CompletedNot Applicable

Comparison Of The Efficacy Of Interfascial Hydrodissection With A Mixture Of Lidocaine And Physiological Saline Solution With 10% Dextrose In Patients With Chronic Neck Pain

Turkey (Türkiye)96 participantsStarted 2025-04-30

Plain-language summary

Objective: This study aimed to investigate the effects of fascial hydrodissection with 10% dextrose or lidocaine-saline on pain, neck functions, and quality of daily life in patients with chronic neck pain due to resistant myofascial trigger points in the upper trapezius muscle unresponsive to conservative treatments, and to determine whether one solution is superior to the other. Materials and Methods: This study is designed as prospective, comparative clinical study. The first group will be applied interfascial hydrodissection with 10% dextrose, and the second group with lidocaine-saline. All participants will be instructed in self-massage and stretching exercises to perform at home to support treatment efficacy. Interventions will be performed under ultrasound guidance, targeting the specified interfascial plane. Evaluations will be conducted at baseline, at 10 minutes post-treatment (VAS, ROM), and at 1-month and 3-month follow-ups (VAS, ROM, NDI, SF-12). Data will be statistically analyzied by comparing pre- and post-treatment measurements.

Who can participate

Age range18 Years – 65 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Patients aged 18-65 years old * Chronic neck pain associated with MAS in the upper trapezius for at least 3 months and a VAS score above 5 * Compliance with the MAS criteria defined by Travel and Simons (five major and one minor criterion) * Lack of response to conservative treatment methods such as medical and physical therapy for neck pain * Willingness to participate in the study Exclusion Criteria: * Previous surgery on the shoulder or cervical region * History of neck and shoulder trauma * Presence of fibromyalgia syndrome * Presence of cervical radiculopathy or shoulder pathologies * Patients who have undergone injection or physical therapy program within the last three months * History of lidocaine allergy * Presence of coagulopathy * Presence of rheumatological and neurological diseases * Patients with uncontrolled diabetes mellitus * Presence of severe psychiatric comorbidity * Presence of local or systemic infection * Presence of needle phobia

What they're measuring

VAS (Visual analog scale)

Timeframe: 0., 1. and 3. months

Trial details

NCT IDNCT07503574

SponsorAnkara University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2025-07-30