Step-by-Step injections aim to ease chronic pain in Loose-Joint conditions

NCT ID NCT07688096

First seen Jul 07, 2026 · Last updated Jul 10, 2026 · Updated 2 times

Summary

This study tests a stepwise injection plan for adults with joint hypermobility and instability who haven't improved enough with physical therapy. The first step uses dextrose prolotherapy to stimulate healing in ligaments. If that doesn't reduce pain by at least 40%, participants may move to platelet-rich plasma (PRP) from their own blood, then to doxycycline or hyaluronic acid injections. The goal is to see if these treatments can safely reduce pain and improve function over 12 months.

What this could mean

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

Active substance
Dextrose prolotherapy, platelet-rich plasma (PRP), doxycycline injections, hyaluronic acid injections
What this could lead to
If successful, this step-care approach could offer a non-surgical way to reduce chronic pain and improve joint stability in people with hypermobility disorders.
What could go wrong
This is an early-phase, single-arm study with no placebo group, so results may not prove the treatments work better than natural recovery. Injection risks include pain, infection, or allergic reaction.

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Conditions

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As listed by the trial registrant

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