Actively Recruiting
Extracorporeal Shock Wave Therapy on Neuropathic Pain Post Mastectomy
Led by Cairo University · Updated on 2024-08-27
60
Participants Needed
1
Research Sites
15 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
PURPOSE: The main objective of the study is: to evaluate the therapeutic effect of ESWT on intercostobrachial neuralgia post-mastectomy. BACKGROUND: Intercostobrachial neuralgia post-mastectomy is thought to develop from surgical damage to the intercostobrachial nerve, this nerve is injured in 80-100 % of mastectomy patients who undergo axillary lymph nodes dissection. Pain that is localized in the axilla, medial upper arm, breast, and/or chest wall significantly affects the patient's mood, everyday activities, and social functioning, causing a heavy economic burden on healthcare systems. If poorly treated, patients may develop an immobilized arm, which can lead to severe lymphedema, frozen shoulder syndrome, and complex regional pain syndrome. HYPOTHESES: It will be hypothesized that: Shock wave therapy has no effect in improving intercostobrachial neuralgia post-mastectomy.
CONDITIONS
Official Title
Extracorporeal Shock Wave Therapy on Neuropathic Pain Post Mastectomy
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Female patients aged 40 to 65 years
- Suffering from intercostobrachial neuralgia after unilateral modified radical mastectomy
- Experiencing moderate or severe burning, tingling, numbness, or electric nerve pain lasting 3 to 5 months after mastectomy
- Pain located in the anterior chest wall, axilla, and upper medial arm with altered skin sensitivity
- Having unilateral mild to moderate lymphedema with a 4 cm arm circumference difference
- Completed chemotherapy or radiotherapy treatment
- Provided informed consent to participate in the study
You will not qualify if you...
- Presence of current metastases
- Ongoing chemotherapy or radiotherapy treatment
- History of allergy to coupling agent used in treatment
- Chronic inflammatory diseases or cellulitis
- Venous thrombosis
- Local infections in the painful area
- Diabetes mellitus causing nerve inflammation
- Open skin lesions in the painful area
- Other causes of arm pain such as brachial plexus neuropathy from radiotherapy, cervical radiculopathy, or shoulder joint peri-capsulitis
AI-Screening
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Trial Site Locations
Total: 1 location
1
from the National Cancer Institute
Cairo, Egypt
Actively Recruiting
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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