Pubalgia and Adductor Tendinopathies Refractory to Medical Treatment
Status:
Unknown status
Trial end date:
2020-08-02
Target enrollment:
Participant gender:
Summary
Pubalgia is a pain syndrome located in the groin area. This syndrome is mainly described in
young male athletes and typically affect the superficial muscles defining the boundaries of
the femoral triangle, i.e. gracilis, pectineus, adductor brevis and especially adductor
longus, and less commonly the deep muscles.
Clinically, the pain is located in the inner aspect of the thigh, where the tendons attach
onto the pubic symphysis. It is usually unilateral, and sometimes associated with neuropathic
pain suggestive of obturator nerve irritation.
There is no official recommendation or expert consensus on the management of pubalgia.
However, a few protocols recommend a period of rest with Non-Inflammatory Anti-Steroidien
Drugs (NSAIDs), icing and massages, as well as rehabilitation with passive stretching and
muscle reinforcement.
The use of botulinum toxin type A could be an option in cases of treatment failure. However,
a feasibility study must be performed beforehand, and if results are positive, a controlled
study on a larger cohort could be conducted.
The major potential impact is a great effective pain relief for patients with neurological
diseases.
Phase:
Phase 2
Details
Lead Sponsor:
University Hospital, Bordeaux
Collaborator:
Ipsen
Treatments:
abobotulinumtoxinA Botulinum Toxins Botulinum Toxins, Type A onabotulinumtoxinA