Research Article
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Comparison of the treatment effects of extracorporeal shock wave therapy and trigger point injection in myofascial pain syndrome

Year 2022, Volume: 39 Issue: 4, 1068 - 1072, 29.10.2022

Abstract

Myofascial pain syndrome (MPS) is a common chronic musculoskeletal disease and the lifetime prevalence is about 85%. Comparison of the effects of ESWT (extracorporeal shock wave therapy) and trigger point injection (TPI) treatments on sleep quality in myofascial pain syndrome has rarely been studied. The aim of this study was to compare the effects of TPI + Dry Needling (DN) and ESWT treatments on pain, neck disability level, and sleep quality in patients with myofascial pain syndrome. 63 patients diagnosed with myofascial pain syndrome were included in the study. The patients were divided into two groups. ESWT was given to 32 patients and TPI to 31 patients. These two treatment regimens were compared in terms of pain (VAS), sleep quality (PSQI), and neck disability (NDI). In terms of mean VAS, NDI, and PSQI values, there was no statistically significant difference between the groups in the mean of pre-treatment, post-treatment day 0, and post-treatment 1 month. A similar and significant improvement was observed in both groups in terms of the evaluated parameters and based on our results, we can recommend both treatment options to MPS patients.

Supporting Institution

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References

  • 1. Gerber LH, Sikdar S, Armstrong K, Diao G, Heimur J, Kopecky J, et al. A systematic comparison between subjects with no pain and pain associated with active myofascial trigger points. PM&R. 2013;5(11):931-8.
  • 2. Öz N, Çağlar NS, Akar N, Akar A, Aytekin E. Miyofasiyal Ağrı Sendromunda Lazer Tedavisinin Etkinliğinin Araştırılması. Journal of Academic Research in Medicine. 2021;11(2).
  • 3. Nazlıkul FGU, Dizdar D. Miyofasiyal ağrı sendromunda kuru iğnenin etkinliği: ön çalışma. Bilimsel Tamamlayıcı Tıp Regülasyon ve Nöral Terapi Dergisi.14(3):64-8.
  • 4. Bron C, De Gast A, Dommerholt J, Stegenga B, Wensing M, Oostendorp RA. Treatment of myofascial trigger points in patients with chronic shoulder pain: a randomized, controlled trial. BMC medicine. 2011;9(1):1-14.
  • 5. Desai MJ, Saini V, Saini S. Myofascial pain syndrome: a treatment review. Pain and therapy. 2013;2(1):21-36.
  • 6. Borg-Stein J, Iaccarino MA. Myofascial pain syndrome treatments. Physical Medicine and Rehabilitation Clinics. 2014;25(2):357-74.
  • 7. Cao Q-W, Peng B-G, Wang L, Huang Y-Q, Jia D-L, Jiang H, et al. Expert consensus on the diagnosis and treatment of myofascial pain syndrome. World journal of clinical cases. 2021;9(9):2077.
  • 8. Galasso A, Urits I, An D, Nguyen D, Borchart M, Yazdi C, et al. A comprehensive review of the treatment and management of myofascial pain syndrome. Current pain and headache reports. 2020;24(8):1-11.
  • 9. Han SC, Harrison P. Myofascial pain syndrome and trigger-point management. Regional Anesthesia and Pain Medicine. 1997;22(1):89-101.
  • 10. Aktürk S. Miyofasiyal ağrı sendromunda ESWT (Ekstracorporeal Shock Wave Therapy) ve US (Ultrason)'Un tedavi etkinliklerinin karşılaştırılması: Plasebo kontrollü çalışma/Comparison Of the effectiveness of ESWT andultrasound treatments in myofascial pain syndrome: Plasebo controlled study. 2012.
  • 11. Ji HM, Kim HJ, Han SJ. Extracorporeal shock wave therapy in myofascial pain syndrome of upper trapezius. Annals of rehabilitation medicine. 2012;36(5):675-80.
  • 12. Ural FG. Miyofasiyal ağrı sendromu olan hastalarda obezitenin uyku kalitesi ve günlük yaşam aktiviteleri üzerine etkisi. Cukurova Medical Journal. 2018;43(3):600-4.
