Efficacy of Local Anesthetic and Ozone Injection in Patients With Myofascial Pain Syndrome

Pamukkale University

Status: Not yet enrolling

Conditions: Ozone; Myofascial Pain Syndrome

Treatments: Other: stretching exercise; Drug: Ozone; Drug: Lidocaine 2% Injectable Solution

Study type: Interventional

Funder types: Other

Identifiers

NCT05318560

PamukkaleU-Simsek-003

Details and patient eligibility

About

In this study, the investigators planned to compare local anesthetic injection added to stretching exercise, ozone injection treatment added to stretching exercise, and only stretching exercise in patients with upper trapezius muscle myofascial pain syndrome.

Full description

The investigators will recruit 72 patients with at least one trigger point in the upper trapezius muscles and a clinically confirmed diagnosis of myofascial pain syndrome (MAS) (according to Travell-Simons' criteria) admitted to the physical medicine and rehabilitation outpatient clinic.

Age, gender, occupation, medications, duration of diagnosis, body mass index, comorbidity, functional status and pain of these patients will be questioned. Patients will be randomly divided into three groups. A total of 3 consecutive weeks of treatment were planned.

Enrollment: 72 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• With at least one trigger point in the upper trapezius muscles and a clinically confirmed diagnosis of MPS

Exclusion criteria

• Presence of any cervical radiculopathy or a history of degenerative conditions
• Presence of any cervical surgery or trauma in the past year,
• History of injection for the treatment of MAS in the last 6 months,
• Cognitive disorder,
• Rheumatological disease, fibromyalgia,
• History of metabolic diseases such as hypothyroidism and diabetes mellitus

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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72 participants in 3 patient groups

Local anesthetic injection

Active Comparator group

Description:

Patients will be injected with lidocaine and given upper trapezius muscle stretching exercises. Lidocaine injection 2cc 2% will be administered to all patients using a 26 gauge, 0.45x13 mm disposable sterile needle to the affected trigger point.

Treatment:

Other: stretching exercise

Drug: Lidocaine 2% Injectable Solution

Ozone injection

Active Comparator group

Description:

Ozone injection will be performed on patients and upper trapezius muscle stretching exercises will be given. 8 cc of oxygen/ozone gas at a concentration of 15 µg/mL will be injected into the trigger point.

Treatment:

Drug: Ozone

Other: stretching exercise

Stretching exercise

Active Comparator group

Description:

Patients will be given a home program that includes upper trapezius muscle stretching exercises. Upper trapezius stretching exercises will be performed twice a day for at least 15 seconds, ten sets each time, for three weeks, with one hand on the patient's back and the other hand holding the side of the head and tilting it to the side until a slight tension is felt. The exercises will be explained in the text, visual and verbal forms with the exercise form.

Treatment:

Other: stretching exercise