Status:

RECRUITING

Trigger Point Injection for Myofascial Pain Syndrome in the Low Back: A Randomized Controlled Trial

Lead Sponsor:

Madigan Army Medical Center

Conditions:

Low Back Pain

Myofascial Pain Syndrome Lower Back

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

Rationale: Low back pain (LBP), or myofascial pain syndrome (MPS) of the low back, accounts for approximately 2.63 million visits in the United States, or 2.3 percent of annual Emergency Department (E...

Detailed Description

Significance: Low back pain (LBP) is a common presenting complaint in the Emergency Department (ED), accounting for 2.63 million visits in the united states and 2.3 percent of ED visits annually.1 An ...

Eligibility Criteria

Inclusion

  • Age ≥ 18 years
  • Must have at least 1 trigger point in low back paraspinal muscles.
  • For exacerbations of chronic low back pain, the pain on presentation must be 1.5 cm above baseline pain on VAS

Exclusion

  • Allergy or inability to take study medications.
  • New focal neurologic deficit in lower extremities.
  • Known active malignancy with bony spinal metastases.
  • Identifiable spinal, lumbosacral or hip fracture.
  • History of Fibromyalgia, rheumatoid arthritis, ankylosing spondylitis.
  • Current use of anticoagulation.
  • Overlying cellulitis.
  • Spinal, hip, or pelvic surgery within the past 6 months.
  • Previous administration of trigger point injections for current episode.
  • Sciatica-extending down the back of the leg to the heel.
  • Alternate identifiable cause of participant's acute pain other than myofascial or musculoskeletal pain.
  • Febrile patients.
  • Pregnant
  • Unable to understand English or otherwise unable to provide informed consent (mental handicap, inability to understand instructions, risks, or benefits), or is an at risk population (wounded warrior, resident physicians, prisoners, cadets, midshipmen, or students).

Key Trial Info

Start Date :

December 28 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

July 1 2022

Estimated Enrollment :

180 Patients enrolled

Trial Details

Trial ID

NCT04704297

Start Date

December 28 2020

End Date

July 1 2022

Last Update

January 12 2021

Active Locations (1)

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1

Department of Emergency Medicine, Madigan Army Medical Center

Tacoma, Washington, United States, 98431