About this trial
Lipedema is a chronic adipose tissue disorder characterized by pain, tenderness, disproportionate fat accumulation, and impaired quality of life. Extracorporeal shock wave therapy (ESWT) has been proposed as a non-invasive treatment option that may improve pain and tissue characteristics in patients with lipedema.
The aim of this prospective interventional study is to evaluate the effects of ESWT on pain intensity, quality of life, functional outcomes, and ultrasonographic findings in patients diagnosed with lipedema. Participants will receive a standardized ESWT protocol consisting of six treatment sessions over a two-week period. Clinical assessments and ultrasonographic examinations will be performed before and after treatment.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male or female participants aged 18 to 75 years
Clinical diagnosis of lipedema
Willingness to participate and provide written informed consent
Ability to comply with study procedures and follow-up assessments
Disqualifiers
Pregnancy or breastfeeding
Active infection in the treatment area
Malignancy
Severe cardiovascular disease
Trial design
Single group
Treatments tested in this trial
Extracorporeal Shock Wave Therapy
DeviceExtracorporeal shock wave therapy (ESWT) will be applied to affected lower-extremity regions using a CE-marked shock wave device. Participants will receive six treatment sessions administered three times per week for two consecutive weeks. Clinical and ultrasonographic assessments will be performed before and after treatment.
Treatment groups
Trial outcomes
Primary outcomes
Change in Pain Intensity Assessed by Visual Analog Scale (VAS)
Change in pain intensity measured using the Visual Analog Scale (VAS) from baseline to post-treatment assessment.
Secondary outcomes
Change in Pressure Pain Threshold Measured by Pressure Algometry
Pressure pain threshold will be assessed using a digital pressure algometer. The change from baseline to the post-treatment assessment will be analyzed.
Change in Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health Score
Change in patient-reported global health assessed using the Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health questionnaire from baseline to the 2-week post-treatment assessment.
Change in Pain Catastrophizing Scale (PCS) Score
Change in pain catastrophizing assessed using the Pain Catastrophizing Scale (PCS) from baseline to the 2-week post-treatment assessment.
Change in Lower Extremity Circumference Measured Using a Flexible Measuring Tape
Lower extremity circumference will be measured using a flexible measuring tape at standardized anatomical landmarks. The change from baseline to the 2-week post-treatment assessment will be analyzed.
Sponsors and contacts
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