Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This study aims to compare the effectiveness of dry needling, extracorporeal shock wave therapy (ESWT), and pulsed radiofrequency (PRF) in patients with chronic musculoskeletal pain. The primary outcomes include pain intensity and functional status. Patients will be randomly assigned to different treatment groups, and outcomes will be evaluated before and after the interventions. The results of this study are expected to contribute to determining the most effective treatment method for pain management.
Myofascial pain syndrome is a common musculoskeletal disorder characterized by trigger points and chronic pain. Various treatment modalities such as dry needling, extracorporeal shock wave therapy (ESWT), and pulsed radiofrequency (PRF) are used in clinical practice; however, there is no clear consensus on the most effective approach.
This randomized, parallel-group study aims to compare the effectiveness of these three treatment methods in patients diagnosed with myofascial pain syndrome. Eligible patients aged between 18 and 65 years with chronic back pain lasting at least 3 months will be included in the study. Participants will be randomly assigned to receive dry needling, ESWT, or PRF treatment.
Pain intensity will be assessed using the Numeric Rating Scale (NRS), and functional outcomes will also be evaluated. The study is expected to contribute to the current literature by providing comparative data on these commonly used treatment modalities and guiding clinical decision-making.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dry Needling Group | Experimental | Patients receiving dry needling treatment. |
|
| ESWT Group | Experimental | Patients receiving extracorporeal shock wave therapy (ESWT) |
|
| PRF Group | Experimental | Patients receiving pulsed radiofrequency (PRF) treatment. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dry Needling | Procedure | Dry needling applied to myofascial trigger points |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Intensity | Pain intensity will be assessed using the Numeric Rating Scale(NRS). Pain intensity will be assessed using the Numeric Rating Scale (NRS), ranging from 0 (no pain) to 10 (worst imaginable pain). Higher scores indicate greater pain severity. | Baseline, 1 month, and 3 months after treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Pressure Pain Threshold | Pressure pain threshold will be measured using algometry. Pressure pain threshold will be measured using an algometer (kg/cm²). Higher values indicate lower pain sensitivity and improved clinical condition. | Baseline, 1 month, and 3 months after treatment |
| Neck Disability Index (NDI) |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| AYSENUR IMAMOGLU BABA, MD,Resident | Contact | +905437866097 | aysenurimamoglub@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| KEMAL NAS, MD, Professor | Sakarya University Training and Research Hospital, Department of Algology | Principal Investigator |
| RIDVAN ISIK, MD | Sakarya University Training and Research Hospital, Department of Algology |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sakarya Training and Research Hospital | Recruiting | Adapazarı | Sakarya | Turkey (Türkiye) |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D009209 | Myofascial Pain Syndromes |
| D010146 | Pain |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
Not provided
Not provided
| ID | Term |
|---|---|
| D000079245 | Dry Needling |
| D000074059 | Extracorporeal Shockwave Therapy |
| D061208 | Pulsed Radiofrequency Treatment |
| ID | Term |
|---|---|
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D014464 | Ultrasonic Therapy |
Not provided
Not provided
Participants will be assigned to three parallel groups receiving dry needling, extracorporeal shock wave therapy (ESWT), or pulsed radiofrequency (PRF), respectively.
Not provided
Not provided
Not provided
Not provided
| Extracorporeal Shock Wave Therapy |
| Procedure |
Extracorporeal shock wave therapy applied to the painful area |
|
| Pulsed radiofrequency(PRF) | Procedure | Pulsed radiofrequency applied to the target area for the treatment of myofascial pain syndrome |
|
Functional status will be evaluated using the Neck Disability Index (NDI). Functional status will be assessed using the Neck Disability Index (NDI), with scores ranging from 0 to 50. Higher scores indicate greater functional impairment. |
| Baseline, 1 month, and 3 months after treatment |
| Quality of Life (SF-12 | Quality of life will be assessed using the Short Form-12 (SF-12) questionnaire. The SF-12 includes physical and mental component summary scores, with higher scores indicating better health-related quality of life. | Baseline, 1 month, and 3 months after treatment |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D003972 |
| Diathermy |
| D006979 | Hyperthermia, Induced |
| D012046 | Rehabilitation |
| D004599 | Electric Stimulation Therapy |
| D000078702 | Radiofrequency Therapy |