Can gait retraining or botox shots replace surgery for leg pain?

NCT ID NCT04409600

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study tested four non-surgical treatments for chronic exertional compartment syndrome (CECS), a condition that causes leg pain during exercise. 35 active-duty military members were assigned to supervised gait retraining, home-based gait retraining, saline injections, or botulinum toxin injections. Researchers tracked their running ability, pain, and function for up to two years to see if these options could offer an alternative to surgery.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

botulinum toxin injection

What this could lead to

If successful, this could provide effective non-surgical alternatives to surgery for people with chronic exertional compartment syndrome, helping them return to running and active duty without an operation.

What could go wrong

This is a small, early-phase study with only 35 participants, so results may not apply to everyone. The treatments may not work as well as surgery, and botulinum toxin injections carry risks like muscle weakness or allergic reaction.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

Chronic Exertional Compartment Syndrome compartment syndrome

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Carl R. Darnell Army Medical Center

    Killeen, Texas, 76544, United States

  • Fort Belvoir Community Hospital

    Fort Belvoir, Virginia, 22060, United States

  • Walter Reed National Military Medical Center

    Bethesda, Maryland, 20307, United States

  • Womack Army Medical Center

    Fort Bragg, North Carolina, 28310, United States