Low-dose external beam radiotherapy for greater trochanteric pain syndrome

Abstract

LD-EBRT represents a useful treatment option for patients suffering from GTPS. Three months after therapy two-thirds of the patients reported a partial or complete symptom remission. Especially patients who suffered from nocturnal pain seemed to benefit. Treatment appeared to be more effective when the entire circumference of the femoral neck was encompassed.

Radiotherapy for ostheoarticular degenerative disorders: When nothing else works

“…Table 5 shows the results of studies published since year 2000 using low doses of radiotherapy for the treatment of different OA conditions [ [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] , [51] , [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] ]. Most studies analyze the response to treatment according to the gain in pain relief measured according to the visual analog scale (VAS) after radiotherapy and during follow-up period.…”

“… NR Ott 2014 [ 51 ] Retrospective PHE 312 62 3 Gy (l Gy) (51%) 6 Gy (1 Gy) (49%) 1% 35 Pain relief 8%84% (1 Gy) vs 81% (0.5 Gy)p = n.s. NR Canyilmaz 2015 [ 30 ] Prospective PF 124:64 RT injection CE+AN 53 6 Gy (1 Gy) vs Injection CE+AN RT: 22% Local injection: 28% 12.5 Pain relief: RT:66% Injection:28% p < 0.001 NR Niewald 2015 [ 52 ] Retrospective PF 117 57 & Gy (l Gyx6) vs 6 Gy (0.5 Gyx12) 0% 3 Pain relief: 66% (AD 100%, no difference between arms NR Valduvieco 2016 [ 53 ] Retrospective BT 60 68 10 Gy (l Gy) 28% (0.3 Gy x 10) 18.5 Pain relief: 62% NR Kaltenborn 2016 [ 54 ] Retrospective RA 84 62 6 Gy (l Gy) 11% 3 Pain relief: 63% NR Micke 2017 [ 55 ] Prospective AD (n = 8), CD (n = 51), GA (n = 80), BT (n = 27) 166 77 6 Gy (0.5–1 Gy) 8% 29 Pain relief: 66% (AD 100%, CD 89.5%, GA 28%, BT 69%) NR Kaltenbon 2017 [ 56 ] Retrospective BT 60 62 3 Gy (0.5 Gy) (39%) 6 Gy (l Gy) 35% 18 Pain relief: 72% NR Chauhan 2017 [ 57 ] Prospect...…”

Non-surgical treatment as the first step to manage peritrochanteric space disorders

“…Finally, low‐intensity radiotherapy is being postulated as a therapeutic option for those cases in which the most common physiotherapy and analgesia measures have failed. It is effective in treating pain but studies are needed that include a larger number of patients and with longer follow‐up [66].…”

In Reply

“…Bezüglich der Effektivität der niedrig dosierten Strahlentherapie zur Behandlung der BT sind nur in sehr geringem Umfang publizierte Daten verfügbar (n=157) [50,250,394,519,523,578]. Glatzel et al [250] [394].…”

“…Bezüglich der Effektivität der niedrig dosierten Strahlentherapie zur Behandlung der BT sind nur in sehr geringem Umfang publizierte Daten verfügbar (n=157) [50,250,394,519,523,578]. Glatzel et al [250] [394]. Bartmann [50] berichtet im Rahmen einer Dissertation über 70 Fälle, von denen nach einem mittleren Follow-up von 24 Monaten (3-40) hinsichtlich der initialen Schmerzen 29,9% schmerzfrei, 16,4% deutlich gebessert, 19,4% gering gebessert, 29,9% unverändert und 4,5% verschlechtert waren.…”