Effectiveness of mobilization practices for patients with neck pain due to myofascial pain syndrome: a randomized clinical trial

Abstract Objectives Granisetron and lidocaine injections have been used for the management of myofascial pain syndrome. This study was aimed to compare the efficacy of granisetron and lidocaine injections to trigger points of upper trapezius in the management of myofascial pain syndrome. Methods We performed a double-blind randomized clinical trial in an outpatient clinic of physical medicine and rehabilitation at a teaching hospital. A total of 40 patients aged ≥18 with neck pain due to myofascial pain syndrome were included. They had pain for at least one month with the intensity of at least 30 mm on a 100 mm visual analog scale. Each participant received a single dose of 1 mL lidocaine 2% or 1 mg (in 1 mL) granisetron. The solutions were injected into a maximum of three trigger points of the upper trapezius. We instructed all patients to remain active while avoiding strenuous activity for three or four days, and to perform stretch exercise and massage of their upper trapezius muscles. We assessed the patients before the interventions, and one month and three months post-injection. The primary outcome was the Neck Disability Index and the secondary outcome was the Neck Pain and Disability Scale. Results Both interventions were successful in reducing neck pain and disability (all p-values <0.001). However, the neck pain and disability responded more favorably to lidocaine than granisetron (p=0.001 for Neck Disability Index, and p=0.006 for Neck Pain and Disability Scale). No significant side-effect was recognized for both groups. Conclusions Both lidocaine and granisetron injections to trigger points are effective and safe for the management of the syndrome and the benefits remain at least for three months. However, lidocaine is more effective in reducing pain and disability. The injections are well-tolerated, although a transient pain at the site of injections is a common complaint. One mL of lidocaine 2% is more effective than 1 mg (in 1 mL) granisetron for injecting into the trigger points of the upper trapezius in myofascial pain syndrome.

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Assessment of predisposing factors in myofascial pain syndrome and the analgesic effect of trigger point injections - A primary therapeutic interventional clinical trial

Indian Journal of Anaesthesia ◽

10.4103/ija.ija_6_19 ◽

2019 ◽

Vol 63 (4) ◽

pp. 300 ◽

Cited By ~ 3

Author(s):

Gayatri Mishra ◽

S Parthasarathy ◽

Siyam Sundar

Keyword(s):

Clinical Trial ◽

Analgesic Effect ◽

Myofascial Pain ◽

Trigger Point ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Predisposing Factors

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Ashi Acupuncture Versus Local Anesthetic Trigger Point Injections in the Treatment of Abdominal Myofascial Pain Syndrome: A Randomized Clinical Trial

January 2018 - Pain Physician ◽

10.36076/ppj.2020/23/507 ◽

2020 ◽

Vol 5;23 (9;5) ◽

pp. 507-517

Author(s):

Júlio Cesar Rosa e Silva

Keyword(s):

Clinical Trial ◽

Pelvic Pain ◽

Local Anesthetic ◽

Chronic Pelvic Pain ◽

Myofascial Pain ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Trigger Points ◽

Controlled Clinical Trial ◽

Clinical Pain

Background: Chronic pelvic pain (CPP) is defined as recurrent or continuous pain in the lower abdomen or pelvis, non-menstrual or non-cyclic, lasting at least 6 months. There is strong evidence that up to 85% of patients with CPP have serious dysfunction of the musculoskeletal system, including abdominal myofascial syndrome (AMPS). AMPS is characterized as deep abdominal pain, originating from hyperirritable trigger points, usually located within a musculoskeletal range or its fascia of coating. In the literature, there are few studies that address AMPS. Objective: This study aimed to compare the responses of ashi acupuncture treatment and local anesthetic injection in the treatment of chronic pelvic pain secondary to abdominal myofascial pain syndrome in women. Study Design: Randomized controlled clinical trial. Setting: Tertiary University Hospital. Methods: Women with a clinical diagnosis of CPP secondary to AMPS were randomized and evaluated using instruments to assess clinical pain, namely, the visual analogue scale (VAS), numerical categorial scale (NCS), and the McGill Questionnaire, after receiving treatment with ashi acupuncture (group A, n = 16) or local anesthetic injections (group B, n = 19). They were reevaluated after one week and one, 3, and 6 months after each treatment, in addition to assessments of pain and adverse events performed during the sessions. Results: Ashi acupuncture and local anesthetic injections were both effective in reducing clinical pain assessed through the analyzed variables among study participants. There was no difference between the groups and there was a strong correlation between these pain assessment instruments. Limitations: The absence of blinding to the different forms of treatment among the patients and the researcher directly involved in the treatment, the absence of a placebo group, the selective exclusion of women with comorbidities and other causes of CPP, and the difference between the number of sessions used for each technique. Conclusion: Treatments with ashi acupuncture and local anesthetic injections were effective in reducing clinical pain in women with abdominal myofascial pain syndrome. Key words: Chronic pelvic pain, abdominal myofascial pain syndrome, trigger points, acupuncture, topical injectable anesthetic

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Prevalence of Myofascial Pain Syndrome in Chronic Non-Specific Neck Pain: A Population-Based Cross-Sectional Descriptive Study

Pain Medicine ◽

10.1093/pm/pnw114 ◽

2016 ◽

Vol 17 (12) ◽

pp. 2369-2377 ◽

Cited By ~ 25

Author(s):

Ester Cerezo-Téllez ◽

María Torres-Lacomba ◽

Orlando Mayoral-del Moral ◽

Beatriz Sánchez-Sánchez ◽

Jan Dommerholt ◽

...

Keyword(s):

Neck Pain ◽

Myofascial Pain ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Descriptive Study ◽

Population Based ◽

Cross Sectional

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The impact of 8 weeks selected corrective exercises on neck pain, range of motion in the shoulder and neck of lifesaver women who suffering from forward head posture and myofascial pain syndrome

Biomedical Research and Therapy ◽

10.15419/bmrat.v4i06.183 ◽

2017 ◽

Vol 4 (06) ◽

pp. 1420

Author(s):

Melody Tabatabaei ◽

Behrouz Barjasteh Mohebbi ◽

Alireza Rahimi

Keyword(s):

Neck Pain ◽

Range Of Motion ◽

Myofascial Pain ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Analysis Of Covariance ◽

Forward Head Posture ◽

Head Posture ◽

Significant Difference ◽

The Impact

Background: The purpose of this research was studying the impact of 8 weeks selected corrective exercises on neck pain, range of motion in the shoulder and neck of lifesaver women who suffering from forward head posture and myofascial pain syndrome. Methods: The method of research is semi-experimental. The population consists of 30 lifesaver women who suffering from forward head posture and myofascial pain syndrome who they placed randomly in two groups of experimental (33±2.2) and control (33±2.5). Research plan was as the pre-test and post-test with control group. The exercise protocol was carried out by experimental groups for 8 weeks, 3 sessions per week, each session lasting 45 minutes. Studied variables include myofascial pain in the neck, shoulder and neck range of motion. The mean and standard deviation were used as descriptive statistics and in the section of inferential statistics analysis of covariance was used. Results: Results of research indicated that, the protocol on the reform exercise of neck pain (P=0.001), range of motion of shoulder joint (P=0.001) and neck range of motion (P=0.001) has significant difference. Conclusion: Therefore, lifesavers women can benefit from it as a training program to improve and prevent damage caused by head forward and myofascial pain syndrome.

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