TRIGGER POINT INJECTION IN MYOFASCIAL PAIN SYNDROME - A RANDOMISED CONTROL TRIAL

Volume : VII, Issue : IV, April - 2018

Dr. Ashish Srivastava, Dr. Sanjay Kumar Pandey, Dr. Amit Kumar Mallik, Dr. Anjani Kumar, Dr. Sanyal Kumar

Background: Myofascial Pain Syndrome is collection of sensory, motor and autonomic symptoms that include local and referred pain,

decreased range of motion and weakness.

Objective : To compare outcome of physical therapy alone and physical therapy with trigger point injection in management of Myofascial Pain

Syndrome.

Methodology: This prospective randomised control study was performed in a tertiary care teaching institution of North India. Age and sex

matched, subjects with myofascial pain syndrome were enrolled in this study. Subjects were assessed by cervical ROM parameters, Numerical

Pain Rating Scale and Pressure Pain Threshold at 3rd day, 1week and 4th week.

Results: 60 patients were included in this study with mean age group of 25.93+4.65yrs and 26.60+4.99 yrs respectively, and median of 22 yrs and

23 yrs in control and intervention group respectively. The female: male ratio was 1.5:1 and 1.3:1 respectively. Using CF, CE, NPRS and PPT as

outcome parameters, were 39.00�6.49, 32.40�2.49, 8.60�0.62, and 1.00�0.00respectively which improved for 66.17�4.09, 67.33�3.65,

1.17�0.65, 5.00�0.00, respectively at 4th week of trigger point injection.

Conclusion: Combined approach of trigger point injection with physical therapy is more effective and safe for be administered in outpatient as very

good alternative for oral drugs and physical therapy alone.