Is Masseteric Nerve Block Effective in Myofascial Pain

NCT ID: NCT04339673

Last Updated: 2020-04-09

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-01

Study Completion Date

2019-11-30

Brief Summary

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The aim of the present study was to compare the efficacy of three different treatment methods in the management of myofascial pain: masseteric nerve block (MN), trigger point injection(TrP) with local anesthetic (LA) and dry needling (DN).Study Design: 45 subjects aged 18-54 years were randomly assigned to the MN group (n= 15), LA group (n=15) and DN group (n=15).

Detailed Description

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The study sample consisted 45 patients with masseter muscle originated myofascial pain, were selected in accordance with the following criteria:

Patients were grouped according to the treatment they received: dry-needling (DN), TrP injections with local anesthetic (LA) and masseteric nerve block (MNB). Localization of the masseteric trigger points (MTPs) was based on clinician's sense and patients' expressions of pain. Local twitch response was not observable in all case. This procedure was completed by using digital palpation (1.5 Kg), and the clinical examiner's palpation was calibrated using a pressure algometer.

Conditions

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Myofascial Pain - Dysfunction Syndrome of TMJ Myofascial Trigger Point Pain Local Anesthesia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

randomized parallel controlled
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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MNB- masseteric nerve block

masseteric nerve block with local anesthesia lidocaine single app.

Group Type ACTIVE_COMPARATOR

masseteric nerve block

Intervention Type PROCEDURE

regional bloc of masseter

LA -trigger point injection with local anesthetic

local anesthetic injections on trigger points in masseter

Group Type ACTIVE_COMPARATOR

trigger point injection

Intervention Type PROCEDURE

trigger point injection with local anesthetic

DN-dry needling

dren needling to masseter

Group Type PLACEBO_COMPARATOR

dry needling

Intervention Type PROCEDURE

needling with acupuncture needles of trigger points in masseter

Interventions

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masseteric nerve block

regional bloc of masseter

Intervention Type PROCEDURE

trigger point injection

trigger point injection with local anesthetic

Intervention Type PROCEDURE

dry needling

needling with acupuncture needles of trigger points in masseter

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of myofascial pain.
* Presence of at least one trigger point in masseter muscle.

Exclusion Criteria

* Generalized muscle disorders.
* Hypersensitivity to local anesthetics.
Minimum Eligible Age

18 Years

Maximum Eligible Age

54 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Erzincan University

OTHER

Sponsor Role lead

Responsible Party

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Fatih TASKESEN

Head of Dept. Oral and Maxillofacial Surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Erzincan Ağiz Ve Diş Sağlığı Egt Araş Hastanesi

Erzincan, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Venancio Rde A, Alencar FG Jr, Zamperini C. Botulinum toxin, lidocaine, and dry-needling injections in patients with myofascial pain and headaches. Cranio. 2009 Jan;27(1):46-53. doi: 10.1179/crn.2009.008.

Reference Type BACKGROUND
PMID: 19241799 (View on PubMed)

Quek SY, Subramanian G, Patel J, Ananthan S, Zagury JG, Khan J. Efficacy of regional nerve block in management of myofascial pain of masseteric origin. Cranio. 2015 Oct;33(4):285-90. doi: 10.1080/08869634.2015.1097300. Epub 2015 Dec 29.

Reference Type RESULT
PMID: 26715419 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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135162

Identifier Type: -

Identifier Source: org_study_id

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