Dry Needling for Myofascial Pain Syndrome
Condition: Myofascial Pain Syndromes; Neck Pain
MeSH terms: Myofascial Pain Syndromes; Fibromyalgia; Syndrome; Neck Pain; Somatoform Disorders
Study type: Interventional

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.
    

Intervention name(s): Group 1: Peppering; group 2: spin and wait; group 3: Peppering and spin and wait
Intervention type(s): Other; Other; Other
Intervention description(s): Before injection we will palpate the muscles of trapezius, m. rhomboideus, m. levator scapula for finding painful trigger points, and we will mark the point. the skin will be cleaned with an appropriate antiseptic. Before the needle is inserted, the area to be applied will be palpated once again to detect the painful trigger point between the thumb and index fingers. The needle will be guided to painful trigger points detected by palpation. Stainless steel 25x25 mm needles will be used for dry needling. The needle will be inserted and removed until the local twitch response disappears, at least 10 times at each point found. Afterwards, the patient will be given a standard exercise program for the neck muscles. With this method, dry needling will be applied to the patient 4 times a week, once a week.; Just before the injection, painful trigger points in the bilateral muscles of trapezius, m. rhomboideus, and m. levator scapula will be identified and marked by palpation, and the skin will be cleaned with an appropriate antiseptic. Before the needle is inserted, the area to be applied will be palpated once again to detect the painful trigger point between the thumb and index fingers. The needle will be guided to painful trigger points detected by palpation. Stainless steel 25x25 mm needles will be used for dry needling. After the dry needle is inserted at each point found, it will be spinned counterclockwise and left. Waiting time for each patient will be limited to 15 minutes. Afterwards, the patient will be given a standard exercise program for the neck muscles. With this method, dry needling will be applied to the patient 4 times a week, once a week.; Just before the injection, painful trigger points in the bilateral muscles of trapezius, m. rhomboideus, and m. levator scapul will be identified and marked with palpation, and the skin will be cleaned with an appropriate antiseptic. Before the needle is inserted, the area to be applied will be palpated once again to detect the painful trigger point between the thumb and index fingers. The needle will be guided to painful trigger points detected by palpation. Stainless steel 25x25 mm needles will be used for dry needling. After the needle is inserted and removed, it will be spinned counterclockwise for 15 minutes in each patient until the local twitch response disappears, at least 10 times at each point found. Afterwards, the patient will be given a standard exercise program. With this method, dry needling will be applied to the patient 4 times a week, once a week.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: 3 GROUPS DİFFERENT TYPES OF DRY NEEDLİNG
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Dry Needling; Neck Pain; Myofascial Pain Syndromes