Myofascial Pain Syndrome
Conditions
Keywords
Erector spinae plane block, Myofascial pain syndrome, Trigger point, Algometer, Visual Analog Scale, Pain
Brief summary
The investigators aimed to evaluate the effectiveness of bilateral erector spina plane block application in myofascial pain syndrome.
Detailed description
The investigators aimed to evaluate the effectiveness of bilateral erector spina plane block application in myofascial pain syndrome by comparing trigger point injection. Group 1 received erector spinae plane block, and group 2 received trigger point injection both administered in two weekly sessions. Before the application, one week after application and one month after application the investigators aimed to compare pressure pain threshold with algometer, visual analog scale score, neck disability index score, for the two groups. Each group has 30 participants, total 60 participants included this study. The investigators planned to show that bilateral erector spinae plane block can be used as an effective and safe method in the treatment of myofascial pain syndrome, since it is easier to apply than other invasive procedures used in the treatment and has a very low complication profile.
Interventions
PROCEDUREBilateral thoracal erector spinae plane block
Bilateral upper thoracal erector spinae plane block with ultrasound
PROCEDURETrapezius muscle trigger point injection
Trapezius muscle trigger point injection
Sponsors
Istanbul University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
SINGLE (Subject)
Intervention model description
Comparing the efficacy of erector spina plan block and trigger point injection in patients with myofascial pain syndrome
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Get a myofascial pain syndrome diagnosis * No invasive procedure for myofascial pain syndrome in the last 1 month * Signing the informed consent form
Exclusion criteria
* Cervical disc herniation * Neck/shoulder, thoracal trauma or operation history * Malignancy * Kyphoscoliosis * Inflammatory diseases (Rheumatoid arthritis, ankylosing spondylitis...) * Congenital vertebral anomalies * Pregnancy * Mental, psychogenic disorder * Hematological diseases that cause bleeding and coagulation disorders * Use of antiplatelet, anticoagulant and drugs that cause bleeding tendency * Severe systemic infection such as sepsis and local infection at the intervention site * Having an allergy to any of the drugs to be used
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of the effectiveness of the two interventions (trigger point injection versus Erector spinae plane block) assessed by Visual analog scale (VAS): | Baseline | The classic interventional treatment of myofascial back pain is trigger point injection. In addition, erector spina plan block has been applied in recent years as an interventional procedure that provides analgesia in the same region and is thought to have a long duration of action. Visual analog scale (VAS): Using a ruler, the score is determined by measuring the distance (mm) on the 10-cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-100. A higher score indicates greater pain intensity. |
Countries
Turkey (Türkiye)
Contacts
STUDY_DIRECTORHalil Çetingök
Istanbul University
Outcome results
None listed