Ultrasound Guided Rhomboid Intercostal Block for Myofascial Pain Syndrome

Phase

N/A

Condition

Somatoform And Dissociative Disorders

Chronic Pain

Oral Facial Pain

Treatment

N/A

Clinical Study ID

NCT04751110

98/05

Ages > 18
All Genders

Study Summary

Rhomboid intercostal block (RIB) is an interfacial plane block described in 2016. It creates analgesia at T2-T9 levels in the hemithorax by applying local anesthetic to the fascia between the rhomboid muscle and the intercostal muscle. It has been used effectively in patients with chronic pain. Recently published report has shown that rhomboid intercostal block (RIB) may provide effective pain control for myofascial pain syndrome (MPS), too. MPS is a regional pain syndrome characterized by trigger points detected in one or more regional muscle groups. The investigators planned a prospective observational study, a total of 30 patients who will apply to our clinic with MPS, will register in research. The investigators will perform ultrasound-guided RIB, and evaluate the clinical outcomes.

Eligibility Criteria

Inclusion

Inclusion Criteria:

Complaint of myofascial pain
Pain that is rated at least 3 on a numerical rating scale (NRS, 0 = no pain, 10 = theworst pain)

Exclusion

Exclusion Criteria:

pregnancy
the presence of coagulopathy, or the use of anticoagulants
a history of surgery on the block area
allergic to bupivacaine
decline to participate

Study Design

February 10, 2021

April 26, 2021

Study Description

Myofascial pain syndrome (MPS) is the most common cause of musculoskeletal pain and its prevalence in the population is reported to be 21-30%. Rhomboid intercostal block (RIB) is an interfacial plane block described in 2016. It creates analgesia at T2-T9 levels in the hemithorax by applying local anesthetic to the fascia between the rhomboid muscle and the intercostal muscle. It has been used effectively in patients with chronic pain. The investigators planned a prospective observational study.From february to march 10 2021, a total of 30 patients who will apply to our clinic with MPS, will register in research. The investigators will perform ultrasound-guided RIB, and evaluate the clinical outcome Ultrasound guided RIB will applied with linear probe, in plane technique. Block needle was inserted to plane between the rhomboid muscle and intercostal muscles over the T5-6 ribs 2 cm to 3 cm medially from the medial border of the scapula. 13ml of bupivacaine 0.25% and 8mg dexamethasone mixture will inject into the fascial plane. Numerical Rating Scale (NRS) will recorded before and after the block at 30 minutes, day 1, 1-2-4-6 weeks.

Connect with a study center

Diskapi Yildirim Beyazit Training and Research Hospital
Ankara, 06110
Turkey
Site Not Available

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