Painful bone spur is one of the causes of residual limb pain in individuals with traumatic lower extremity amputation and can be a significant problem in rehabilitation clinics. This study aimed to investigate the effectiveness of extracorporeal shockwave therapy (ESWT) on pain and size of bone spur in traumatic transfemoral amputees with painful bone spur. Twenty nine traumatic transfemoral amputees who had painful spur were randomized into two groups: Group 1 (ESWT + therapeutic exercise) and Group 2 (sham ESWT + therapeutic exercise). The visual analog scale for pain felt in the stump at rest and during walking with the prosthesis, the lower extremity functional scale, Houghton scale, Locomotor capacity index, and radiologically determined bone spur size were used as outcome measures. All participants were evaluated before, 4 weeks after, and 12 weeks after ESWT/sham ESWT application.

Inclusion Criteria:

Inclusion criteria for the current study :

• unilateral transfemoral amputation due to trauma for at least 6 months
• male aged between 18 and 65
• pain in the stump region of 3 or more on the visual analog scale (VAS) for at least 1 month
• bone spur in the stump diagnosed by radiography
• failure to provide sufficient benefit from previous conservative treatment (lack of at least 50% pain reduction with analgesics and nonsteroidal anti-inflammatory drugs)
• failure to provide adequate response to socket revision

Exclusion Criteria:

• infection, cellulite, neuroma, fracture, skin problems that may cause pain in the stump other than bone spur
• corticosteroid injection or surgery to the stump in the last 6 months
• conditions in which the use of ESWT is contraindicated, such as bone tumors, metabolic bone problems, nerve conduction and blood circulation disorders

Erkek

There should be a commitment that patient data will only be shared with the ethics committee upon request.