Myofacial Trigger Points
Conditions
Brief summary
myofascial pain syndrome is considered to be a chronic condition due to sensitive pressure points within the muscle recognized as trigger points Generally the aim of this study will be : * To investigate the effectiveness of dry needling on trigger point in trapezius muscle * Evaluate the pain level before and after the applications of dry needling on trigger points * compare between the effects of dry needling and physical therapy exercise program
Interventions
The intervention group will receive sessions of dry needling to relief myofacial pain on trapezius
Therapeutic exercise
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinically active trigger point and expression of symptoms of neck pain in trapezius which had lasted for at least 3 months. * Having a pain level higher than 4 and lower than 8 on Visual Analogue Scale ( VAS ) * Did not receive any other form of neck treatment during the previous month.
Exclusion criteria
* Presence of cardiopulmonary disease , the application process requires the subject to be in prone position to expose the area of treatment, this position is un-preferable for cardiopulmonary patients * History of neck surgery * Trigger point treatment in the last 30 days * Any contraindications for dry needling such as local infection, skin disease ,severe postural disorder , tumor , rheumatoid arthritis, cervical spine stenosis and bilateral upper extremity symptoms * pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain level | 6 weeks | Will be determined using the visuals analogue scale (VAS) |
| Neck disability index | 6 weeks | questionnaire contains 10 items aiming to evaluate the limitation because of neck pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Depression | 6 weeks | Will be determined using the Beck's Depression Inventory ( BDI) |
| Neck Range of motion | 6 weeks | Will be measured using CROM |