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A Single-blind RCT to Investigate the Effect of a Novel Herbal Patch for the Treatment of PF

The Chinese University of Hong Kong logo

The Chinese University of Hong Kong

Status

Enrolling

Conditions

Plantar Fasciitis

Treatments

Other: CDAM

Study type

Interventional

Funder types

Other

Identifiers

NCT05584046
2022.426

Details and patient eligibility

About

Disorders and injuries of tendons and ligaments are some of the most diagnosed musculoskeletal (MS) disorders clinically. Nearly half of the 33 million MS disorders reported in the United States each year are tendon and ligament injuries. Although most of such injuries are non-fatal, they are severely debilitating, resulting in significant reduction in patient's quality of life, loss of productivity, and considerable costs to the healthcare system.

Among all tendon and ligament disorders and injuries, tendon and ligament overuse disorders are the most common and incapacitating ones. Tendinopathy is a painful tendon overuse disorder, which increases with population aging. It has been estimated that about 30% of consultations for MS complaints in a general practice were related to tendinopathy. The affected tendon is presented with local tenderness, swelling and pain, causing physical disability of the affected individual. The affected tendon degenerates and finally ruptures. Common sites of tendinopathy include supraspinatus, common wrist extensor, flexor tendon, patellar tendon, and Achilles tendon. The outcomes of both conservative treatments and surgeries are not satisfactory, with recurrent pain and tendon retear after surgery.

Plantar fasciitis is a chronic painful, degenerative condition of the plantar fascia. It is caused by repetitive traumas at its origin on the calcaneus. Plantar fascia is a thick, ribbon-like fibrous ligament that connects the medial calcaneal tubercle to the heads of the metatarsal bones. It contributes to the support of the foot arch by acting as a tie-rod, where it undergoes tension when the foot bears weight. Therefore, although plantar fascia is anatomically defined as a ligament, it functions similar to a tendon.

This study aims to conduct a randomized controlled study to test the efficacy of CDAM patch for the treatment of plantar fasciitis in patients.

Enrollment

24 estimated patients

Sex

All

Ages

18 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Male and female with age 18-65
  • Unilateral or bilateral
  • Heel pain for more than 6 weeks' duration
  • VAS score ≥ 5
  • Signed informed consent.

Exclusion criteria

  • Known chronic disease or receiving long-term medications affecting bone metabolism including BPs
  • Contraindication to alendronate therapy such as poor dental fitness
  • ACL injury less than 6 weeks
  • Injury on duty cases
  • Patients who have undergone arthroscopy or open surgery in the index knee in the last 12 months
  • Other associated injuries (fractures and other ligament involvement such as neurovascular bundles injury)
  • Chondral lesion with concomitant intervention
  • Presence of X-ray features of osteoarthritis including decrease in joint space, presence of osteophytes and subchondral cysts
  • Neurological deficit
  • Pregnant or breastfeeding
  • Inability to give informed consent

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

24 participants in 2 patient groups

CDAM group
Experimental group
Description:
Patients receive the CDAM patch and a standard home stretching exercise program
Treatment:
Other: CDAM
Untreated group
No Intervention group
Description:
Patients receive a standard home stretching exercise program

Trial contacts and locations

1

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Central trial contact

Patrick Shu-hang YUNG

Data sourced from clinicaltrials.gov

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