A Comparison for 3 Different Dry Needling Techniques for Myofacial Pain Syndrome Causing Servical Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Myofascial Pain Syndromes
- Sponsor
- Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey
- Enrollment
- 45
- Locations
- 1
- Primary Endpoint
- Visuel Analog Scale
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Myofascial pain syndrome (MAS) is defined as a regional painful syndrome characterized by pain and tenderness in a muscle group or a muscle, a taut band within the muscle, pain reflected by pressing, and the presence of trigger points. It causes localized muscle pain in the shoulder and neck. The frequency of mas is around 12% in the normal population, and its frequency increases in those with chronic diseases. It is more common in the 30-60 age range and in the female population. Mechanical causes such as micro-macro trauma, nociceptive disorders, physical fatigue, psychological stress and genetic factors are blamed in its etiopathogenesis. Painful myofascial trigger points may occur by pressing on all muscles in the body, although it is more common in the trazius muscle, especially in those who work at a desk, who are constantly in a certain position, and who are sedentary. Myofascial trigger points are often detected by examination.
Detailed Description
There is a difference between the pain, neck extension range of motion, neck functional status of 3 different dry needling methods used in routine treatment in patients with myofascial pain syndrome. The investigators set out by thinking which method is more appropriate to choose in our practice. When the investigators examined the literature, the investigators could not find a study comparing these methods. However, at the points where sham needling, lidocaine administration, ozone cost, kinesiotaping methods and dry needling are compared by using these methods separately, regardless of the method of dry needling, there is a significant improvement in functional status, pain score, attachments, improvement expenses in the range of motion. However, the investigators think that it will contribute to a study literature on the protection of these purposes more clearly.
Investigators
Emre Ata, Assoc Prof
Associate Proffesor
Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey
Eligibility Criteria
Inclusion Criteria
- •Among the patients who applied to Sultan
- •Abdulhamid Han Hospital Physical Medicine and Rehabilitation Department and were diagnosed with myofascial pain syndrome
- •Decided to receive dry needling treatment
- •Between the ages of 18 and 65
- •At least 1 painful myofascial trigger point in the m.trapezius, m.levator scapula muscles
- •Patients with neck pain lasting less than 6 months
Exclusion Criteria
- •Those with a history of cervical operation
- •Those who have a history of shoulder operation
- •Patients with radiculopathy as a result of the examination
- •Those who have been injected into the determined area in the last 3 months
- •Those diagnosed with fibromyalgia according to the 2018 fibromyalgia scale
- •Those with cervical disc herniation in the MR imaging taken within the last 1 year
- •Pregnant/pregnant women
- •Those who are allergic to silver
- •Those with a history of malignancy
- •Those with positive red flags
Outcomes
Primary Outcomes
Visuel Analog Scale
Time Frame: one month
It is used to convert some values that cannot be measured numerically into numeric. Two end definitions of the parameter to be evaluated are written at the two ends of a 100 mm line, and the patient is asked to indicate where on this line their situation is appropriate by drawing a line or by placing a dot or pointing. For example, for pain, I have no pain at one end and very severe pain at the other end, and the patient marks his/her current state on this line. The length of the distance from the point where there is no pain to the point marked by the patient indicates the patient's pain.
Secondary Outcomes
- Neck Disability Index(one month)
- European Quality of Life 5 Dimensions 3 Level Version(One month)