Indian Journal of Physical Medicine and Rehabilitation

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VOLUME 30 , ISSUE 3 ( July-September, 2019 ) > List of Articles

Original Article

Management of Myofascial Pain Syndrome: A Randomized Control Trial

Ashish Srivastava

Keywords : Trigger point, Visual analog scale,Myofascial pain

Citation Information : Srivastava A. Management of Myofascial Pain Syndrome: A Randomized Control Trial. Indian J Phy Med Rehab 2019; 30 (3):81-84.

DOI: 10.5005/jp-journals-10066-0061

License: CC BY-NC 4.0

Published Online: 22-10-2020

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


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 the management of myofascial pain syndrome. Materials and methods: This prospective randomized 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 third day, 1 week, and fourth week. Results: Sixty patients were included in this study with mean age-group of 25.93 + 4.65 years and 26.60 + 4.99 years, respectively, and median of 22 years and 23 years in control and intervention groups, 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 ± 2.49, 8.60 ± 0.62, and 1.00 ± 0.00, respectively, which improved to 66.17 ± 4.09, 67.33 ± 3.65, 1.17 ± 0.65, and 5.00 ± 0.00, respectively, at fourth week of trigger point injection. Conclusion: Combined approach of trigger point injection with physical therapy is more effective and safe to be administered in outpatient as very good alternative for oral drugs and physical therapy alone.

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