  • 13. Langley G, Sheppeard H. The visual analogue scale: its use in pain measurement. Rheumatology international. 1985;5(4):145-8.
  • 14. Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research. 1989;28(2):193-213.
  • 15. Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. Journal of manipulative and physiological therapeutics. 1991.
  • 16. Güzel R, Akkoca H, Şeydaoğlu G, Uğuz Ş, Kozanoğlu E, Sarpel T. Miyofasiyal ağrı sendromunun tedavisinde lokal anestezik enjeksiyonu ve kuru iğneleme yöntemlerinin etkinliğinin karşılaştırılması. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2006;52(1):22-7.
  • 17. Lewit K. The needle effect in the relief of myofascial pain. Pain. 1979;6(1):83-90.
  • 18. Raeissadat SA, Rayegani SM, Sadeghi F, Rahimi-Dehgolan S. Comparison of ozone and lidocaine injection efficacy vs dry needling in myofascial pain syndrome patients. Journal of pain research. 2018;11:1273.
  • 19. Nouged E, Dajani J, Ku B, Al-Eryani K, Padilla M, Enciso R. Local Anesthetic Injections for the Short-Term Treatment of Head and Neck Myofascial Pain Syndrome: A Systematic Review with Meta-Analysis. Journal of Oral & Facial Pain & Headache. 2019;33(2).
  • 20. Cho Y-S, Park S-J, Jang S-H, Choi Y-C, Lee J-H, Kim J-S. Effects of the combined treatment of extracorporeal shock wave therapy (ESWT) and stabilization exercises on pain and functions of patients with myofascial pain syndrome. Journal of physical therapy science. 2012;24(12):1319-23.
  • 21. Park KD, Lee WY, Park M-h, Ahn JK, Park Y. High-versus low-energy extracorporeal shock-wave therapy for myofascial pain syndrome of upper trapezius: A prospective randomized single blinded pilot study. Medicine. 2018;97(28).
  • 22. Furia JP. High-energy extracorporeal shock wave therapy as a treatment for chronic noninsertional Achilles tendinopathy. The American journal of sports medicine. 2008;36(3):502-8.
  • 23. Hsu C-J, Wang D-Y, Tseng K-F, Fong Y-C, Hsu H-C, Jim Y-F. Extracorporeal shock wave therapy for calcifying tendinitis of the shoulder. Journal of shoulder and elbow surgery. 2008;17(1):55-9.
  • 24. Lee J-H, Jang S-H, Cho S-H, Kim J-S. Comparison of extracorporeal shock wave therapy and trigger point injection in terms of their effects on pain and bodily functions of myofascial pain syndrome patients. Journal of physical therapy science. 2012;24(10):1069-72.
  • 25. Jeon JH, Jung YJ, Lee JY, Choi JS, Mun JH, Park WY, et al. The effect of extracorporeal shock wave therapy on myofascial pain syndrome. Annals of rehabilitation medicine. 2012;36(5):665.
  • 26. Hong JO, Park JS, Jeon DG, Yoon WH, Park JH. Extracorporeal shock wave therapy versus trigger point injection in the treatment of myofascial pain syndrome in the quadratus lumborum. Annals of rehabilitation medicine. 2017;41(4):582.
  • 27. Lee J-H, Han E-Y. A comparison of the effects of PNF, ESWT, and TPI on pain and function of patients with myofascial pain syndrome. Journal of physical therapy science. 2013;25(3):341-4.
  • 28. Muñoz-Muñoz S, Muñoz-García MT, Alburquerque-Sendín F, Arroyo-Morales M, Fernández-de-las-Peñas C. Myofascial trigger points, pain, disability, and sleep quality in individuals with mechanical neck pain. Journal of manipulative and physiological therapeutics. 2012;35(8):608-13.
  • 29. Marin R, Cyhan T, Miklos W. Sleep disturbance in patients with chronic low back pain. American journal of physical medicine & rehabilitation. 2006;85(5):430-5.
  • 30. Çağlar A, Yüksel İ. Konnektif doku masajının miyofasyal ağrı sendromlu bireylerde ağrı, uyku ve yaşam kalitesi üzerine etkisi: randomize kontrollü çalışma. Journal of Exercise Therapy and Rehabilitation. 2019;6(1):19-24.
Year 2022, Volume: 39 Issue: 4, 1068 - 1072, 29.10.2022

