Contribution of Erector Spina Plane Block to Analgesia for Myofascial Pain Syndrome

NCT ID: NCT04405453

Last Updated: 2020-08-19

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-06-01
• Study Completion Date: 2020-07-20

Brief Summary

Myofascial pain syndrome is a common chronic disease characterized by pain and tenderness in one or more muscle groups. It is characterized by myofascial trigger points that are felt as a band or a nodule harder than normal consistency located in the muscle. Myofascial trigger points are developes as a result of muscle injury ; this can be acute trauma caused by sport injury, accident, or chronic muscle overuse by repetitive occupational activities, emotional stress or poor posture. Trigger point injection is the application of low dose local anesthetic drug into the trigger point.Its main purpose is to weaken the trigger point caused by muscle spasm.However, it may reduce pain partially or have a short duration of action, so it may need to be repeated several times at regular intervals.Trigger point injection can reach trigger points in superficial muscles With the erector spina plane block technique, more effective and long-term pain treatment can be achieved by reaching deeper trigger points. With this hypothesis, we aimed to investigate the contribution of the erector spina plane block to trigger point injection in the treatment of myofascial pain.

Detailed Description

Myofascial pain syndrome is a common chronic disease characterized by pain and tenderness in one or more muscle groups. It is characterized by myofascial trigger points that are felt as a band or a nodule harder than normal consistency located in the muscle. Myofascial trigger points are developes as a result of muscle injury ; this can be acute trauma caused by sport injury, accident, or chronic muscle overuse by repetitive occupational activities, emotional stress or poor posture. Trigger point injection is the application of low dose local anesthetic drug into the trigger point.Its main purpose is to weaken the trigger point caused by muscle spasm.However, it may reduce pain partially or have a short duration of action, so it may need to be repeated several times at regular intervals.Trigger point injection can reach trigger points in superficial muscles With the erector spina plane block technique, more effective and long-term pain treatment can be achieved by reaching deeper trigger points. With this hypothesis, we aimed to investigate the contribution of the erector spina plane block to trigger point injection in the treatment of myofascial pain.

Conditions

Trigger Point; Myofascial Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: SEQUENTIAL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Trapezius Muscle İnjection (TMI) group

TMI group will receive ultrasound guided trapezius muscle injection two times with one week interval. Pain severity of the patients will evaluate by visual analog scale before (week 0) and after (week 1,2,3,4) the injections

Group Type: ACTIVE_COMPARATOR

trapezius muscle injection

Intervention Type: PROCEDURE

TMI group will receive ultrasound guided trapezius muscle injection two times with one week interval.

Erector Spina Plane Block (ESPB) group

ESPB group in the 1th week will receive ultrasound guided trapezius muscle injection and in the 2nd week ultrasound guided erector spina plane block will receive. Pain severity of the patients will evaluate by visual analog scale before (week 0) and after (week 1,2,3,4) the injections

Group Type: ACTIVE_COMPARATOR

trapezius muscle injection

Intervention Type: PROCEDURE

TMI group will receive ultrasound guided trapezius muscle injection two times with one week interval.

erector spina plane block

Intervention Type: PROCEDURE

1th week will receive ultrasound guided trapezius muscle injection and in the 2nd week ultrasound guided erector spina plane block will receive

Interventions

trapezius muscle injection

TMI group will receive ultrasound guided trapezius muscle injection two times with one week interval.

Intervention Type: PROCEDURE

erector spina plane block

1th week will receive ultrasound guided trapezius muscle injection and in the 2nd week ultrasound guided erector spina plane block will receive

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

Clinical diagnosis of Myofascial pain

Exclusion Criteria

Cervical radiculopathy fibromyalgia

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Diskapi Teaching and Research Hospital

OTHER

Sponsor Role: lead

Responsible Party

Damla Yürük

MD

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

damla yürük

Role: PRINCIPAL_INVESTIGATOR

Diskapi Teaching and Research Hospital

ömer taylan akkaya

Role: STUDY_DIRECTOR

Diskapi Teaching and Research Hospital

Hüseyin Alp Alptekin

Role: STUDY_CHAIR

Diskapi Teaching and Research Hospital

Locations

Dişkapi Reserch and Education Hospital

Ankara, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

DiskapiTRH Algology

Identifier Type: -

Identifier Source: org_study_id