Nerve surgery vs botox for spastic foot after stroke
Treatments studied
Part of Bones, joints & muscles, Brain & nervous system clinical trials.
This trial compares two treatments—tibial nerve selective surgery and botulinum toxin (botox) injections—to improve a stiff, turning-in foot after stroke. It aims to use goal-based care to see which option works better for walking and foot function.
Summary written for real people, not researchers, by Clin2.
Who can take part
- You are an adult (18 or older) and can speak/understand French for the study
- Your leg weakness (hemiparesis) is from a stroke that happened more than 1 year ago
- You have a stiff foot with the foot turned downward and inward (equinovarus), sometimes with curled toes, due to muscle tightness
- A doctor can confirm the tightness and that surgery is appropriate using a local-anaesthetic nerve test with at least a 5° improvement in ankle movement
- You have French national health insurance and can give informed consent (or a trusted person can help if needed)
Quick eligibility check
Answer a few plain-language questions, based on this study's own requirements, to get a preliminary sense of fit.
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