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Author Garvey, T. A.; Marks, M. R.; Wiesel, S. W. url  openurl
  Title A prospective, randomized, double-blind evaluation of trigger-point injection therapy for low-back pain Type of Study RCT
  Year 1989 Publication Spine Abbreviated Journal Spine (Phila Pa 1976)  
  Volume 14 Issue 9 Pages 962-964  
  Keywords RCT; AcuTrials; Back Pain; Low Back Pain, Acute; Acu Versus > 1 Control; Acupuncture; Acupressure; Trigger Point Acupuncture Style; Symptom Based Point Selection; Restricted Modalities, Acupuncture Only; Usual Care Control, Pharmaceutical; Pain; CAM Control; Individualized Acupuncture Protocol  
  Abstract The efficacy of trigger-point injection therapy in treatment of low-back strain was evaluated in a prospective, randomized, double-blind study. The patient population consisted of 63 individuals with low-back strain. Patients with this diagnosis had nonradiating low-back pain, normal neurologic examination, absence of tension signs, and lumbosacral roentgenograms interpreted as being within normal limits. They were treated conservatively for 4 weeks before entering the study. Injection therapy was of four different types: lidocaine, lidocaine combined with a steroid, acupuncture, and vapocoolant spray with acupressure. Results indicated that therapy without injected medication (63% improvement rate) was at least as effective as therapy with drug injection (42% improvement rate), at a P value of 0.09. Trigger-point therapy seems to be a useful adjunct in treatment of low-back strain. The injected substance apparently is not the critical factor, since direct mechanical stimulus to the trigger-point seems to give symptomatic relief equal to that of treatment with various types of injected medication.  
  Address Department of Orthopaedic Surgery, George Washington University Medical Center, Washington, D.C.  
  Publisher
  Language Number of Treatments 1  
  Treatment Follow-up 2 Weeks Frequency (up) N/A Number of Participants 63  
  Time in Treatment 1 Day Condition Low Back Pain, Acute
  Disease Category Back Pain OCSI Score  
  Notes Approved no  
  Call Number Serial 365  
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