About this trial
This study involves the use of sound waves to block pain signals caused by osteoarthritis of the knee. The sound waves are tightly focused on a specific area of the nerve. The sound waves cause a break in the nerve which carries pain signals. Sound waves transmit through the skin so there is no need for needles. The procedure takes approximately one hour. The device has been approved in Health Canada and Europe for the treatment of lower back pain. This study is to evaluate the use of the same device for people in Canada who have knee pain related to osteoarthritis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Moderate to severe, predominantly medial chronic knee pain
Age adult >18 years old
WOMAC Score of 30 or higher
NRS>6 with ambulation
Disqualifiers
Individuals after any surgery associated with altered integrity of bone structure
Individuals with severe pain in the second knee
Individuals unable to understand and complete the research questionnaires in the official language
Individuals presenting with any severe medical condition preventing the participant from safely and effectively being treated in the study or reporting study outcomes, per PI decision
Trial design
Single group
Treatments tested in this trial
Neurotomy of the medial sensory articular branches
DeviceNon-invasive thermal ablation of the medial sensory articular branches of the knee joint
Treatment groups
Trial outcomes
Primary outcomes
A positive clinical outcome will be measured by a 2-point reduction in the Numerical Rating Score (NRS)
The NRS score is a 10 point scale, 0 to 10, with 0 meaning "no pain" and 10 meaning "worst possible pain"; the NRS score will be measured at baseline and all follow-up intervals - 2 days, 7 days, 1 month, 3 months, and 6 months..
Safety will be measured by the incidence and severity of treatment-related adverse events.
Adverse events will be evaluated throughout the study.
Secondary outcomes
Lesion size and location
Lesion size and location as shown in MRI images post treatment as available
Procedure time (in minutes)
Procedure time will be documented from start to finish
Radiation exposure (in seconds)
The procedure is completed using fluroscopy. The fluroscopy time is calculated by the C-Arm. This number will be documented.
Periprocedural analgesic/sedative requirement
Analgesic/sedatives used during the procedure will be documented.
Locations
1Map coordinates are unavailable for these locations. Locations are shown below instead.
Sponsors and contacts
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