Arnica and the Management of Pain in Acute Musculoskeletal Extremity Injuries
Status unconfirmed · Phase 2/Phase 3 · Has a placebo group
Conditions studied: Pain, Muscle, Pain, Acute
In brief
In the Emergency Department, there is no standard of care for pain medication distribution for children with an acute musculoskeletal injury when there is no fracture present. Currently, ibuprofen is a favorable choice for the treatment, but studies have shown concern for delayed healing activity associated with NSAIDs like Ibuprofen. Homeopathic Arnica Montana is a well-established complimentary medicine and may provide a good alternative for managing acute pain from musculoskeletal injuries, especially in children, given the palatability and rarity of side effects. This study aims to compare usual care vs. usual care plus Arnica 1M\* (oral) or the placebo for management of pain in acute musculoskeletal extremity injuries without fracture by utilizing a double-blind clinical trial design. The primary outcome is to determine if subjects use less ibuprofen when given Arnica 1M.
Key facts
- Study ID
- NCT05283434
- Run by
- Children's Hospitals and Clinics of Minnesota
- People needed
- 324
- Starts
- 2021-07-15
- Expected to finish
- 2023-06-30
- Last updated by the study team
- 2022-03-17
Who can join
Age: 11 and older, up to 18. Sex: any. Healthy volunteers: accepted.
You may qualify if…
- Patient presents to the Emergency Department with an acute, soft tissue ankle or forearm injury
- ED Provider orders an X-ray for evaluation of injury
- Patient's initial pain score is of a 4 or higher
- Patient has noticeable swelling at the site of the injury
You may not qualify if…
- Patient is diagnosed with a fracture
- Patient has an allergy to ibuprofen
- Patient is already on a NSAID, acetaminophen, anticoagulant or oral corticosteroid therapy for chronic pain treatment (a NSAID given in triage or use for the current injury is allowed)
- Use of other concurrent complementary medicine therapy, e.g. massage, acupuncture, physical therapy
- Patient has been treated for this injury in the past
- Patient has a bleeding/bruising disorder
- Patient is pregnant or is lactating
- Patient has a liver or kidney disease, malignancy, infection, immunodeficiency or metabolic syndrome
- Patient is allergic to the Asteraceae family of plants (arnica, ragweed, chrysanthemum, marigold, or daisy are the most common)
- Patient is nonverbal, and thus unable to give a pain score
- Patient does not have a working telephone (required for follow-up call)
- Family requires foreign language interpreter during their ED visit
Where it is running
- Children's Minnesota — Minneapolis, Minnesota, United States (enrolling)
- Children's Minnesota — Saint Paul, Minnesota, United States (enrolling)
Full record on ClinicalTrials.gov
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