Neck Pain Clinical Trial
Official title:
Facet Versus Trigger Point Injection for Management of Chronic Muscular Neck Pain: A Randomized Clinical Trial and Creation of a Clinical Prediction Algorithm
A) Background Chronic neck pain is a significant and common issue which is difficult to
treat. Tight bands of muscle (trigger points) can be a source of chronic neck pain and they
are sometimes injected to manage chronic neck pain. However, these injections seldom lead to
significant, long-lasting relief. In some cases, these trigger points may originate from
injury or damage to a specific joint in the neck (the facet joint). Treatment of this joint
with cortisone injection may lead to improved pain relief and function.
B) Hypothesis By injecting the facet joint with cortisone, the pain associated with tight
bands of muscle in the neck and shoulders will be relieved to a greater extent than that
attained through trigger point injection.
C) Methods Patients with neck pain will have a test to determine if any pain originates from
the facet joint. Among those who have significant pain from these joints, a comparison
between the effect of cortisone injection into these joints versus injection into the trigger
points will be evaluated.
D) Expected Results and Significance
It is expected that injection with cortisone into the facet joints will lead to improved pain
and function when compared to that attained from trigger point injection. In addition, the
number of trigger points, and the pain and headache that originate from these trigger points,
are expected to decrease with cortisone injection into the facets to a statistically and
clinically significant extent. Results from this pilot study will then influence the design
of future trials into chronic neck pain treatment, leading to better clinical
recommendations. A peer-reviewed publication and conference presentations will facilitate
dissemination.
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