Patients with active myofascial trigger points (MTrPs) in the upper trapezius Lidocaine, Traditional Thai Massage , Muscle Stiffness, Inflammatory Marker, Substance P, Active Myofascial Trigger Points, Upper Trapezius
Conditions
Interventions
Lidocaine trigger point injections were administered by a physician into active MTrPs of the upper trapezius muscle, using a single injection of 1 mL per session.,A traditional Thai massage program ta
Lidocaine,Traditional Thai Massage
Sponsors
Fundamental Fund 2026
Eligibility
Sex/Gender
All
Age
30 Years to 50 Years
Inclusion criteria
Inclusion criteria: 1. Male or female participants aged 30 to 50 years 2. Diagnosed with myofascial pain syndrome, and presenting with at least one active myofascial trigger point (MTrP) in the upper trapezius muscle 3. Chronic pain lasting more than 6 months 4. Pain intensity of 7 cm or higher on the Visual Analog Scale (VAS)
Exclusion criteria
Exclusion criteria: 1. Diagnosed with other musculoskeletal disorders in the neck and shoulder region, such as disc inflammation, herniation, degeneration, or nerve inflammation 2. Presence of conditions related to impaired circulation (e.g., uncontrolled diabetes, cardiovascular disease, or hypertension) 3. History of surgery in the neck or shoulder region 4. Currently taking anticoagulant medications (e.g., warfarin, enoxaparin, heparin) 5. Diagnosis of osteoporosis 6. Pregnant or suspected pregnancy 7. Subcutaneous fat thickness at the shoulder area >10 mm, as measured by ultrasound B-mode 8. Known allergy to lidocaine or related agents 9. Currently taking analgesics (e.g., NSAIDs), considering the pharmacological activity window of each drug
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Muscle stiffness 1) Baseline; 2) immediately after treatment 1 session; 3) short term at 1 day after receive the last treatment session. Ultrasound Shear Wave Elastography, Cortisol level 1) Baseline; 2) immediately after treatment 1 session; 3) short term at 1 day after receive the last treatment session. Salivary Cortisol | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain intensity 1) Baseline; 2) immediately after treatment 1 session; 3) short term at 1 day after receive the last treatment session. Visual Analog Scale,Pressure Pain Threshold 1) Baseline; 2) immediately after treatment 1 session; 3) short term at 1 day after receive the last treatment session. Tissue Hardness Meter and Algometer,Tissue Hardness 1) Baseline; 2) immediately after treatment 1 session; 3) short term at 1 day after receive the last treatment session. MyotonPRO,Cervical Range of Motion 1) Baseline; 2) immediately after treatment 1 session; 3) short term at 1 day after receive the last treatment session. CROM,Neck Disability Index 1) Baseline; 2) short term at 1 day after receive the last treatment session. NDI-Thai version | — |
Countries
Thailand
Contacts
Public Contactwiraphong sucharit
Khon Kaen University
Outcome results
None listed