Comparison of ESWT and Deep Tissue Massage in Individuals With Medial Tibial Stress Syndrome

This study, titled "Comparison of the Effectiveness of Extracorporeal Shock Wave Therapy and Deep Tissue Massage in Individuals with Medial Tibial Stress Syndrome (MTSS)," is designed as a prospective, randomized controlled trial with two parallel groups. The research will be conducted at the Sports Health Laboratory of the Ankara Bilkent City Hospital, Department of Physical Medicine and Rehabilitation. The study population will consist of individuals who meet the diagnostic criteria for MTSS and present to the Sports Medicine outpatient clinic. All participants will undergo an exercise program recommended in the literature for the treatment of MTSS. Participants will be randomly assigned into two groups using a sealed-envelope method. One group will receive deep tissue massage in addition to the exercise program, while the other group will receive extracorporeal shock wave therapy (ESWT) alongside the exercises. Additionally, all participants will be treated with conventional transcutaneous electrical nerve stimulation (TENS) at 100 Hz for pain control. Initial assessments, randomization, treatment applications (TENS, exercise, deep tissue massage, and ESWT), and outcome evaluations will be performed by different members of the research team. Outcome assessments will be conducted in a blinded manner to ensure objectivity regarding treatment allocation.

NCT Number	NCT07056426
Lead Sponsor	Ankara Yildirim Beyazıt University Collaborators: Ankara City Hospital Bilkent
Conditions	Medial Tibial Stress Syndrome
Enrollment	22 participants
Start Date	2025-06-02
Primary Completion	2025-12-31 (estimated)
Study Completion	2026-03-23 (estimated)
Updated on ClinicalTrials.gov	2026-03-24