Test group will be administered 0.5 ml of PRP solution per trigger point in masseter muscle.

In control group, dry needling will be performed.

Myofascial Pain Syndrome

Clinically proven cases of Trigger points in masseter muscle will be randomly and equally divided into test group and control group. The selected subjects will be divided into two groups.
Test group will be administered 0.5 ml of PRP solution per trigger point in masseter muscle according to symptoms of patient at baseline (0 week). PRP will be prepared as per methodology mentioned by Okuda et al 2003.

PRP injection

In control group all the armamentarium and procedure will remain same except that no PRP solution will be delivered. Only dry needling will be performed on the baseline.

Dry needling

PGIDS

Comparative Efficacy of PRP and Dry Needling in Management of Trigger Points in Masseter Muscle in MPS Patients

Comparative Efficacy of Platelet Rich Plasma Injection and Dry Needling in Management of Trigger Points in Masseter Muscle in Myofascial Pain Syndrome Patients

using Visual Analog Scale score; (0-10); 0 indicates no pain and 10 indicates worst imaginable pain

Visual Analog Scale score (0-10); higher score indicates sleep disturbance

Postgraduate Institute of Dental Sciences Rohtak

received ESWT once a week for 4 weeks (0.25 ml/mm2, 1000 shocks) plus topical none steroidal anti-inflammatory drug (NSAID; 3 times /day for 4 weeks).

Pain

Cervical Pain

Extracorporeal Shock Wave Therapy (ESWT) has been introduced efficiently for more than twenty years as a treatment modality in orthopedic and musculoskeletal disorders. ESWT has mechanical and cellular impacts on tissues regeneration and pain management through cavitation bubbles, acoustic micro streaming, and hyper-vascularity that can directly affect tissue calcifications, and modulate cell activity.

extra-corporeal shock wave therapy

participants received 1% topical diclofenac gel on the tender points 3 times /day for 4 weeks.

topical none steroidal anti-inflammatory drug

Faculty of Physical Therapy, Cairo University

Shock Wave Therapy On Cervical Pain Following Neck Dissection Surgery

Efficacy of Extracorporeal Shock Wave Therapy (ESWT) on Cervical Myofascial Pain Following Neck Dissection Surgery

VAS was utilized for assessing and quantifying pain exhibited by the patients through a 0-10 cm scale. Each subject was informed to mark the line according to the pain intensity experienced at that particular time where '0' means no pain and '10' means worst conceivable pain.

Cervical range of motion device (CROM; Performance Attainment Associates) was used for assessment of neck lateral flexion and rotation of both sides. The CROM instrument contains a plastic frame put on the head above the nose and ears, attached at the head back by a Velcro strap to allow precise measure, re-measure and rotational motion in an upright place to avoid individual errors. Two independent inclinometers are connected to the frame and point the head position in relation to the gravity line. Another inclinometer indicates the head position in rotation in relation to a reference position.

Individual participant data that underlie the results reported in this article, after de-identification (text, tables, and figure)

Maged Basha

Assistant Professor, Department of Physical Therapy, College of Medical Rehabilitation, Qassim University, Saudi Arabia, Qassim, Buraidah.

Qassim University

Cairo University

intradermal 1% lidocain injection 4 cc+ exercise and transcutaneous electrical nerve stimulation

exercise and transcutaneous electrical nerve stimulation

Failed Back Surgery Syndrome

Pain, Chronic

local anesthetic injection

The Effect of Intradermal Local Anesthetic Injection in FBSS (Failed Back Surgery Syndrome)

The Effect of Intradermal Local Anesthetic Injection on Pain and Functionality in Failed Back Surgery Syndrome

Visual analog scale for measurement of pain. Minimum-maximum scores are 0-10. Higher scores mean worse outcome

Low Back Pain Disability Questionnaire. Minimum-maximum scores are 0-100. Higher scores mean worse outcome

anxiety and depression evaluation. Minimum-maximum scores are 0-21. Higher scores mean worse outcome

measurement to asses the mobility of lumbar vertebrae (cm)

Duygu Geler Külcü

Clinical Professor Dr, Head of Physical Medicine and Rehabilitation Department

Haydarpasa Numune Training and Research Hospital

Experimental group will receive dry needling treatment.

Control group will receive sham dry needling treatment.

Spinal Cord Injuries

Shoulder Pain

Puncture

Dry needling technique with multiple rapid needle insertion.

Dry needling in infraspinatus muscle

Sandra Palacios Alfonso

Effectiveness of Dry Needling as a Treatment of Shoulder Myofascial Pain Syndrome in Spinal Cord Injury Patients

Effectiveness of Dry Needling as a Treatment of Shoulder Myofascial Pain Syndrome in Spinal Cord Injury Patients: a Randomized Controlled Clinical Trial

In upper limb pathology this test evaluates functional activities in relation to the difficulty involved in performing them with a score between 1 and 5.
The DASHe questionnaire consists of a main part of 30 items, and two specific modules for people who work with musical instruments / sports or for the workplace. In this study, only the main part has been used. The 30 items have a score of 1 to 5, with 5 being the maximum of the valued symptom, and at least 27 questions of 3 must be answered.
The disability / symptom score will therefore be between 0 (best possible score) and 100 (worst possible score).

Baseline®dolorimeter - 22lb / 10kg, STOCK CODE: 12-1442 It will be measured with an algometer that is an instrument that provides quantitative / objective information on pain at a specific point, depending on the pressure on which it is applied. A circle is drawn around the trigger point on which the indelible marker test will be performed to confirm in the last measurement which is the exact point on which it is worked. 3 consecutive measurements are made at the same point, waiting between one and another measurement for a period between 30-60 seconds, and the average of the 3 measurements will be used as a statistical value.

This scale consists of a set of 78 adjectives included in 20 groups (including 2 to 6 in each group) and that express a characteristic of pain. Within these 20 groups we find the Pain Rating Index (PRI) divided into: sensory (groups 1-10), affective (groups 11-15), evaluative (group 16) and miscellaneous (group 17-20) ), of which the patient can only choose one word from each of the 20 groups, choosing only those adjectives that best suit his pain sensation. It also includes a category on the changes that experimental pain, and another with a rate of pain intensity (Present Pain Index = PPI).

This scale is a line of 10 centimeters without marks between the parameters without pain and unbearable pain, where the patient has to mark between those parameters where his pain is.

It consists of a 10-item scale that assesses shoulder pain and the difficulties in activities of daily life that it generates, divided into two main sections: the first 4 items refer to the intensity of pain and the last 6 refer to the difficulty of carrying out specific activities. All the items have a minimum score of 0 and a maximum of 10, therefore the total score is between 0 and 100, with 0 being the best possible value in relation to pain and difficulty, and 100 being the highest value and so much more painful and disabling.

Objective will be to measure different ranges of movement of the affected upper limb (internal rotation and horizontal adduction) in question due to myofascial pain syndrome. In this case the movements that passively will be measured with a bubble inclinometer.

myofascial pain syndromes/asthenia

Comparative Efficacy of PRP and Dry Needling in Management of Trigger Points in Masseter Muscle in MPS Patients

Shock Wave Therapy On Cervical Pain Following Neck Dissection Surgery

The Effect of Intradermal Local Anesthetic Injection in FBSS (Failed Back Surgery Syndrome)

Effectiveness of Dry Needling as a Treatment of Shoulder Myofascial Pain Syndrome in Spinal Cord Injury Patients

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