Facet Versus Trigger Point Injections for Chronic Neck Pain
NCT ID: NCT01808586
Last Updated: 2018-12-17
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
PHASE2
43 participants
INTERVENTIONAL
2013-05-31
2016-12-31
Brief Summary
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B) Hypothesis By injecting the facet joint with cortisone, the pain associated with tight bands of muscle in the neck and shoulders will be relieved to a greater extent than that attained through trigger point injection.
C) Methods Patients with neck pain will have a test to determine if any pain originates from the facet joint. Among those who have significant pain from these joints, a comparison between the effect of cortisone injection into these joints versus injection into the trigger points will be evaluated.
D) Expected Results and Significance
It is expected that injection with cortisone into the facet joints will lead to improved pain and function when compared to that attained from trigger point injection. In addition, the number of trigger points, and the pain and headache that originate from these trigger points, are expected to decrease with cortisone injection into the facets to a statistically and clinically significant extent. Results from this pilot study will then influence the design of future trials into chronic neck pain treatment, leading to better clinical recommendations. A peer-reviewed publication and conference presentations will facilitate dissemination.
Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Dexamethasone
Intra-articular corticosteroid number 2.
Dexamethasone
4mg/mL
Betamethasone
Subjects will receive either betamethasone or dexamethasone injected into the cervical facet joints (levels determined by experienced physician).
Betamethasone
6 mg/mL injected into the facet joint as dictated by modified dual-comparative medial branch block diagnostic protocol
Intramuscular injection
Subjects in this group will receive lidocaine injection directly into tender myofascial trigger points.
Intramuscular Lidocaine
2%
Home exercise
Subjects in this group will receive education and a pamphlet on a set of standardized home exercises for neck pain
Home Exercise
Standardized home exercise program
Interventions
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Betamethasone
6 mg/mL injected into the facet joint as dictated by modified dual-comparative medial branch block diagnostic protocol
Dexamethasone
4mg/mL
Intramuscular Lidocaine
2%
Home Exercise
Standardized home exercise program
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Primary diagnosis of chronic (\>6 months) mechanical / myofascial neck pain
Exclusion Criteria
* Women who are or may be pregnant (based on last menstruation) will be excluded.
* Finally, for the purposes of this pilot study, those currently involved in active litigation regarding the neck pain will be excluded. Those with active worker's compensation claims or currently receiving salary indemnity benefits through motor vehicle insurance providers will be included, as they represent a significant proportion of this population.
18 Years
65 Years
ALL
No
Sponsors
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London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
OTHER
Responsible Party
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Dave Walton
Principle Investigator
Principal Investigators
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David M Walton, BScPT, PhD
Role: PRINCIPAL_INVESTIGATOR
Western University, Canada
Locations
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St. Joseph's Hospital / Parkwood Hospital
London, Ontario, Canada
Countries
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Other Identifiers
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2982
Identifier Type: -
Identifier Source: org_study_id