Fibromyalgia, Pain
Conditions
Brief summary
The principal objective is to contribute valuable insights that hold direct implications for medical practice and patient care, with the potential to influence health policy pertaining to fibromyalgia management.
Detailed description
The study aims to outline distinct patient subgroups manifesting heightened responsiveness to one therapeutic intervention vis-à-vis the other, thereby facilitating the formulation of more personalized and efficacious treatment modalities.
Interventions
Group A will undergo dry needling sessions twice a week over eight weeks, specifically targeting trigger points and tender points. Simultaneously, a consistent dosage of selective serotonin reuptake inhibitor (SSRI) will be administered and maintained throughout the entire duration of the study.
Group B will undergo a comprehensive intervention involving trigger point injections administered biweekly over eight weeks. These injections will specifically target trigger points. Additionally, a control measure will be implemented through simulated needling at non-specific points.
serotonin reuptake inhibitor (SSRI)
Sponsors
Study design
Eligibility
Inclusion criteria
* Stable on SSRIs for at least three months (for Group A) * Age between 18 and 65 years * Participants suffering from recent cervical pain without any pathology
Exclusion criteria
* Presence of any other chronic pain conditions. * Contraindications to SSRIs or trigger point injections. * Pregnancy or lactation. * History of psychiatric disorders other than depression and anxiety
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pittsburgh Sleep Quality Index (PSQI) | 12 Months | It includes 19 items that generate seven component scores: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction. The total score ranges from 0 to 21, with higher scores indicating poorer sleep quality. |
| Fibromyalgia Impact Questionnaire: | 12 months | It includes questions related to physical functioning, work status, depression, anxiety, sleep, pain, stiffness, fatigue, and well-being. Scores on the FIQ range from 0 to 100, with higher scores indicating greater impact and symptom severity |
Countries
Pakistan