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Neck Pain clinical trials

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NCT ID: NCT04914637 Completed - Pain, Chronic Clinical Trials

Does Dry Needling Affect Treatment Outcomes of Interlaminar Epidural Steroid Injection in Cervical Disc Herniation?

Start date: June 4, 2021
Phase: N/A
Study type: Interventional

Chronic neck pain is among the most frequently seen chronic painful conditions. As an important cause of disability, chronic neck pain is a musculoskeletal disorder that negatively affects quality of life. Cervical disc herniation is one of the leading causes of chronic neck pain and conservative methods such as exercise and pain medications are used first in the treatment. In patients unresponsive to conservative treatment, epidural steroid injection is successfully and frequently used treatment option. Epidural steroid injection in the cervical region can be applied with two approaches: interlaminar or transforaminal. Myofascial trigger point characterized by intramuscular taut band and hypersensitive spots is a condition in which central and peripheral sensitization play a role in the pathophysiology. There are underlying myofascial trigger points in many etiologies that cause chronic neck pain. Trigger points can increase the severity of pain and in some cases they can be the main factor in the etiology of pain. Therefore, the presence of myofascial trigger points should be investigated, even if another cause is detected in chronic neck pain. Dry needling is an easily applicable and effective treatment option in myofascial trigger point. Although it is well known that myofascial trigger points frequently accompany cervical disc herniation, their effect on treatment outcomes has not been investigated. In this study, we aimed to investigate the effect of dry needling for trigger points on the treatment results of interlaminar epidural steroid injection in patients diagnosed with cervical disc herniation.

NCT ID: NCT04913441 Completed - Neck Pain Clinical Trials

Manual Therapy vs Stretching vs Routine Physical Therapy in Nonspecific Chronic Neck Pain

Start date: March 1, 2021
Phase: N/A
Study type: Interventional

The aim of this study is to analyze the effect of Mulligan technique vs stretching techniques and vs routine physical therapy on pain ,range of motion(ROM) and functional disability among restaurant chefs with non-specific chronic pain.

NCT ID: NCT04911608 Completed - Neck Pain Clinical Trials

Neuroendocrine Changes in Cervical Spinal Manipulation and Mobilization Non-specific Mechanical Neck Pain

Start date: June 17, 2021
Phase: N/A
Study type: Interventional

The aim for this graduate student research project is to determine if cervical spinal mobilization releases similar neuropeptides and endogenous hormones as compared to cervical spinal manipulation and a control group. We hypothesized that application of cervical manipulations would result in a neuroendocrine response (SNS- HPA axis). By measuring salivary cortisol, oxytocin and DHEA, it may be possible to provide important information regarding the mechanisms and associations of pain modulation, anti-inflammatory and tissue healing after a biomechanical event.

NCT ID: NCT04900870 Completed - Neck Pain Clinical Trials

Evaluation of the Relationship Between Neck Pain and Temporomandibular Disorders in Office Workers

Start date: May 20, 2021
Phase:
Study type: Observational [Patient Registry]

The current study aimed to explore the associations between neck pain and temporomandibular disorders in office workers

NCT ID: NCT04892550 Not yet recruiting - Rehabilitation Clinical Trials

Restoring Normal Sagittal Thoracic Posture Improves Management Outcomes in Patients With Chronic Nonspecific Neck Pain

Start date: May 2021
Phase: N/A
Study type: Interventional

Because changes in sagittal thoracic alignment have been reported to alter the mechanical loading of the cervical spine and decreased thoracic mobility has been identified as one of the predictors for neck and shoulder pain , it makes sense that thoracic articular treatment improves local kinematics and simultaneously neck pain improves. The purpose of this study is to investigate the effects of a multimodal program, with thoracic hyper kyphosis rehabilitation using the Dennerollâ„¢ thoracic traction orthosis , applied to participants with chronic non-specific neck pain and thoracic hyper-kyphosis.

NCT ID: NCT04886661 Recruiting - Neck Pain Clinical Trials

Correlation of Cervical Lordosis Degree Detected on Cervical X-Ray Image With Clinical, Demographic and MRI Findings

Start date: June 5, 2021
Phase:
Study type: Observational

In this study we are investigating whether there is a relationship between the lordosis angle measured on cervical X-RAY images on the severity and level of cervical disc herniation detected by cervical MRI, demographic characteristics and the duration and posture of the person's daily life activities.

NCT ID: NCT04883476 Active, not recruiting - Clinical trials for Chronic Low Back Pain

Chronic Low Back Pain and Neck Pain Prospective Study

Start date: May 1, 2015
Phase:
Study type: Observational

This prospective observation multifaceted study aims: 1. To perform a large prospective study and identify multiple "omics" biomarkers in chronic low back pain 2. To validate identified biomarkers for progression of acute to chronic low back pain 3. To validate identified biomarkers and test their heritability/validity in additional cohorts 4. To identify pathways and relevant individual variations for generation, propagation and subsidence of pain 5. To identify new imaging biomarkers related to chronic low back pain 6. To develop a registry of neck and low back pain subjects to help monitor the health-care management and utility to improve protocols and patient outcomes.

NCT ID: NCT04883411 Recruiting - Neck Pain Clinical Trials

CEM-Plate and CEM-Cage First-In-Human Use Efficacy Study

Start date: March 7, 2022
Phase: N/A
Study type: Interventional

The study is a prospective, first-in-human, multi-center, non-randomized, single-arm study to assess the safety and efficacy of the CEM-Cage used with the CEM-Plate in patients who are appropriate candidates for a 2-level anterior cervical discectomy and fusion (ACDF). Fifty patients will be enrolled in the study and, after undergoing a 2-level ACDF, will be evaluated at 4 weeks, 3 months, 6 months, 12 months, 18 months, and 24 months.

NCT ID: NCT04882397 Completed - Neck Pain Clinical Trials

Immidate Effect of Instrument Assited Soft Tissue Mobilization Technique on Chronic Neck Pain

Start date: June 26, 2021
Phase: N/A
Study type: Interventional

Chronic neck pain causes errors in joint position. There are studies in the literature suggesting that the application of instrument-assisted soft tissue mobilization improves the sense of joint position. There are no studies that acutely examine this practice on joint position sense and pain in the cervical region. As a result of our study, we will investigate the effects of instrument-assisted soft tissue mobilization in a single session on perception of pain and joint position.

NCT ID: NCT04874090 Completed - Parkinson Disease Clinical Trials

The Effectiveness of Acupuncture Therapy on Pain in Parkinson's Disease

Start date: May 20, 2021
Phase: N/A
Study type: Interventional

Parkinson's Disease (PD) is a chronic, progressive, degenerative movement disorder that is characterized by motor and nonmotor symptoms and its incidence increases with age. It has been reported that 40-90% of patients have pain symptoms in PD. Pain can be the result of motor fluctuations, dystonic muscle contractions, deep visceral pain, and musculoskeletal pain.