Comparison of Therapeutic Effects of Trigger Point Injection and Twin Nerve Block in Chronic Myofascial Pain Patients

NCT03870191 | Completed

• 1 other identifier: Pro20160000530
• Study Type: interventional
• Target: 48
• Locations: 0 countries
• Sites: N/A

Brief Summary

To see if there is there any difference in the treatment outcomes/results such as changes in pain intensity in patients with myofascial pain who have been treated with trigger point injections or twin block?

Conditions

Myofascial Pain - Dysfunction Syndrome of TMJ; Trigger Point Pain, Myofascial; Nerve Block

Outcome Measures

Primary Outcomes (1)

• Pain relief: numerical pain scale

  The pain relief received from each injection will be measured using the numerical pain scale. This scale is between 0-10 with 0 meaning no pain and 10 is the most pain.Higher values represent worse pain.

  6 months

Study Arms (2)

Twin Block Group

ACTIVE COMPARATOR

This group will receive twin block injections.

Other: Injection of either twin block or trigger point injection.

Trigger Point Injection Group

ACTIVE COMPARATOR

This group will receive trigger point injections.

Other: Injection of either twin block or trigger point injection.

Interventions

Injection of either twin block or trigger point injection. OTHER

Study participants will be randomized into either group and will receive the intervention.

Trigger Point Injection Group; Twin Block Group

Eligibility Criteria

• Age: 18 Years - 89 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients diagnosed with Myofascial pain with referral based on the DC/TMD criteria
• Pain on the masseter and or temporalis muscles
• Pain present for at least 3 months

You may not qualify if:

• Generalized muscle disorder such as fibromyalgia
• Subjects on chronic pain medication
• Subjects who are known to have hypersensitivity to the local anesthetics.
• Pregnant women. A pregnancy test will not be given before subject enrollment. Women of childbearing ages will be asked verbally if they are pregnant. If they are unsure, then they will be excluded from the study.
• Subjects with cognitive problems e.g. Alzheimer's disease.

Sponsors & Collaborators

• Rutgers University: lead

Related Publications (1)

• Ananthan S, Kanti V, Zagury JG, Quek SYP, Benoliel R. The effect of the twin block compared with trigger point injections in patients with masticatory myofascial pain: a pilot study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2020 Mar;129(3):222-228. doi: 10.1016/j.oooo.2019.09.014. Epub 2019 Oct 13.

  PMID: 32009005 DERIVED

MeSH Terms

Conditions

Temporomandibular Joint Disorders; Myofascial Pain Syndromes

Condition Hierarchy (Ancestors)

Craniomandibular Disorders; Mandibular Diseases; Jaw Diseases; Musculoskeletal Diseases; Joint Diseases; Muscular Diseases; Stomatognathic Diseases

Study Officials

• Rafeal Benoliel, BDS

  Rutgers School of Dental Medicine

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: March 8, 2019
• First Posted: March 12, 2019
• Study Start: June 21, 2016
• Primary Completion: June 5, 2018
• Study Completion: May 31, 2020
• Last Updated: June 19, 2020

Record last verified: 2020-06

Data Sharing

• IPD Sharing: Will not share