Lidocaine Injection Versus Sham Needling in Treating Whiplash Associated Disorder

Hamilton Health Sciences (HHS)

Status and phase: Withdrawn; Phase 4

Conditions: Neck Pain; Whiplash Injuries

Treatments: Procedure: Lidocaine; Other: Saline

Study type: Interventional

Funder types: Other

Identifiers

NCT02060734

HHSCTRIGGERINJ1402

Details and patient eligibility

About

To determine the efficacy of lidocaine injection of trigger points versus subcutaneous injection in patients with subacute whiplash associated disorder following injury.

Full description

This is a double-blind, randomized controlled trial to determine the efficacy of lidocaine injection of trigger points versus subcutaneous injection in patients with subacute whiplash associated disorder following injury. Outcomes include pain, objective assessment, self-report function recovery, impact on work performance and globe perceived effects which will be assessed 5 minutes, 2 and 6 weeks following injection.

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• fulfill the Grade II Quebec Task Force classification of WAD,
• with identifiable myofascial trigger points ( which occur with or without a taut band),
• reproduction of recognizable pain with sustained pressure ( up to 10 seconds) on trigger points
• aged 18 to 70
• a good understanding of informed consent and willing to attend this trial.

Exclusion criteria

• have serious injury such as fracture and internal bleeding
• suspicion of upper cervical instability or neurological deficits
• clinical evidence of radiculopathy
• a history of active cancer, central nerve disorder, blood clotting disorders, needle phobia
• anticoagulant medication user
• previous experience with any type of needling for myofascial pain

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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0 participants in 2 patient groups

lidocaine

Experimental group

Description:

The treatment group will receive a 25 gauge, 40mm long needle, pre-filled with 1% lidocaine inserting into the site of the trigger point. Three to five points injection.

Treatment:

Procedure: Lidocaine

Saline

Active Comparator group

Description:

The control group will receive a 25 gauge, 40mm long needle, pre-filled with saline inserting to subcutis.

Treatment:

Other: Saline