Proximal Nerve Cryoablation Versus Perineuroma Cryoablation for Chronic Neuroma Pain After Combat-Related Amputation
NCT07618689 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 50
Last updated 2026-06-02
Summary
atients with combat-related amputations frequently develop chronic neuroma pain that interferes with rehabilitation, prosthesis use, mobility, sleep, and quality of life. Cryoablation is a minimally invasive treatment that produces controlled nerve injury using extreme cold. Although the freezing effect is localized around the cryoprobe, axonal interruption followed by distal Wallerian degeneration may extend functional denervation distal to the ablation site.
This study aims to compare two ultrasound-guided cryoablation strategies for chronic neuroma pain after combat-related amputation: cryoablation performed directly near the neuroma and cryoablation performed proximal to the neuroma along the affected nerve.
The study will evaluate whether proximal nerve cryoablation produces greater or longer-lasting analgesic effects compared with perineuroma cryoablation.
Conditions
- Neuroma
- Cryoablation
Interventions
- PROCEDURE
-
Perineuroma Cryoablation
Ultrasound-guided cryoablation performed adjacent to the painful neuroma.
- PROCEDURE
-
Proximal Nerve Cryoablation
Ultrasound-guided cryoablation performed proximal to the neuroma along the affected nerve.
Sponsors & Collaborators
-
Ukrainian Society of Regional Anesthesia and Pain Therapy
lead OTHER
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-10-15
- Primary Completion
- 2026-10-15
- Completion
- 2026-10-15
Countries
- Ukraine
Study Locations
More Related Trials
-
Does Interneural Local Anesthetic Spread at the Site of Sciatic Nerve Bifurcation Shorten Block Onset Time?
NCT01568476 ·Status: COMPLETED ·Phase: NA
-
The Influence of Peripheral Nerve Blocks in Patients Undergoing Limb Orthopedic Surgery
NCT03913650 ·Status: COMPLETED ·Phase: NA
-
Sciatic Perineural Versus Stump Catheter for Below Knee Amputation
NCT01608035 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Ambulatory Continuous Peripheral Nerve Blocks for Treatment of Post-Amputation Phantom Limb and Stump Pain
NCT00667264 ·Status: COMPLETED ·Phase: NA
-
Preventing Chronic Post Surgical Pain After Limb Surgery
NCT02630498 ·Status: TERMINATED ·Phase: NA
-
Forearm vs Brachial Plexus Blockade for Routine Hand and Wrist Surgery
NCT03510559 ·Status: UNKNOWN ·Phase: NA
-
Comparison of Anesthetic Modalities on Hemodynamic Stability and Postoperative Pain in Diabetic Foot Patients Undergoing Minor Lower Extremity Amputation
NCT02440282 ·Status: COMPLETED
-
Ideal Anatomic Location for Saphenous Nerve Blocks: A Prospective Clinical Evaluation
NCT02645097 ·Status: COMPLETED ·Phase: NA
-
Comparing Primary With Secondary Repair of Based on Electrodiagnostic Assessment and Clinical Examination
NCT01116362 ·Status: COMPLETED ·Phase: PHASE2
-
A Comparison of Two Injection Locations in Obese Patients Having Lower Leg/Foot Surgery
NCT01550094 ·Status: COMPLETED
-
Saphenous Nerve Block for Foot and Ankle Surgery
NCT02382744 ·Status: COMPLETED ·Phase: NA
-
A Novel Combination of Peripheral Nerve Blocks for Patients Scheduled for Shoulder Surgery
NCT02809144 ·Status: COMPLETED ·Phase: NA
-
Popliteal Nerve Block for Acute Achilles Tendon Rupture Repair Surgery
NCT06886815 ·Status: RECRUITING ·Phase: NA
-
A Comparison of General Versus Peripheral Nerve Block for Lower Extremity Amputation in Diabetic Patients With Bleeding Tendency: a Retrospective Study
NCT05012059 ·Status: UNKNOWN
-
Peripheral Nerve Blocks for Above-the-knee Amputations
NCT03404180 ·Status: COMPLETED ·Phase: PHASE4
-
Visualizing Peripheral Nerves Using Ultrasound-Guided Approach
NCT00221949 ·Status: COMPLETED
-
Neuromodulation in Patients With Hamstring Shortening
NCT03637439 ·Status: COMPLETED ·Phase: NA
-
Preoperative Continuous Sciatic Perineural Analgesia in Patients Undergoing Lower Limb Revascularization
NCT04286971 ·Status: COMPLETED
-
Comparing Two Injection Sites of Local Anesthetic for Hand Surgery
NCT02112006 ·Status: COMPLETED ·Phase: NA
-
Can Ultrasound Predict Nerve Injury Following Posterior Tibial Nerve Block in Patients With Peripheral Neuropathy?
NCT01002053 ·Status: COMPLETED
-
Nerve Block Washout
NCT02050295 ·Status: TERMINATED ·Phase: NA
-
Saphenous Nerve Block: Single Shot Versus Continuous Infusion to Supplement a Continuous Sciatic Nerve Block After Major Ankle Surgery
NCT01445210 ·Status: COMPLETED ·Phase: NA
-
Onset Time of Nerve Block: A Comparison of Two Injection Locations in Patients Having Lower Leg/ Foot Surgery
NCT01542840 ·Status: UNKNOWN
-
Phrenic Nerve Infiltration in Neck Pain
NCT05605639 ·Status: RECRUITING ·Phase: PHASE4
-
Ultrasound-guided Peripheral Nerve Blocks - a Database
NCT06460792 ·Status: RECRUITING