About this trial
This is a double-blind randomized clinical trial to compare the effect of shock wave therapy on lower limb lymphedema. There are two arms: A) complex decongestive therapy + extracorporeal shock waves therapy; B) complex decongestive therapy plus placebo extracorporeal shock waves.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with lower limb lymphedema
Lymphedema of at least 6 months of evolution
The lymphedema must affect at least the knee to the foot
Moderate or severe lymphedema (grades 2 or 3)
Disqualifiers
Under 18 years of age
Coagulation disorders (hemophilia, treatment with acenocoumarol, etc.)
Current or previous deep vein thrombosis of the lower extremity
Pregnancy
Trial design
Parallel
Treatments tested in this trial
Extracorporeal shock wave therapy by radial device
DevicePatients will receive treatment by extracorporeal shock waves therapy (ESWT).
Placebo extracorporeal shock wave therapy by radial device
DevicePatients will receive treatment sham extracorporeal shock waves.
DLT
Other interventionPatients will receive treatment with decongestive lymphatic therapy (DLT: manual lymphatic drainage, compression)
Treatment groups
Trial outcomes
Primary outcomes
Limb volume change 1
The difference between limb volume previous of treatment and at the end of treatment
Secondary outcomes
Limb volume change 2
The difference between limb volume from previous of treatment to 1 month after
VAS Pain
Changes in pain at previous treatment, at the end of treatment and to 1 month after. Measured by a visual analogue scale (VAS) (from 0 not pain to 10 maximum imaginable)
VAS Heaviness
Changes in heaviness from previous treatment, to the end of treatment and to 1 month after. Measured by a visual analogue scale (VAS) (from 0 not heaviness to 10 maximum imaginable)
VAS Hardness
Changes in hardness from previous treatment, to the end of treatment and to 1 month after. Measured by a visual analogue scale (VAS) (from 0 not hardness to 10 maximum imaginable)
Other outcomes
Water composition
Changes in water lower limb composition at previous treatment, to the end of treatment anto 1 month after.
Sponsors and contacts
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