Bilateral Erector Spinae Plane Block for Myofascial Pain Syndrome

Istanbul University60 enrolled

Overview

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

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 received erector spinae plane block, and group 2 received trigger point injection both administered in two weekly sessions. Before the application, one week after application and one month after application the investigators aimed to compare pressure pain threshold with algometer, visual analog scale score, neck disability index 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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SCREENING

Masking

SINGLE

Enrollment

Conditions

Myofascial Pain Syndrome

Interventions

Bilateral thoracal erector spinae plane blockPROCEDURE

Bilateral upper thoracal erector spinae plane block with ultrasound

Trapezius muscle trigger point injectionPROCEDURE

Trapezius muscle trigger point injection

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

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 * 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

Locations (1)

Istanbul University Istanbul Faculty of Medicine

Istanbul, Turkey (Türkiye)

Outcomes

Primary Outcomes

Comparison of the effectiveness of the two interventions (trigger point injection versus Erector spinae plane block) assessed by Visual analog scale (VAS):

The classic interventional treatment of myofascial back pain is trigger point injection. In addition, erector spina plan block has been applied in recent years as an interventional procedure that provides analgesia in the same region and is thought to have a long duration of action. Visual analog scale (VAS): Using a ruler, the score is determined by measuring the distance (mm) on the 10-cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-100. A higher score indicates greater pain intensity.

Time frame: Baseline

Comparison of the effectiveness of the two interventions (trigger point injection versus Erector spinae plane block) assessed by Visual analog scale (VAS):

Time frame: 1. month

Data from ClinicalTrials.gov

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