg of methylprednisolone and 1 ml of 1% lidocaine will be injected at the marked site. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is No more information
public Abbas Moradi
Hamadan, Shahid Fahmideh Avenue, Medical School, Department of Social Medicine
Hamadan Iran (Islamic Republic of) 6517838736 +98 81 3838 0557 a.moradi@umsha.ac.ir Hamedan University of Medical Sciences scientific Loabat Majidi
Besat Hospital, Shahid Beheshti Blv, Hamedan
Hamadan Iran (Islamic Republic of) 6514845411 +98 81 3264 0030 lobat.majidi@gmail.com Hamedan University of Medical Sciences Iran (Islamic Republic of) Diagnosis of PAB according to clinical and paraclinical criteria by a specialist physician Diagnosis period at least 3 months Age 65-18 years Pain severity greater than 3 according to VAS scale 18 years 65 years Both Comorbidity of other knee diseases such as advanced osteoarthritis, infection and ... History of recent knee surgery or trauma Vascular disease History of corticosteroid therapy during the last 4 months M70.5 Other bursitis of knee Treatment - Other Treatment - Drugs Intervention group: Patients in this group will receive extra corporeal shock wave therapy (ESWT). ESWT will be done in one session per week for 3 consecutive weeks. ESWT will be performed while the patient is lying on a quiet bed at the point where the greatest intensity of tenderness is found. Device settings: frequency 4 Hz, pulse 1500, energy 20.15 mj / mm Intervention group: Patients in this group will receive a local injection of corticosteroids. For this purpose, first knee ultrasound is performed and the appropriate point for injection will be identified and marked; Then, under ultrasound guidance, 40 mg of methylprednisolone and 1 ml of 1% lidocaine will be injected at the marked site. Pes Anserin thickness changes. Timepoint: Before, 1 and 3 month after treatment. Method of measurement: Sonography. Pain severity. Timepoint: Before, 1 and 3 month after treatment. Method of measurement: Visual Analogues Scale. Patients quality of life. Timepoint: Before, 1 and 3 months after treatment. Method of measurement: Sf-12 questionnaire. Treatment complications. Timepoint: 1 and 3 months after treatment. Method of measurement: Examination and interview. Hamedan University of Medical Sciences Approved 2021-04-10 Ethics committee of Hamadan University of Medical Science ُShahid Fahmideh Ave Hamadan Hamadan Iran (Islamic Republic of)