Perineural Prolotherapy in Chronic Knee Osteoarthritis Pain.
NCT07245121 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2025-12-02
Summary
The aim of this study is to test whether the addition of dextrose to perineural injections is superior to local anesthetic alone, as some initial data have indicated. To enhance the potential therapeutic effect, we will proceed to a 4-point injection technique, targeting 4 genicular nerves (superomedial, superolateral, inferomedial, recurrent peroneal genicular nerve) in a randomized controlled trial with two arms.
Conditions
- Chronic Pain
- Perineural Analgesia
- Prolotherapy
- Knee Osteoarthritis
Interventions
- DRUG
-
Dextrose 5% and Lidocaine
In the Dextrose + Lidocaine group (group D+L) a perineural infusion of a total volume of 8 ml of DW 5% and lidocaine 1% will be performed at the 4 genicular nerves (2ml per nerve), which will be prepared as follows: 4 ml of lidocaine 2%, with 1.2 ml of DW 35% and 2.8 ml of NaCl 0.9%. All perineural injections will be executed under ultrasound guidance 3 times (in 3 consecutive sessions): at their first assessment, 2 and 4 weeks later.
- DRUG
-
Lidocaine
In the Lidocaine group (group L) the respective infusion of a solution of 8 ml of lidocaine 1% at the 4 genicular nerves (2ml per nerve) will be prepared as follows: 4 ml of lidocaine 2% with 4 ml of NaCl 0.9%. The perineural injections in each group will be executed 3 times (in 3 consecutive sessions): at their first assessment, 2 and 4 weeks later.
Sponsors & Collaborators
-
National and Kapodistrian University of Athens
lead OTHER
Principal Investigators
-
Konstantinos Kalimeris, Assoc Prof of Anesthesiology · National and Kapodistrian University of Athens
-
Theodosios Saranteas, Professor of Anesthesiology · National and Kapodistrian University of Athens
-
Andreas Maurogenis, Assoc Prof of Anesthesiology · National and Kapodistrian University of Athens
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 38 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-11-24
- Primary Completion
- 2026-12-31
- Completion
- 2027-02-28
Countries
- Greece
Study Locations
More Related Trials
-
The Efficacy of Local Infiltration Analgesia for Postoperative Pain Management After Total Knee Arthroplasty
NCT04258241 ·Status: UNKNOWN ·Phase: NA
-
Effects of Genicular Nerve Block in Knee Osteoarthritis
NCT03781843 ·Status: UNKNOWN ·Phase: NA
-
Effects of Semi-standarized Acupuncture in Chronical Symptomatic Osteoarthritis of the Knee Through: A Randomized Controlled Trial
NCT05096806 ·Status: UNKNOWN ·Phase: NA
-
Analgesic Value of Adductor Canal vs Femoral Block After Total Knee Arthroplasty
NCT03395990 ·Status: COMPLETED ·Phase: NA
-
Transcutaneous Pulsed Radiofrequency Application Plus Genicular Nerve Block Versus Intraarticular Hyaluronic Acid Injection for Management of Chronic Pain in Knee Osteoarthritis.
NCT06710782 ·Status: COMPLETED ·Phase: NA
-
Effects of Short Wave Diathermy Added on Dextrose Prolotherapy Injections in Osteoarthritis of the Knee
NCT03931811 ·Status: COMPLETED ·Phase: NA
-
Percutaneous Electrical Stimulation, Education and Exercise Program in Patients With Knee Osteoarthritis
NCT05955430 ·Status: UNKNOWN ·Phase: NA
-
Effects of Ischemic Preconditioning on Conditioned Pain Modulation and Heart Rate Variability in Knee Osteoarthritis
NCT05059652 ·Status: COMPLETED ·Phase: NA
-
Pharmacopuncture Therapy for Chronic Knee Pain
NCT06505681 ·Status: COMPLETED ·Phase: NA
-
Ultrasound-guided Genicular Nerve Block With Phenol for the Treatment of Chronic Pain Due to Knee Osteoarthritis
NCT03601533 ·Status: UNKNOWN ·Phase: NA
-
Effects of TENS During the Performance of a Therapeutic Exercise Protocol in Individuals With Knee Osteoarthritis.
NCT06184451 ·Status: RECRUITING ·Phase: NA
-
Radiofrequency Applications and Alcoholic Neurolysis of Genicular Nerve for the Treatment of Knee Osteoarthritic Pain
NCT06520384 ·Status: COMPLETED ·Phase: NA
-
An Intervention of Electrical Stimulation in Osteoarthritis
NCT00500448 ·Status: COMPLETED ·Phase: NA
-
Effect of Intraarticular Ozone, Prolotherapy or Dexmedetomidine in Pain Limitation in Knee Osteoarthritis
NCT06909305 ·Status: COMPLETED ·Phase: NA
-
Acupuncture as an Adjunctive Therapy to the Pharmacological Treatment in Patients With Chronic Pain in Osteoarthritis of the Knee: a Three Armed Randomized Placebo Controlled Trial
NCT01398930 ·Status: COMPLETED ·Phase: NA
-
Electro-Acupuncture Treatment in Patients With Osteoarthritis Of The Knee (EATOAK)
NCT02299713 ·Status: COMPLETED ·Phase: NA
-
Effect of Genicular Nerve Block on Proprioception in Knee Osteoarthritis
NCT06744842 ·Status: COMPLETED ·Phase: NA
-
Comparative Efficacy of Intra-articular vs. MRI-guided Extra-articular Dextrose Injections in Knee Osteoarthritis Management
NCT06755697 ·Status: RECRUITING ·Phase: NA
-
Percutaneous vs Conventional Radiofrequency Applications for the Treatment of Knee Osteoarthritic Pain
NCT06520371 ·Status: COMPLETED ·Phase: NA
-
Improvement in Pain and Function Following a Physiotherapy Program in Older Adults With Knee Osteoarthritis
NCT02698072 ·Status: COMPLETED ·Phase: NA
-
Osteopuncture for Osteoarthritis-Associated Knee Pain & Disability
NCT00417313 ·Status: COMPLETED ·Phase: PHASE2
-
COMPARATIVE STUDY OF THE EFFICACY OF HYALURONIC ACID, DRY NEEDLING AND COMBINED TREATMENT IN PATELLAR OSTEOARTHRITIS
NCT03743818 ·Status: COMPLETED ·Phase: NA
-
Effect of Transcutaneous Electrostimulation (TENS) on Pain and Physical Function in Patients With Knee Osteoarthritis
NCT01875042 ·Status: COMPLETED ·Phase: NA
-
The KNEEhabilitation Study: Improving Disability in Individuals With Knee Osteoarthritis
NCT02634814 ·Status: COMPLETED ·Phase: NA
-
Joint Injections for Osteoarthritic Knee Pain
NCT00085722 ·Status: COMPLETED ·Phase: PHASE1/PHASE2