Myofascial Pain Syndrome
Conditions
Brief summary
The aim of this study is to compare the treatment effects of dextrose prolotherapy, saline, and mepivacaine for deactivating myofascial trigger points within the jaw muscles.
Interventions
Dextrose is a solution, mixture of dextrose and water.
A local anaesthetic is a medication that causes reversible absence of pain sensation
Saline is a control group
Sponsors
Study design
Eligibility
Inclusion criteria
\- 1. Presence of active myofacial pains in jaw muscles, previously identified by manual palpation. 2\. Age ≥ 18 years. 3. Willingness to follow instructions
Exclusion criteria
* 1\. Therapeutic intervention for myofascial pain within the past month before the study, such as using of medications for pain control or wearing of occlusal splint. 2\. Clinical conditions such as pregnancy. 3. Medical problems that may interfere with the procedures such as bleeding disorders, trigeminal neuralgia. 4\. Recent facial or neck trauma; medication or adjunctive treatment (eg, physiotherapy) that could not be stopped during the study; or allergy to local anesthetic solutions. 5\. Cognitive impairment or exhibited inadequate cooperation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patients' subjective pain experience | one year | Pressure pain threshold (PPT): An algometer will be used to assess PPT. The algometer consists of a 1 cm2 rubber tipped plunger mounted on a force transducer. The pressure will be applied over the examined trigger point. The participants will be instructed to point when the sensation changed from pressure to pain. The mean of three trials will be calculated and used for analysis. |