Effectiveness of Different Methods in Acute Myofascial Pain Syndrome
Condition: Myofacial Pain Syndromes
MeSH terms: Myofascial Pain Syndromes; Fibromyalgia; Facial Neuralgia; Syndrome; Facial Pain; Somatoform Disorders
Study type: Observational

Summary: 
      This study is a randomized controlled study. A total of 75 patients between the ages of 20-50
      who have a diagnosis of acute myofacial pain syndrome in the trapezius muscle and have pain
      for a maximum of 5 days were included in the study. Patients were randomly divided into 3
      groups. Group 1 patients received kinesio tape method (25 patients), group 2 patients
      received trigger point injection method (25 patients), and group 3 patients received neural
      therapy injection method (25 patients). A 10-15 cm sized I band was applied to the trapezius
      muscles of the first group patients with the patient's neck in lateral flexion. Then, while
      the patient's neck is flexed, a Y-shaped 15-20 cm tape will be affixed between C1-7 with the
      arms of the Y up, and I tape of 5-10 cm is attached on the arms. In group 2 patients, 1 cc
      lidocaine diluted with 4 cc saline (SF) was applied to the trigger points palpated manually
      in the trapezius muscles. After the trigger point was squeezed between the thumb and index
      finger, a few cc of local anesthetic mixture was applied into the trigger point with the
      injector and exited. In the 3rd group patients, a few cc local anesthetic mixture will be
      applied intradermally over the trigger point without entering into the trigger points
      palpated manually in the trapezius muscles. Patients were checked 72 hours and 1 week after
      the first applications.

      The pain at rest and during movement of the patients in all 3 groups were evaluated with a
      visual analog scale (VAS 10 cm). The number of trigger points was determined by the physician
      by hand palpation. Pressure pain threshold was evaluated with the algometer device.
      Disability assessment of the patients was made using the neck pain disability index.
      evaluations were made at the beginning of treatment, 72 hours after and 1 week after
      treatment.
    


Intervention name(s): Kinesio taping
Intervention type(s): Other
Intervention description(s): A 10-15 cm sized I band was applied to the trapezius muscles of the first group patients with the patient's neck in lateral flexion. Then, while the patient's neck is flexed, a Y-shaped 15-20 cm tape will be affixed between C1-7 with the arms of the Y up, and I tape of 5-10 cm is attached on the arms. In group 2 patients, 1 cc lidocaine diluted with 4 cc saline (SF) was applied to the trigger points palpated manually in the trapezius muscles. After the trigger point was squeezed between the thumb and index finger, a few cc of local anesthetic mixture was applied into the trigger point with the injector and exited. In the 3rd group patients, a few cc local anesthetic mixture will be applied intradermally over the trigger point without entering into the trigger points palpated manually in the trapezius muscles. Patients were checked 72 hours and 1 week after the first applications.
Other intervention name(s): trigger point injection; neural therapy injection
Observational model: Other
Time perspective: Prospective
Sampling method: Probability Sample
Study population: 
        A total of 75 patients between the ages of 20-50 who have a diagnosis of acute myofacial
        pain syndrome in the trapezius muscle and have pain for a maximum of 5 days.