Management of Myofascial Pain Syndrome: A Randomized Control Trial

JOURNAL TITLE: Indian Journal of Physical Medicine and Rehabilitation

Author
1. Dr Sanjay K Pandey
2. Ashish Srivastava
ISSN
0973-2209
DOI
10.5005/jp-journals-10066-0061
Volume
30
Issue
3
Publishing Year
2019
Pages
4
Author Affiliations
    1. Department of Physical Medicine and Rehabilitation, All India Institute of Medical Sciences, Patna, Bihar, India
    1. Department of Physical Medicine and Rehabilitation, All India Institute of Medical Sciences, Patna, Bihar, India
  • Article keywords
    Myofascial pain, Trigger point, Visual analog scale

    Abstract

    Background: Myofascial pain syndrome is collection of sensory, motor, and autonomic symptoms that include local and referred pain, decreased range of motion, and weakness. Objective: To compare outcome of physical therapy alone and physical therapy with trigger point injection in the management of myofascial pain syndrome. Materials and methods: This prospective randomized control study was performed in a tertiary-care teaching institution of North India. Age- and sex-matched subjects with myofascial pain syndrome were enrolled in this study. Subjects were assessed by cervical ROM parameters, numerical pain rating scale, and pressure pain threshold at third day, 1 week, and fourth week. Results: Sixty patients were included in this study with mean age-group of 25.93 + 4.65 years and 26.60 + 4.99 years, respectively, and median of 22 years and 23 years in control and intervention groups, respectively. The female–male ratio was 1.5:1 and 1.3:1, respectively. Using CF, CE, NPRS, and PPT as outcome parameters were 39.00 ± 2.49, 8.60 ± 0.62, and 1.00 ± 0.00, respectively, which improved to 66.17 ± 4.09, 67.33 ± 3.65, 1.17 ± 0.65, and 5.00 ± 0.00, respectively, at fourth week of trigger point injection. Conclusion: Combined approach of trigger point injection with physical therapy is more effective and safe to be administered in outpatient as very good alternative for oral drugs and physical therapy alone.

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