Condition: Bone Marrow Edema · Knee Osteoarthritis · Knee Pain Chronic · Sponsor: Kessler Foundation
Subchondral bone marrow lesions (BMLs) in knee osteoarthritis (OA) are strongly associated with presence and severity of knee pain, structural deterioration, disease progression with an increased risk of total knee arthroplasty. OA-related BMLs may regress or resolve within 30 months which could be associated with long lasting disability. It has been reported that BMLs persist in the majority of knee OA patients. Different treatment strategies have been proposed including rest and protected weight-bearing, bisphosphonates, subchondroplasty and intraosseous orthobiologic injection. However, conservative treatment response takes a long time and other interventions may be considered invasive procedures that show varying results with several side effects. Focused extracorporeal shockwave therapy (f-ESWT) has been established as a safe non-invasive treatment with positive results in different bone disorders that share the same pathological features of BMLs. This is an exploratory, randomized-controlled, pilot study to determine the efficacy and safety of f-ESWT compared to the standard-of-care (analgesics and protected weight bearing) for the treatment of BMLs in patients with knee OA. Thirty subjects with knee OA who have history of knee pain at rest and during walking with the confirmed diagnosis of subchondral BML(s) on magnetic resonance imaging (MRI) despite at least 4 weeks of conservative treatment will be enrolled into this study. Subjects will receive a total of 4 session…
This description comes directly from the study's public registry record.
Nathan Hogaboom, PhD · 9733243584 · nhogaboom@kesslerfoundation.org
Shalaka Paranjpe, MS · 9733246643 · sparanjpe@kesslerfoundation.org
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| New Jersey Regenerative Institute | Cedar Knolls, New Jersey, United States | Recruiting |
| Nathan Hogaboom | West Orange, New Jersey, United States | Recruiting |
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Source record: clinicaltrials.gov/study/NCT05596591