Evidence map›Paper›PMID 29973970›Full record

Trial reportPain research & management2018

Comparison between Collagen and Lidocaine Intramuscular Injections in Terms of Their Efficiency in Decreasing Myofascial Pain within Masseter Muscles: A Randomized, Single-Blind Controlled Trial.

Aleksandra Nitecka-Buchta, Karolina Walczynska-Dragon, Jolanta Batko-Kapustecka, Mieszko Wieckiewicz

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pain research & management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06676475 (Comparison of the Effectiveness of Botulinum Toxin and Magnesium Sulfate Injections in the Treatment of Myofascial Trigger Points in the Masseter Muscle Randomized Controlled Clinical Trial), which is not on this map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
0.9field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06676475 phase2 / phase3not yet recruitingnot on this mapstarted 2024, after this paper: background citation

Comparison of the Effectiveness of Botulinum Toxin and Magnesium Sulfate Injections in the Treatment of Myofascial Trigger Points in the Masseter Muscle Randomized Controlled Clinical Trial

TypeinterventionalSponsorMisr University for Science and TechnologyRan2024 to 2025Enrolled60ConditionsMyofacial Pain, Trigger Points, MyofascialArmsMgSO4, BOTOX-A, Saline (NaCl 0,9 %) (placebo)
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.

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  8. Postoperative rehabilitation and pain control after arthroscopic rotator cuff repair in South Korea: A web-based survey.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2026
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  18. Sleep Bruxism in Children: Etiology, Diagnosis, and Treatment-A Literature Review.International journal of environmental research and public health · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Aleksandra Nitecka-BuchtaDepartment of Temporomandibular Disorders, Unit SMDZ in Zabrze, Medical University of Silesia in Katowice, Traugutta Sq. 2, 41-800 Zabrze, Poland.ORCID 0000-0002-0322-2130
Karolina Walczynska-DragonDepartment of Temporomandibular Disorders, Unit SMDZ in Zabrze, Medical University of Silesia in Katowice, Traugutta Sq. 2, 41-800 Zabrze, Poland.ORCID 0000-0003-3066-7765
Jolanta Batko-KapusteckaDepartment of Temporomandibular Disorders, Unit SMDZ in Zabrze, Medical University of Silesia in Katowice, Traugutta Sq. 2, 41-800 Zabrze, Poland.
Mieszko WieckiewiczDepartment of Experimental Dentistry, Faculty of Dentistry, Wroclaw Medical University, 26 Krakowska St., 50-425 Wroclaw, Poland.ORCID 0000-0003-4953-7143
Medical University of Silesia · PLWroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objective: A novel option for myofascial pain (MFP) management and muscle regeneration is intramuscular collagen injections. The aim of the study was to evaluate the efficiency of intramuscular injections of collagen and lidocaine in decreasing MFP within masseter muscles. Methods: Myofascial pain within masseter muscles was diagnosed on the basis of the Diagnostic Criteria for Temporomandibular Disorders (II.1.A. 2 and 3). A total of 43 patients with diagnosed MFP within masseter muscles were enrolled to the study (17 male and 26 female, 40 ± 3.8 years old) and randomly divided into three groups. The first group received injections using 2 ml of collagen MD Muscle (Guna), the second group received 2 ml of 2% lidocaine without a vasoconstrictor, and the third group 2 ml of saline as a control (0.9% NaCl). All patients received repeated injections at one-week intervals (days 0 and 7). The visual analogue scale was used to determine pain intensity changes during each follow-up visit (days 0, 7, and 14) in each group. The masseter muscle activity was measured on each visit (days 0, 7, and 14) with surface electromyography (sEMG) (Neurobit Optima 4, Neurobit Systems). Results: We found that sEMG masseter muscle activity was significantly decreased in Group I (59.2%), less in Group II (39.3%), and least in Group III (14%). Pain intensity reduction was 53.75% in Group I, 25% in Group II, and 20.1% in Group III. Conclusions: The study confirmed that intramuscular injection of collagen is a more efficient method for reducing myofascial pain within masseter muscles than intramuscular injection of lidocaine.

Indexed as

AdultAnesthetics, LocalCollagenElectromyographyFemaleFollow-Up StudiesHumansInjections, IntramuscularLidocaineMaleMasseter MuscleMiddle AgedMyofascial Pain SyndromesOutcome Assessment, Health CareSingle-Blind MethodVisual Analog ScaleAnesthetics, LocalCollagenLidocaine

Identifiers

PMID29973970
PMCPMC6008702
OpenAlexW2807441211

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.