Miyofasiyal ağrı sendromlu hastaların tedavisinde non-invazif ve invazif tekniklerin karşılaştırılması

Kürşat Gül; Selami Ateş Önal

Kürşat Gül^¹, Selami Ateş Önal^²

¹Department Of Anesthesiology And Reanimation, Bingol State Hospital, Bingol, Turkey
²Department Of Anesthesiology And Reanimation (algology), Fırat University Hospital, Elazığ, Turkey

Keywords: Myofascial pain syndrome, TENS, Laser, Lidocaine, Botulinum toxin-A trigger point injection

Abstract

The efficiency of non-invasive techniques including transcutaneous electrical nerve stimulation (TENS) and laser treatments and invasive techniques including lidocaine and botulinum toxin-A injection, in the patients with myofascial pain syndrome (MPS) were compared in this study.
Hundred patients who admitted to Firat University Hospital Pain Department and who were diagnosed as MPS were included in the study. Patients were randomized into four groups and each group consisted of 25 patients. 60 sessions of TENS and 20 sessions of laser treatments were performed to the first and second groups, respectively. Lidocaine and botulinum toxin-A were injected to the third and fourth groups, respectively. 2ml (20 mg) %1 lidocaine was injected to each patient twice a week for one month in Group I. 25 U (0.5 ml) of botulinum toxin-A was injected to each patient only once in Group II. Pain was evaluated with visual analogue scale (VAS), palpable muscle spasm scoring (PMSS) and anesthesiometer at baseline, 15, 30 and 45 days.
There was no statistically significant difference between the groups with respect to age, sex and education level. Pain control was statistically better in Group III compared with the other groups with respect to VAS, PMSS and anesthesiometer scores.
In conclusion, botulinum toxin-A injection provided better pain control when compared to trigger point injection with lidocaine and non-invasive techniques including TENS and laser treatments.

BibTex	`@article{ agri517, author = {Kürşat Gül, Selami Ateş Önal}, title = {Miyofasiyal ağrı sendromlu hastaların tedavisinde non-invazif ve invazif tekniklerin karşılaştırılması}, journal = {Agri}, year = {2009}, volume = {21}, number = {3}, pages = {104-112}, publisher = {The Turkish Society of Algology} }`
RIS	`TY - JOUR AU - Kürşat Gül, Selami Ateş Önal PY - 2009 TI - Miyofasiyal ağrı sendromlu hastaların tedavisinde non-invazif ve invazif tekniklerin karşılaştırılması SP - 104 EP - 112 JO - The Journal of the Turkish Society of Algology J2 - Agri VL - 21 IS - 3 PB - ER -`
EndNote	`%0 Journal Article %A Kürşat Gül, Selami Ateş Önal %T Miyofasiyal ağrı sendromlu hastaların tedavisinde non-invazif ve invazif tekniklerin karşılaştırılması %J The Journal of the Turkish Society of Algology %D 2009 %V 21 %N 3 %P 104-112`
APA	Kürşat Gül, Selami Ateş Önal (2009). Miyofasiyal ağrı sendromlu hastaların tedavisinde non-invazif ve invazif tekniklerin karşılaştırılması. The Journal of the Turkish Society of Algology, 21(3), 104-112.
MLA	Kürşat Gül, Selami Ateş Önal. "Miyofasiyal ağrı sendromlu hastaların tedavisinde non-invazif ve invazif tekniklerin karşılaştırılması" The Journal of the Turkish Society of Algology, vol. 21, no. 3, 2009, pp. 104-112.
Chicago	Kürşat Gül, Selami Ateş Önal. "Miyofasiyal ağrı sendromlu hastaların tedavisinde non-invazif ve invazif tekniklerin karşılaştırılması" The Journal of the Turkish Society of Algology 21, no. 3 (2009): 104-112.
AMA	Kürşat Gül, Selami Ateş Önal. Miyofasiyal ağrı sendromlu hastaların tedavisinde non-invazif ve invazif tekniklerin karşılaştırılması. Agri. 2009; 21(3): 104-112.
Vancouver	Kürşat Gül, Selami Ateş Önal. Miyofasiyal ağrı sendromlu hastaların tedavisinde non-invazif ve invazif tekniklerin karşılaştırılması. Agri. 2009; 21(3): 104-112.

Comparison of non-invasive and invasive techniques in the treatment of patients with myofascial pain syndrome

Abstract

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