Extracorporeal Shock Wave Therapy to Help Lower-Limb Lymphedema (with standard CDT)
Official title: Efficacy of Extracorporeal Shock Wave Therapy (ESWT) in Lower Extremity Lymphedema: A Randomized Controlled Trial
Run by Gazi University · NCT07626645 · Data updated 2026-11-12
This trial tests whether adding extracorporeal shock wave therapy to standard decongestive therapy helps people with lower-limb lymphedema.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 36 (estimated) |
| Sponsor | Gazi University Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Ankara, Yenimahalle) |
| Status | Recruiting |
| Started | September 1, 2026 |
| Main results expected | February 1, 2027 |
| Study ends | February 1, 2027 |
| Registry record updated | September 15, 2026 |
| Trial ID | NCT07626645 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–80 with clinically diagnosed lower extremity lymphedema for at least 6 months, currently in CDT maintenance, and able to consent.
✕Probably not a fit
Patients with active infection, vascular disease, pregnancy, pacemakers, or other exclusion criteria may not benefit and could be at risk.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a single-center, randomized, double-blind, placebo-controlled study comparing active ESWT versus sham ESWT added to ongoing standard CDT maintenance in adults with lower-extremity lymphedema. Participants maintain compression, skin care, and exercise while receiving ESWT twice weekly for five sessions, delivered to fibrotic tissue and nearby lymph node areas. Outcomes include limb volume, skin and subcutaneous tissue thickness by ultrasonography, pain, functional status, and quality of life, assessed at baseline and after treatment. The trial uses stratified randomization by lymphedema stage and keeps all participants on standard CDT throughout the study.
Why it matters
Potential benefit: If successful, ESWT could offer a non-invasive way to reduce fibrosis and swelling and improve function for people with lower-limb lymphedema.
How similar studies have gone: Previous work suggests ESWT may reduce fibrosis and improve lymphatic function, but data in lower-extremity lymphedema are limited, making this study relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adults aged 18 to 80 years * Clinical diagnosis of lower extremity lymphedema established at least 6 months prior to enrollment * Completion of at least one cycle of CDT Phase 1 (intensive decongestive phase) within the preceding six months * Currently in CDT Phase 2 (maintenance phase) with active use of compression garments * Ability and willingness to provide written informed consent Exclusion Criteria: * Active chemotherapy or radiotherapy * Active infection * Lower extremity vascular diseases including deep vein thrombosis or arterial insufficiency * Presence of a cardiac pacemaker * Pregnancy * Bleeding disorders
Where it's running
-
Gazi University Hospital, Department of Physical Medicine and Rehabilitation, Ankara, 06560
Ankara, Yenimahalle, Turkey (Türkiye) Recruiting
Study contacts
- Study coordinator: Ayca Utkan Karasu, M.D
- Email: ayca_utkan@yahoo.com
- Phone: +905365759757
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.