Myofascial pain syndrome at upper trapezius muscle Myofascial pain syndrome Upper trapezius muscle Dry needling Ultrasound guided intervention Hydrodissection
Conditions
Interventions
Dry needling at trigger points within upper trapezius muscles for 1 time,Ultrasound guided interfascial hydrodissectionat the fascia below upper trapezius muscle for 1 time
Active Comparator Procedure/Surgery,Experimental Procedure/Surgery
Dry needling,ultrasound-guided interfascial hydrodissection
Sponsors
Sirindhorn National Medical Rehabilitation Institute
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1. Age 18 to 70 years old 2. Be diagnosed by the physiatrist as Myofascial pain syndrome at upper trapezius muscle followed by Simon's criteria 3. Duration of pain from 2 weeks to 3 months with VAS at least 4 4. Have active trigger point at least 1 point at upper trapezius muscle 5. Understand Thai language, able to read and write the questionnaire, able to follow whole process of the trial
Exclusion criteria
Exclusion criteria: 1. History and physical examination compatible with cervical radiculopathy or myelopathy 2. Rheumatologic disease such as rheumatoid arthritis, ankylosing spondylitis, systemic lupus erythematosus 3. History of surgery at cervical region 4. History of trauma at cervical region 5. Experience the treatment: dry needling, Interfascial hydrodissection, local injection, physical modalities and other physiotherapy session at shoulder and upper back region within 4 weeks before recruitment 6. Allergy to Paracetamol and NSAIDs in the Proprionic acid subgroup such as Naproxen, Ibuprofen 7. Pregnancy 8. Participants who request physiotherapy session, other medications, which are not Paracetamol and Naproxen, or other treatments at upper trapezius at shoulder and upper back region during the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Difference of pain Visual analog scale Pre-treatment, Post treatment and 4 weeks after treatment Pain Visual analog scale (VAS) | — |
Secondary
| Measure | Time frame |
|---|---|
| Difference value of Neck disability index (NDI) Pre-treatment and 4 weeks after treatment Neck disability index (NDI) | — |
Countries
Thailand
Contacts
Public ContactChinachod Likidsomboon
Sirindhorn National Medical Rehabilitation Institute
Outcome results
None listed