Comparison of low intensity laser therapy and trigger point injection in the management of myofascial pain syndrome

2006 ◽  
Vol 18 (1) ◽  
pp. 63-66 ◽  
Author(s):  
M. Zeki Kiralp ◽  
Huseyin Ari ◽  
Ilhan Karabekir ◽  
Hasan Dursun
Keyword(s):  
Laser Therapy ◽  
Myofascial Pain ◽  
Trigger Point ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Low Intensity ◽  
Point Injection ◽  
Low Intensity Laser Therapy ◽  
Intensity Laser

Evaluation of Low Intensity Laser Therapy In Myofascial Pain Syndrome

CRANIO® ◽  
2009 ◽  
Vol 27 (4) ◽  
pp. 243-247 ◽  
Author(s):  
Thaise Graciele Carrasco ◽  
Laise Daniela Carrasco Guerisoli ◽  
Danilo Mathias Zanello Guerisoli ◽  
Marcelo Oliveira Mazzetto
Keyword(s):  
Laser Therapy ◽  
Myofascial Pain ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Low Intensity ◽  
Low Intensity Laser Therapy ◽  
Intensity Laser

scholarly journals The effect of low intensity laser therapy on post needling soreness in trigger point 2 of the upper trapezius muscle

2018 ◽  
Author(s):  
◽  
Mishka Dhai
Keyword(s):  
Laser Therapy ◽  
Myofascial Pain ◽  
Trigger Point ◽  
Group Analysis ◽  
Dry Needling ◽  
Myofascial Trigger Points ◽  
Low Intensity ◽  
Upper Trapezius ◽  
Low Intensity Laser Therapy ◽  
Intensity Laser

Introduction: Myofascial pain syndrome is a condition of collective sensory, motor and autonomic symptoms caused by myofascial trigger points, which are hyper-irritable foci in a muscle and palpated as a taut, tender, ropey band. There are many types of treatment for myofascial pain syndrome; dry needling is one of the most effective forms. Dry needling involves the insertion of a needle into the myofascial trigger points in order to break up the contractile elements and any somatic components that may contribute to trigger point hyperactivity, and to stimulate sensitive nerve ending in the area. Although therapeutic, an unpleasant side effect of dry needling is the post-needling soreness. Various modalities have been utilised to decrease post-needling soreness, such as ice, heat and action potential simulation, to mention a few, however no study has been conducted to date that documents low intensity laser therapy and its effect on post-needling soreness. This study therefore aimed to evaluate the effect of low intensity laser therapy on post-needling soreness in trigger point 2 of the upper trapezius muscle. Methodology: This study was designed as a randomised, controlled pre-test and post-test experimental trial. Forty participants were randomly allocated into two equal groups of 20 participants each. Group 1 received the needling and laser therapy; Group 2 received needling and placebo laser. Algometer and Numerical Pain Rating Scale 11 (NRS 11) readings were taken immediately before the dry needling procedure; after the laser or placebo laser therapy; and again, at the follow-up visit 24 hours later. Subjects used a 24- hour pain diary which was completed at three-hour intervals, to record any post-needling soreness. The NRS 11 scale was used immediately before the needling and again at the follow-up visit 24 hours later. Results: Statistical analysis was done using SPSS version 24.0 to conduct inferential and deductive statistics. A significance of p=0.05 was set. Baseline demographics and outcome measurements were compared between the two groups using t-tests or ANOVA where appropriate. An inter-group analysis revealed that objectively and subjectively all groups experienced some degree of post-needling soreness, which deceased significantly over time. This decrease of pain was not significantly related to the treatment group, and there is no evidence of the differential time effect with the treatment. An inter-group analysis yielded no statistically significant results regarding the effectiveness of the treatments received by the patients. This could be because of the small sample size or because low intensity laser therapy is not a useful intervention. Conclusion: The results from this study revealed that both treatment groups responded equally in the alleviation of pain. It can thus be concluded that low intensity laser therapy had no significant beneficial effects on post-needling soreness.

scholarly journals Trigger Point Injection Therapy in the Management of Myofascial Pain Syndrome in the Maxillofacial Area

