Clinical Trial Details
— Status: Completed
Administrative data
NCT number |
NCT05821985 |
Other study ID # |
3 |
Secondary ID |
|
Status |
Completed |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
September 1, 2023 |
Est. completion date |
April 1, 2024 |
Study information
Verified date |
May 2024 |
Source |
Beni-Suef University |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
The hypertonic dextrose injection; Prolotherapy is a proliferation injection therapy that
aims to trigger a low-grade inflammatory response inside the (TMJ), with the resultant
captivation of abundant fibroblasts that regenerate and strengthen the tendinous and
ligamentous attachments and stabilize the disc and the fibro-osseous junctions.
On the other hand, dry needling' refers to the insertion of needles without the use of
injectate. Dry needling is beneficial for treating a variety of neuromusculoskeletal pain
syndromes as it represents a treatment modality for the ligaments and tendons, muscles,
subcutaneous fascia, peripheral nerves, and neurovascular bundles. Deep dry needling (DDN) is
a technique that utilizes the Intracapsular insertion of dry needles to approach the discal
insertion to the lateral pterygoid muscle and the masseteric muscle origin, along the
zygomatic bone and arch, aiming to inactivate the muscular trigger points (TPs).
Description:
The Temporomandibular joint (TMJ) represents the most complex synovial articulation in the
human body, with its articular disc enclosed between the articular tubercle's slope and the
convexity of the mandibular condyle.
Although the Magnetic resonance interpretation of the normal discal position defines the
posterior discal band atop the highest convexity of the mandibular condyle, at a 12 o'clock
position, this discal disposal is altered in almost 30% of the population without physical
signs. Which rendered the treatment of the discal displacement mainly dependent on
alleviating the signs and symptoms rather than restoring the anatomical disc position.
Various non-invasive therapeutic modalities are utilized for relieving the signs and symptoms
of anterior discal displacement, including physical therapy, exercises, ischemic compression,
heat therapy, acupuncture, dry needling, wet needling injections with different agents, and
pharmacological treatments.
Among those, the trigger point injection is an effective modality, with or without the
injection of saline or ringer's solutions, hyaluronic acid, corticosteroids, local
anesthetics, botulinum toxin, platelet-rich plasma, or hypertonic dextrose The current study
aims to design a randomized controlled trial that compares the effect of injecting 12.5 % of
dextrose solution intraarticular and into the myofascial trigger points versus the dry
needling of the same sites on alleviating the clinical signs and symptoms of (TMJ) disc
displacement with reduction.