About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age between 18 and 65 years
Clinically diagnosed myofascial pain syndrome
Back pain lasting at least 3 months
Failure to respond to conservative treatments
Disqualifiers
History of cervical surgery or cervical disc pathology
Fibromyalgia
Shoulder pathologies
Coagulation disorders or use of anticoagulant therapy
Trial design
Parallel
Treatments tested in this trial
Dry Needling
Procedure/SurgeryDry needling applied to myofascial trigger points
Extracorporeal Shock Wave Therapy
Procedure/SurgeryExtracorporeal shock wave therapy applied to the painful area
Pulsed radiofrequency(PRF)
Procedure/SurgeryPulsed radiofrequency applied to the target area for the treatment of myofascial pain syndrome
Treatment groups
Trial outcomes
Primary outcomes
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.
Secondary outcomes
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.
Neck Disability Index (NDI)
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.
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.
Sponsors and contacts
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ALİEMAN
Lead sponsor
Sakarya University
Sponsor institution