Bilateral Erector Spinae Plane Block for Myofascial Pain Syndrome

NCT05565053 | Completed

• 1 other identifier: 2019/725
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

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

Conditions

Myofascial Pain Syndrome

Keywords

Erector spinae plane block; Myofascial pain syndrome; Trigger point; Algometer; Visual Analog Scale; Pain

Outcome Measures

Primary Outcomes (2)

• 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.

  Baseline

• 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.

  1. month

Study Arms (2)

Bilateral Erector Spinae Plane Block

ACTIVE COMPARATOR

Bilateral Erector Spinae Plane Block

Procedure: Bilateral thoracal erector spinae plane block

Trigger Point Injection

ACTIVE COMPARATOR

Trapezius muscle Trigger Point Injection

Procedure: Trapezius muscle trigger point injection

Interventions

Bilateral thoracal erector spinae plane block PROCEDURE

Bilateral upper thoracal erector spinae plane block with ultrasound

Bilateral Erector Spinae Plane Block

Trapezius muscle trigger point injection PROCEDURE

Trapezius muscle trigger point injection

Trigger Point Injection

Eligibility Criteria

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

You may qualify if:

• Get a myofascial pain syndrome diagnosis
• No invasive procedure for myofascial pain syndrome in the last 1 month
• Signing the informed consent form

You may not qualify if:

• 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

Sponsors & Collaborators

• Istanbul University: lead

Study Sites (1)

Istanbul University Istanbul Faculty of Medicine

Istanbul, 34104, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Myofascial Pain Syndromes; Pain

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Halil Çetingök

  Istanbul University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SCREENING
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Ass. Prof

Model Details: Comparing the efficacy of erector spina plan block and trigger point injection in patients with myofascial pain syndrome

Study Record Dates

• First Submitted: August 5, 2022
• First Posted: October 4, 2022
• Study Start: July 25, 2021
• Primary Completion: January 1, 2025
• Study Completion: March 1, 2026
• Last Updated: May 15, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)