Abstract

References

  • 1. Gerber LH, Sikdar S, Armstrong K, Diao G, Heimur J, Kopecky J, et al. A systematic comparison between subjects with no pain and pain associated with active myofascial trigger points. PM&R. 2013;5(11):931-8.
  • 2. Öz N, Çağlar NS, Akar N, Akar A, Aytekin E. Miyofasiyal Ağrı Sendromunda Lazer Tedavisinin Etkinliğinin Araştırılması. Journal of Academic Research in Medicine. 2021;11(2).
  • 3. Nazlıkul FGU, Dizdar D. Miyofasiyal ağrı sendromunda kuru iğnenin etkinliği: ön çalışma. Bilimsel Tamamlayıcı Tıp Regülasyon ve Nöral Terapi Dergisi.14(3):64-8.
  • 4. Bron C, De Gast A, Dommerholt J, Stegenga B, Wensing M, Oostendorp RA. Treatment of myofascial trigger points in patients with chronic shoulder pain: a randomized, controlled trial. BMC medicine. 2011;9(1):1-14.
  • 5. Desai MJ, Saini V, Saini S. Myofascial pain syndrome: a treatment review. Pain and therapy. 2013;2(1):21-36.
  • 6. Borg-Stein J, Iaccarino MA. Myofascial pain syndrome treatments. Physical Medicine and Rehabilitation Clinics. 2014;25(2):357-74.
  • 7. Cao Q-W, Peng B-G, Wang L, Huang Y-Q, Jia D-L, Jiang H, et al. Expert consensus on the diagnosis and treatment of myofascial pain syndrome. World journal of clinical cases. 2021;9(9):2077.
  • 8. Galasso A, Urits I, An D, Nguyen D, Borchart M, Yazdi C, et al. A comprehensive review of the treatment and management of myofascial pain syndrome. Current pain and headache reports. 2020;24(8):1-11.
  • 9. Han SC, Harrison P. Myofascial pain syndrome and trigger-point management. Regional Anesthesia and Pain Medicine. 1997;22(1):89-101.
  • 10. Aktürk S. Miyofasiyal ağrı sendromunda ESWT (Ekstracorporeal Shock Wave Therapy) ve US (Ultrason)'Un tedavi etkinliklerinin karşılaştırılması: Plasebo kontrollü çalışma/Comparison Of the effectiveness of ESWT andultrasound treatments in myofascial pain syndrome: Plasebo controlled study. 2012.
  • 11. Ji HM, Kim HJ, Han SJ. Extracorporeal shock wave therapy in myofascial pain syndrome of upper trapezius. Annals of rehabilitation medicine. 2012;36(5):675-80.
  • 12. Ural FG. Miyofasiyal ağrı sendromu olan hastalarda obezitenin uyku kalitesi ve günlük yaşam aktiviteleri üzerine etkisi. Cukurova Medical Journal. 2018;43(3):600-4.
  • 13. Langley G, Sheppeard H. The visual analogue scale: its use in pain measurement. Rheumatology international. 1985;5(4):145-8.
  • 14. Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research. 1989;28(2):193-213.
  • 15. Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. Journal of manipulative and physiological therapeutics. 1991.
  • 16. Güzel R, Akkoca H, Şeydaoğlu G, Uğuz Ş, Kozanoğlu E, Sarpel T. Miyofasiyal ağrı sendromunun tedavisinde lokal anestezik enjeksiyonu ve kuru iğneleme yöntemlerinin etkinliğinin karşılaştırılması. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2006;52(1):22-7.
  • 17. Lewit K. The needle effect in the relief of myofascial pain. Pain. 1979;6(1):83-90.
  • 18. Raeissadat SA, Rayegani SM, Sadeghi F, Rahimi-Dehgolan S. Comparison of ozone and lidocaine injection efficacy vs dry needling in myofascial pain syndrome patients. Journal of pain research. 2018;11:1273.
  • 19. Nouged E, Dajani J, Ku B, Al-Eryani K, Padilla M, Enciso R. Local Anesthetic Injections for the Short-Term Treatment of Head and Neck Myofascial Pain Syndrome: A Systematic Review with Meta-Analysis. Journal of Oral & Facial Pain & Headache. 2019;33(2).
  • 20. Cho Y-S, Park S-J, Jang S-H, Choi Y-C, Lee J-H, Kim J-S. Effects of the combined treatment of extracorporeal shock wave therapy (ESWT) and stabilization exercises on pain and functions of patients with myofascial pain syndrome. Journal of physical therapy science. 2012;24(12):1319-23.
  • 21. Park KD, Lee WY, Park M-h, Ahn JK, Park Y. High-versus low-energy extracorporeal shock-wave therapy for myofascial pain syndrome of upper trapezius: A prospective randomized single blinded pilot study. Medicine. 2018;97(28).
  • 22. Furia JP. High-energy extracorporeal shock wave therapy as a treatment for chronic noninsertional Achilles tendinopathy. The American journal of sports medicine. 2008;36(3):502-8.
  • 23. Hsu C-J, Wang D-Y, Tseng K-F, Fong Y-C, Hsu H-C, Jim Y-F. Extracorporeal shock wave therapy for calcifying tendinitis of the shoulder. Journal of shoulder and elbow surgery. 2008;17(1):55-9.
  • 24. Lee J-H, Jang S-H, Cho S-H, Kim J-S. Comparison of extracorporeal shock wave therapy and trigger point injection in terms of their effects on pain and bodily functions of myofascial pain syndrome patients. Journal of physical therapy science. 2012;24(10):1069-72.
  • 25. Jeon JH, Jung YJ, Lee JY, Choi JS, Mun JH, Park WY, et al. The effect of extracorporeal shock wave therapy on myofascial pain syndrome. Annals of rehabilitation medicine. 2012;36(5):665.
  • 26. Hong JO, Park JS, Jeon DG, Yoon WH, Park JH. Extracorporeal shock wave therapy versus trigger point injection in the treatment of myofascial pain syndrome in the quadratus lumborum. Annals of rehabilitation medicine. 2017;41(4):582.
  • 27. Lee J-H, Han E-Y. A comparison of the effects of PNF, ESWT, and TPI on pain and function of patients with myofascial pain syndrome. Journal of physical therapy science. 2013;25(3):341-4.
  • 28. Muñoz-Muñoz S, Muñoz-García MT, Alburquerque-Sendín F, Arroyo-Morales M, Fernández-de-las-Peñas C. Myofascial trigger points, pain, disability, and sleep quality in individuals with mechanical neck pain. Journal of manipulative and physiological therapeutics. 2012;35(8):608-13.
  • 29. Marin R, Cyhan T, Miklos W. Sleep disturbance in patients with chronic low back pain. American journal of physical medicine & rehabilitation. 2006;85(5):430-5.
  • 30. Çağlar A, Yüksel İ. Konnektif doku masajının miyofasyal ağrı sendromlu bireylerde ağrı, uyku ve yaşam kalitesi üzerine etkisi: randomize kontrollü çalışma. Journal of Exercise Therapy and Rehabilitation. 2019;6(1):19-24.
There are 30 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Clinical Research
Authors