2020 ◽  
Vol 28 (6) ◽  
pp. 694-701
Author(s):  
I.A. Arsenova ◽  
◽  
I.O. Pohodenko-Chudakova ◽  
M.A. Lar’kina ◽  
◽  
...  
Keyword(s):  
Myofascial Pain ◽  
Trigger Point ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Injection Therapy ◽  
Point Injection

Цель. Оценить эффективность инъекций в триггерные точки при лечении миофасциального болевого синдрома челюстно-лицевой области. Материал и методы. С 2014-2017 гг. было пролечено 124 человека с миофасциальным болевым синдромом лица, из них 76 женщин и 48 мужчин в возрасте от 19 до 62 лет. Кроме клинических и рентгенологических методов диагностики всем пациентам выполняли электромиографию и тестирование болей по визуальной аналоговой шкале боли (VAS). С целью купирования миофасциального болевого синдрома применялись методы традиционной терапии: шиновая терапия, коррекция окклюзии, медикаментозная и физиотерапия. При неэффективности традиционных методов выполнялись инъекции «Лимфомиозот» и «Траумель С» в триггерные точки по методике J. Kersschot (2010). Контрольные осмотры проводились через 1, 3, 6, 12 и 18 и 24 месяца после выполнения манипуляции. При контрольных осмотрах обращали внимание на жалобы пациентов, определяли интенсивность боли по VAS. Критерием положительных результатов лечения являлось отсутствие болей в покое и при функциях. Результаты. При стандартном лечении положительные результаты были получены у 86 из 124 человек (69,4%). Инъекции в триггерные точки, выполняемые при недостаточной эффективности лечения у 38 человек, привели к прекращению боли у 32 (84,2%) пациентов. Как показали наши наблюдения, длительный период без боли (в течение двух лет) наблюдали у 12 (37,6%) человек. Продолжительный эффект в течение периода времени до полутора лет был констатирован у 8 пациентов (25%), до 1 года – у 7 человек (21,8%), до 6 месяцев – у 5 (15,6%). Заключение. Инъекции в триггерные точки повышают эффективность терапии и обеспечивают длительный период ремиссии заболевания, что проявляется в отсутствии болевых приступов и ощущения дискомфорта. Научная новизна статьи Впервые для лечения миофасциального болевого синдрома (МБС) лица была использована методика с применением инъекций «Лимфомиозот» и «Траумель С» в триггерные точки. Установлено, что данная методика инъекций в триггерные точки является эффективным методом лечения МБС лица в независимости от причины, его вызвавшей. Показано, что применение инъекций в триггерные точки при миофасциальном болевом синдроме лица способствовало быстрому купированию болей и длительному безболевому периоду сроком наблюдения до двух лет.

Management of Myofascial Pain Syndrome in Armed Force Personnel: Two Novel Therapeutic Approach

2016 ◽  
Vol 27 (4) ◽  
pp. 113-120
Author(s):  
Lt Col Sonu Singh ◽  
Brig. L C Pandey ◽  
Lt Col A S Kalra
Keyword(s):  
Myofascial Pain ◽  
Trigger Point ◽  
Pain Syndrome ◽  
Extracorporeal Shock Wave Therapy ◽  
Myofascial Pain Syndrome ◽  
Treatment Groups ◽  
Pain Syndromes ◽  
Extracorporeal Shock Wave ◽  
Point Injection ◽  
Stretching Exercises

Abstract Background Myofascial pain syndrome is one of the commonest pain syndromes now a days. Its pathophysiology is not fully documented or understood. Goal of treatment is to release the pain and discomfort of myofascial pain syndrome. Methods This was a multicentric prospective study comprising 70 patients who had been diagnosed clinically with myofascial pain syndrome in the neck, shoulder or back. Cases were randomly divided into two treatment groups. First group (36 cases) were treated with physiotherapy modalities (extracorporeal shock wave therapy and ultrasound therapy as combination therapy) and patients in second group (34 cases) were treated with trigger point injection. In both the groups patients were advised stretching exercises as soon as pain decreases. Results Pain was substantially decreased in both the treatment groups but results were early and comparatively better in patients treated by trigger point injection group. Stretching exercises were helpful in regaining strength and also helpful in decreasing recurrence of pain.

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