About this trial
This randomized controlled clinical trial aims to evaluate the effectiveness of extracorporeal shockwave therapy (ESWT) when added to standard conservative treatment in women with primary lipedema. Participants will be randomly assigned to receive either standard conservative therapy alone or standard therapy combined with radial ESWT. The study will assess changes in pain intensity (VAS), limb circumference measurements, quality of life (SF-36), and patient satisfaction over an 8-week period. Evaluations will be performed at baseline, at the end of the 4-week treatment phase, and at 4-week follow-up. This trial seeks to provide evidence on whether ESWT offers additional clinical benefit in the management of primary lipedema.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
Standard Conservative Therapy
Other interventionManual lymphatic drainage, pneumatic compression, Class II compression garments, and a home-based exercise program.
radial ESWT
Deviceadial extracorporeal shockwave therapy using a BTL device (2.0-2.5 bar, 12 Hz, 1000 shocks per region, 20-mm head), twice weekly for 4 weeks (8 sessions).
Treatment groups
Trial outcomes
Primary outcomes
Change in Limb Circumference Measurements
Circumference will be measured at the thigh (+10 cm and +20 cm above the patella), calf (10 cm above the medial malleolus), and ankle (narrowest point). The change from baseline will be compared at Week 4 and Week 8.
Secondary outcomes
Visual Analog Scale (VAS)
Pain intensity will be assessed using the Visual Analog Scale (VAS), ranging from 0 (no pain) to 10 (worst possible pain). The primary analysis will compare the change in VAS score between baseline and the end of the 4-week treatment period.
Short Form-36 Health Survey (SF-36)
Quality of life will be evaluated using the SF-36 questionnaire. Changes in physical and mental component scores will be assessed across time points.
Treatment Satisfaction (Likert Scale)
Patient satisfaction will be assessed using a 5-point Likert scale (1 = very dissatisfied to 5 = very satisfied).
Locations
Sponsors and contacts
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Fatih Bagcier
Lead sponsor
Kars State Hospital
Sponsor institution
This trial is not recruiting at the moment. You can still explore other options: