About this trial
This prospective observational study aims to compare the clinical effectiveness of perineural 5% dextrose injections and perineural local anesthetic injections in patients with symptomatic knee osteoarthritis. Adult patients receiving routine perineural injection therapy will be followed for six months. Pain intensity and functional outcomes will be assessed at baseline and at 1, 3, and 6 months after treatment using validated clinical assessment tools.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Symptomatic knee osteoarthritis
Clinical/radiological diagnosis
Knee pain ≥ 3 months
Written informed consent
Disqualifiers
Prior knee surgery
Recent intra-articular injection
Inflammatory rheumatic disease
Severe systemic or neurological disease
Trial population
Adult patients aged 40 to 65 years with symptomatic knee osteoarthritis who are receiving perineural injection therapy as part of routine clinical care. Eligible participants include both male and female patients who meet the predefined inclusion and exclusion criteria and are able to provide written informed consent.
Trial design
Cohort
Prospective
Treatments tested in this trial
Perineural 5% Dextrose Injection
Procedure/SurgeryPerineural injection of 5% dextrose solution administered around periarticular sensory nerves of the knee as part of routine clinical practice.
Perineural Local Anesthetic Injection
Procedure/SurgeryPerineural injection of local anesthetic administered around periarticular sensory nerves of the knee as part of routine clinical practice.
Treatment groups
Trial outcomes
Primary outcomes
Change in Knee Pain Intensity (Visual Analog Scale [VAS])
Change in Knee Pain Intensity (Visual Analog Scale \[VAS\]) Change from baseline in knee pain intensity measured using the Visual Analog Scale (VAS), a 100-mm horizontal line anchored at 0 = no pain and 100 = worst imaginable pain; higher scores indicate worse pain.
Secondary outcomes
Change in Functional Status (Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC])
Change from baseline in WOMAC total score (and/or subscales: pain, stiffness, and physical function) assessing knee osteoarthritis-related symptoms. The WOMAC consists of 24 items with a total score ranging from 0 to 96; higher scores indicate worse symptoms and worse functional status.
Change in Knee Range of Motion
Change in knee joint range of motion measured using goniometry.
Change in Quadriceps Muscle Strength
Change in quadriceps muscle strength assessed by manual muscle testing.
Sponsors and contacts
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