Post-needling soreness of the upper trapezius muscle in patients with myofascial pain syndrome Post needling soreness Myofascial Pain Syndrome Trigger Points Dry Needling Hot pack Cold pack
Conditions
Interventions
Use a cold gel pack (3M Nexcare, size M, 10x25 cm)
Store in a freezer at 5 degree celsius for at least 1 hour before use.
Seat the patient comfortably on a chair.
Wrap the cold gel pack in a clean tow
Active Comparator Procedure/Surgery,Active Comparator Procedure/Surgery
Cold pack group,Hot pack group
Sponsors
Department of Rehabilitation Medicine, Maharat Nakhon Ratchasima Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age greater than 18 years. 2. Diagnosed with myofascial pain syndrome in the upper trapezius muscle and treated with dry needling by a rehabilitation medicine specialist with standardized control of number of needles, needle size, and number of insertions. 3. Post-needling soreness intensity score on numeric rating scale (NRS) at least 3 4. Receiving dry needling treatment for the first time. 5. Never received treatment for post-needling soreness using hot or cold packs before. 6. No prior treatment for myofascial pain syndrome within 2 weeks before study enrollment (e.g., local anesthetic injection, ultrasound therapy). 7. Consents to participate in the research by signing the consent form
Exclusion criteria
Exclusion criteria: 1. Contraindications and precautions to hot pack and cold pack therapy e.g. Impaired sensation, Local infection, Open wounds, Cold hypersensitivity, Cryoglobulinemia, Raynaud disease, Peripheral vascular disease 2. Inability to communicate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Post-needling soreness Before intervention, immediately after intervention, 6-hr after intervention, and 24-hr after intervention Numeric rating scale | — |
Secondary
| Measure | Time frame |
|---|---|
| N/A N/A N/A | — |
Countries
Thailand
Contacts
Public ContactPhantitra Kanjanachainunt
Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima
Outcome results
None listed