Indian Journal of Physical Medicine and Rehabilitation

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VOLUME 27 , ISSUE 4 ( December, 2016 ) > List of Articles


Management of Myofascial Pain Syndrome in Armed Force Personnel: Two Novel Therapeutic Approach

Lt Col Sonu Singh, Brig. L C Pandey, Lt Col A S Kalra

Citation Information : Singh LC, Pandey BL, Kalra LC. Management of Myofascial Pain Syndrome in Armed Force Personnel: Two Novel Therapeutic Approach. Indian J Phy Med Rehab 2016; 27 (4):113-120.

DOI: 10.5005/ijopmr-27-4-113

Published Online: 01-12-2016

Copyright Statement:  Copyright © 2016; The Author(s).



Myofascial pain syndrome is one of the commonest pain syndromes now a days. Its pathophysiology is not fully documented or understood. Goal of treatment is to release the pain and discomfort of myofascial pain syndrome.


This was a multicentric prospective study comprising 70 patients who had been diagnosed clinically with myofascial pain syndrome in the neck, shoulder or back. Cases were randomly divided into two treatment groups. First group (36 cases) were treated with physiotherapy modalities (extracorporeal shock wave therapy and ultrasound therapy as combination therapy) and patients in second group (34 cases) were treated with trigger point injection. In both the groups patients were advised stretching exercises as soon as pain decreases.


Pain was substantially decreased in both the treatment groups but results were early and comparatively better in patients treated by trigger point injection group. Stretching exercises were helpful in regaining strength and also helpful in decreasing recurrence of pain.

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