Status:

UNKNOWN

Brain MRI for Knee OA

Lead Sponsor:

Toronto Rehabilitation Institute

Collaborating Sponsors:

McMaster University

Conditions:

Chronic Pain

Central Sensitisation

Eligibility:

All Genders

18-80 years

Phase:

NA

Brief Summary

It has been estimated that 300 million people worldwide have osteoarthritis (OA), and this has increased by 97% over the past 25 years. OA is degenerative joint disease that has joint cartilage break ...

Detailed Description

Chronic pain and knee osteoarthritis - context and gap Chronic pain is a debilitating concern that can affect the health, employment, and lifestyle of individuals and puts a tremendous strain on the ...

Eligibility Criteria

Inclusion

  • Clinical diagnosis and radiographic evidence of knee OA (by rheumatologist).
  • For the two experimental groups (Groups OA-Knee and OA-Knee+Body), participants must have experienced chronic pain related to their knee OA (\>3 months) on most days of each month.
  • Participants in Group OA-Knee+Body must:
  • Exhibit chronic knee pain and widespread bodily pain at \>3 Michigan Body Map regions.
  • Meet the Kosek criteria for nociplastic pain: i) the duration/regionality/type of pain, ii) history of hypersensitivities, iii) comorbidity identification, and iv) evoked pain hypersensitivity \[19\]
  • Participants must be able to speak and understand English.

Exclusion

  • Unable to provide consent (e.g., poor English language skills, etc.)
  • History of liver or kidney disease
  • MRI contraindications:
  • Pacemaker
  • Stent
  • Joint prothesis
  • Implanted devices
  • Claustrophobia
  • Pregnant
  • Permanent piercings
  • Chronic/abusive use of alcohol and/or illicit drugs
  • Previous clinical diagnosis of fibromyalgia, a multisite pain disorder, a systemic inflammatory disorder (e.g., rheumatoid arthritis, myopathy), depression, post-traumatic stress disorder
  • Previous stroke or moderate/severe traumatic brain injury, subarachnoid hemorrhage, or intracranial hemorrhage
  • Use of psychotropic medications
  • Control subjects (Group OA-PF) also cannot have a history of chronic pain or knee pain caused by osteoporosis or osteoarthritis
  • Total knee replacement
  • Pregnant or chance of being pregnant

Key Trial Info

Start Date :

September 1 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

August 31 2025

Estimated Enrollment :

66 Patients enrolled

Trial Details

Trial ID

NCT05986513

Start Date

September 1 2023

End Date

August 31 2025

Last Update

August 18 2023

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Imaging Research Centre, St. Joseph's Healthcare Hamilton

Hamilton, Ontario, Canada, L8P 2J5

2

Toronto Rehabilitation Institute

Toronto, Ontario, Canada, M5G 2A2