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Conservative Treatment in Patients With Supraspinatus Tendon Injury.

RecruitingNAAges 40 Years - 75 YearsAllMedical University of Lodz
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In plain words

What the trial is, and whether it could suit you

Rotator cuff injuries are a major cause of severe pain, often significantly impacting patients\' sleep quality. For patients waiting for surgery or those not eligible for operative treatment, conservative treatment is recommended. In cases of minor injuries, physiotherapy is as effective as surgical intervention. The aim of this study is: (1) to compare the speed, effectiveness, and durability of four implemented interventions in improving sleep quality, pain, and shoulder function, (2) to select the most optimal form of conservative treatment for patients with shoulder pain affecting sleep quality, and (3) to evaluate the expression of brain-derived neurotrophic factor (BDNF) and proBDNF (precursor) at the mRNA protein level before the planned intervention (T0), 1 month (T1), 3 months (T3), and 6 months (T6) after intervention. The study results can assist physicians and physiothe

Sign in to get the eligibility rules as simple questions to take to your doctor.

📋 Eligibility rules (as published)
Inclusion Criteria: 1. Symptomatic partial incomplete thickness tear of the supraspinatus tendon, with a length below 1 cm and not exceeding 50% of the tendon thickness, confirmed by ultrasound examination. 2. Sleep disturbance symptoms for at least 1 month due to shoulder pain - PSQI score \> 5. 3. Shoulder pain disrupting the quality of sleep. 4. BMI \< 30. 5. Age 40-75. Exclusion Criteria: 1. Other accompanying pain symptoms. 2. History of shoulder surgery. 3. Coexistence of psychiatric or neurological disorders. 4. Presence of comorbidities that may disrupt sleep. 5. Presence of risk factors impairing tissue regeneration and increasing the likelihood of injury progression - osteoporosis, diabetes, hypercholesterolemia. 6. Alcohol dependence, nicotine addiction, passive smoking. 7. Taking antibiotics from the fluoroquinolone group, sleep-affecting medications (such as melatonin, trazodone, zolpidem), antidepressants, antipsychotics, anxiolytics. 8. Lack of patient consent, lack of cooperation, or impaired verbal-logical communication.
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What it tests

  • 1ml of Depo-Medrol® injection
  • Rehabilitation
  • Nerve block with 4ml of 2% lidocaine
  • Tropocells® PRP injection
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Where

1 site
Medical University of Lodz
Lodz, Poland
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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