Dry Needling vs Injection in Patients With Temporomandibular Disorders

Josue Fernandez Carnero

Status: Enrolling

Conditions: Temporomandibular Disorders

Treatments: Procedure: Dry needling and injection; Procedure: Placebo dry needling and placebo injection; Procedure: Injection and placebo dry needling; Procedure: Dry needling and placebo injection

Study type: Interventional

Funder types: Other

Identifiers

NCT04726683

URJC-09/2020

Details and patient eligibility

About

The main objective is to compare the effectiveness of dry needling in improving pain and disability versus placebo, and versus infiltration, in patients with myofascial temporomandibular dysfunction in the short, medium and long term.

Enrollment: 64 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Subjects aged between 18 and 60 years.
2. Pain of more than 6 weeks of evolution in the craniofacial region.
3. TMD with origin in the masticatory musculature according to the "DC-TMD" criteria.

Exclusion criteria

1. Previous injection or dry needling intervention (3 months) on the masseter muscle.
2. Arthrogenous TMD.
3. History of trauma, infection in the temporomandibular joint in the last 6 months.
4. Coagulation disorders.
5. Pregnancy.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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64 participants in 4 patient groups, including a placebo group

Dry needling

Experimental group

Description:

Trigger point dry needling on an active myofascial trigger point of the masseter muscle.

Treatment:

Procedure: Dry needling and placebo injection

Injection

Experimental group

Description:

Trigger point injection of lidocaine on an active myofascial trigger point of the masseter muscle.

Treatment:

Procedure: Injection and placebo dry needling

Placebo

Placebo Comparator group

Description:

Combines sham dry needling + sham injection.

Treatment:

Procedure: Placebo dry needling and placebo injection

Dry needling + Injection

Active Comparator group

Description:

Combines experimental dry needling and injection

Treatment:

Procedure: Dry needling and injection