Alper Uysal 0000-0002-4114-1649

Murat Güntel 0000-0002-5885-7571

Publication Date October 29, 2022
Submission Date August 17, 2022
Acceptance Date August 28, 2022
Published in Issue Year 2022 Volume: 39 Issue: 4

Cite

APA Uysal, A., & Güntel, M. (2022). Comparison of the treatment effects of extracorporeal shock wave therapy and trigger point injection in myofascial pain syndrome. Journal of Experimental and Clinical Medicine, 39(4), 1068-1072.
AMA Uysal A, Güntel M. Comparison of the treatment effects of extracorporeal shock wave therapy and trigger point injection in myofascial pain syndrome. J. Exp. Clin. Med. October 2022;39(4):1068-1072.
Chicago Uysal, Alper, and Murat Güntel. “Comparison of the Treatment Effects of Extracorporeal Shock Wave Therapy and Trigger Point Injection in Myofascial Pain Syndrome”. Journal of Experimental and Clinical Medicine 39, no. 4 (October 2022): 1068-72.
EndNote Uysal A, Güntel M (October 1, 2022) Comparison of the treatment effects of extracorporeal shock wave therapy and trigger point injection in myofascial pain syndrome. Journal of Experimental and Clinical Medicine 39 4 1068–1072.
IEEE A. Uysal and M. Güntel, “Comparison of the treatment effects of extracorporeal shock wave therapy and trigger point injection in myofascial pain syndrome”, J. Exp. Clin. Med., vol. 39, no. 4, pp. 1068–1072, 2022.
ISNAD Uysal, Alper - Güntel, Murat. “Comparison of the Treatment Effects of Extracorporeal Shock Wave Therapy and Trigger Point Injection in Myofascial Pain Syndrome”. Journal of Experimental and Clinical Medicine 39/4 (October 2022), 1068-1072.
JAMA Uysal A, Güntel M. Comparison of the treatment effects of extracorporeal shock wave therapy and trigger point injection in myofascial pain syndrome. J. Exp. Clin. Med. 2022;39:1068–1072.
MLA Uysal, Alper and Murat Güntel. “Comparison of the Treatment Effects of Extracorporeal Shock Wave Therapy and Trigger Point Injection in Myofascial Pain Syndrome”. Journal of Experimental and Clinical Medicine, vol. 39, no. 4, 2022, pp. 1068-72.
Vancouver Uysal A, Güntel M. Comparison of the treatment effects of extracorporeal shock wave therapy and trigger point injection in myofascial pain syndrome. J. Exp. Clin. Med. 2022;39(4):1068-72.