Bilateral Erector Spinae Plane Block for Myofascial Pain Syndrome

Istanbul University

Status: Invitation-only

Conditions: Myofascial Pain Syndrome

Treatments: Procedure: Bilateral thoracal erector spinae plane block; Procedure: Trapezius muscle trigger point injection

Study type: Interventional

Funder types: Other

Identifiers

NCT05565053

2019/725

Details and patient eligibility

About

The investigators aimed to evaluate the effectiveness of bilateral erector spina plane block application in myofascial pain syndrome.

Full 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 only one time erector spinae plane block and group 2 once a week total three times trigger point injection. Before the application, one week after application and one month after first application the investigators aimed to compare pressure pain threshold with algometer, visual analog scale score, short form-36 score, neck disability index score, beck depression scale 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.

Enrollment: 60 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

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
• Neck pain with neurological deficit
• 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

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

60 participants in 2 patient groups

Bilateral Erector Spinae Plane Block

Active Comparator group

Description:

Bilateral Erector Spinae Plane Block

Treatment:

Procedure: Bilateral thoracal erector spinae plane block

Trigger Point Injection

Active Comparator group

Description:

Trapezius muscle Trigger Point Injection

Treatment:

Procedure: Trapezius muscle trigger point injection