D5W for Foot Drop
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a treatment using D5W (a sugar water solution) to determine its effectiveness for foot drop, a condition where the front part of the foot cannot be lifted. Researchers aim to assess whether this treatment can enhance strength in a specific muscle that lifts the big toe. The study involves injecting D5W under the skin near a bone in the lower leg to observe any immediate improvement in muscle strength. Ideal candidates for this trial are those who struggle to lift their toes and the front part of their foot. As an unphased trial, this study provides a unique opportunity to explore a novel treatment approach for foot drop.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications.
What prior data suggests that this method is safe for subcutaneous infiltration?
Research has shown that using 5% dextrose in water (D5W) for injections is generally safe. Studies on a similar method, perineural injection therapy, have found that D5W is well-tolerated. The most common side effects, such as soreness or tingling, are mild and temporary, typically resolving quickly. This evidence suggests that D5W is safe for use in humans.12345
Why are researchers excited about this trial?
Unlike the standard treatments for foot drop, which often involve physical therapy, orthotic devices, or surgical interventions, D5W offers a different approach. D5W, or 5% dextrose in water, is administered subcutaneously, and researchers believe it may quickly improve dorsiflexion strength by targeting the nerves around the fibular neck. This method could potentially provide rapid results, showing improvements in just minutes, which is much faster than the traditional options. Researchers are excited about D5W because it represents a minimally invasive alternative that could enhance mobility without the need for extensive rehabilitation or surgery.
What evidence suggests that D5W might be an effective treatment for foot drop?
Research has shown that D5W (a solution of 5% sugar in water) injections may help treat nerve problems. Studies found that 88.6% of patients experienced significant improvement after using this treatment. D5W can ease pain and improve movement in cases where nerves are squeezed or pinched. In some situations, it has proven more effective than certain traditional treatments, like specific steroid medications. This trial will investigate the effectiveness of D5W for nerve-related issues, such as foot drop, where the foot has trouble lifting. Participants will receive an infiltration of D5W to assess improvement in dorsiflexion strength.12367
Who Is on the Research Team?
Stephen L Barrett, DPM MBA
Principal Investigator
US Neuropathy Centers LLC
Are You a Good Fit for This Trial?
This trial is for people who have foot drop, specifically with weakness in lifting their big toe due to a weak Extensor Hallucis Longus muscle.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Infiltration of 3 cc's of D5W subcutaneously at the level of the fibular neck to assess improvement in dorsiflexion strength
Follow-up
Participants are monitored for changes in motor strength at 4 and 10 minutes post-infiltration
What Are the Treatments Tested in This Trial?
Interventions
- D5W
Trial Overview
The study tests if injecting D5W (a sugar water solution) under the skin without imaging guidance can reliably produce the Phoenix sign in these patients.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
3 cc's of D5W will be infiltrated subcutaneously at the level of the fibular neck to see if there is any improvement in dorsiflexion strength at 4 and 10 minutes post infiltration.
Find a Clinic Near You
Who Is Running the Clinical Trial?
US Neuropathy Centers
Lead Sponsor
Citations
Efficacy of 5% Dextrose Water Injection for Peripheral ... - PMC
The results revealed that 88.6% of the patients showed an effective outcome (symptom relief > 50% compared to baseline), while 62.7% of patients ...
2.
researchgate.net
researchgate.net/publication/356256927_Efficacy_of_5_Dextrose_Water_Injection_for_Peripheral_Entrapment_Neuropathy_A_Narrative_Review(PDF) Efficacy of 5% Dextrose Water Injection for ...
The technique of perineural injection therapy using 5% dextrose water has been progressively used to treat many peripheral entrapment neuropathies and has been ...
Efficacy of 5% Dextrose Water Injection for Peripheral ...
The technique of perineural injection therapy using 5% dextrose water has been progressively used to treat many peripheral entrapment neuropathies.
Efficacy of 5% Dextrose Water Injection for Peripheral ...
The review summarizes the actual evidence on the application of perineural injection therapy using 5% dextrose water in peripheral entrapment neuropathies. The ...
5.
now.aapmr.org
now.aapmr.org/therapeutic-injection-of-dextrose-prolotherapy-perineural-injection-therapy-and-hydrodissection/Therapeutic Injection of Dextrose: Prolotherapy, Perineural ...
Recent studies and meta-analyses demonstrate that 5% dextrose injections are effective for peripheral entrapment neuropathies, with significant ...
6.
benthamopenarchives.com
benthamopenarchives.com/abstract.php?ArticleCode=TOPAINJ-18-e18763863381504Allodynia Relief Post Ultrasonography-guided Dextrose 5 ...
We present a case demonstrating the efficacy of dextrose 5% hydrodissection for superficial peroneal nerve entrapment. Case Presentation. A ...
7.
houstonsportsmedicine.com
houstonsportsmedicine.com/pain-and-injury-treatments-houston/perineural-injection-therapy-what-it-is-and-how-it-differs-from-classic-prolotherapy/Perineural Injection Therapy (PIT) with D5W
Across controlled trials, perineural injections have shown a favorable safety profile (transient soreness/paresthesias are most common.).
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