Ignite Creation Date:
2024-05-06 @ 3:29 PM
Last Modification Date:
2024-10-26 @ 1:50 PM
Study NCT ID:
NCT04640896
Status:
RECRUITING
Last Update Posted:
2022-12-08
First Post:
2020-11-13
Brief Title:
Trigger Point Injections in Anterior Cervical Surgery
Sponsor:
George Washington University
Organization:
George Washington University
Study Overview
Official Title:
Comparison of Trigger Point Injections Versus Traditional Therapies in the Management of Postsurgical Pain in Patients Who Had Anterior Cervical Surgery
Status:
RECRUITING
Status Verified Date:
2022-12
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
To achieve appropriate exposure for an anterior neck surgery for example an Anterior Cervical Discectomy and Fusion or ACDF patients are positioned supine with their neck extended Due to being in this position patients frequently complain of posterior neck stiffness and pain postoperatively in addition to the anterior incisional pain This posterior cervical pain can be classified as myofascial pain
Cervical myofascial pain is thought to be the result of overuse or trauma to the supporting muscles of the neck and shoulders Trigger point injections are one of the methods used to treat myofascial pain The trigger point injection procedure is where a physician typically an anesthesiologist performs an exam of the patient neck and upper back and finds areas of point tenderness The physician will then inject a small amount of numbing medication such as bupivacaine into the muscle or tissue in that area
Trigger point injections have been shown to be superior to botox injections or dry needling and equivalent to physical therapy However these studies were performed on patients with chronic neck pain There are no studies evaluating the effectiveness of trigger point injections on post anterior cervical surgery patients
At our institution trigger point injections with local anesthetic are used as part of a multimodal pain control regimen for post-anterior cervical surgery patients Our hypothesis is if the addition of trigger point injections to standard of care multi-modal post-operative pain control will decrease patients myofascial pain and thereby decrease the amount of narcotic pain medication used
Cervical myofascial pain is thought to be the result of overuse or trauma to the supporting muscles of the neck and shoulders Trigger point injections are one of the methods used to treat myofascial pain The trigger point injection procedure is where a physician typically an anesthesiologist performs an exam of the patient neck and upper back and finds areas of point tenderness The physician will then inject a small amount of numbing medication such as bupivacaine into the muscle or tissue in that area
Trigger point injections have been shown to be superior to botox injections or dry needling and equivalent to physical therapy However these studies were performed on patients with chronic neck pain There are no studies evaluating the effectiveness of trigger point injections on post anterior cervical surgery patients
At our institution trigger point injections with local anesthetic are used as part of a multimodal pain control regimen for post-anterior cervical surgery patients Our hypothesis is if the addition of trigger point injections to standard of care multi-modal post-operative pain control will decrease patients myofascial pain and thereby decrease the amount of narcotic pain medication used
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
True
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
True
Is an FDA AA801 Violation?:
None