Rhizarthrosis
Conditions
Brief summary
In this trial the investigators want to prove the efficacy and safety of a one-time topical leech application at patients with symptomatic primary arthrosis of the first carpometacarpal joint in comparison to the standard therapy with topical diclofenac.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Male and female patients aged 35 to 85 years * Pain intensity in the region of the thumb base in pain phases ≥ 40 mm on the VAS of 0 to 100 mm (relative to the last 24 hours) * Complaints for at least 3 months * X-ray Stadium Eaton I-IV at least once secured
Exclusion criteria
* Anticoagulation (Marcumar, Heparin) * Haemophilia, V. Willebrandt Jürgens syndrome, thrombocytopathy and other blood anomalies * Combination therapy of ASA and thienopyridines * Pain medication with opioid analgesics * Systemic medication with corticoids or immunosuppressants * Intraarterticular injections or RSO within the last 3 months * Past or planned surgery on the affected joint in the next 2 months * Pregnancy, lactation * Insulin-dependent type I diabetes mellitus * Acute psychotic disorders * Severe comorbidity
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Disabilities of the Arm, Shoulder and Hand (DASH) | Change after 28 and 56 days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual analog scale (VAS) | Change after 7, 28 and 56 days | — |
| Medication on demand | Documentation between baseline and day 56 | Documentation in daily diary |
Other
| Measure | Time frame | Description |
|---|---|---|
| Expectation | Baseline | 5-stage Likert scale for the expectation of symptomatic efficacy after group assignment |
| Overall assessment of efficacy and tolerability | Day 56 | 5-stage Likert scale documented by the patient as well as by the doctor at the end of the study |
Countries
Germany