Abstract:

Due to the complex pathology of the peripheral and central nervous mechanisms under the myopathic pain syndrome (MAS), difficulties in the treatment in the chronic period occur. The most commonly used method of treatment in the MAS is the injection of the touch point (TNE), although it relieves pain at a certain level, this effect lasts short. There are a number of studies that support the beneficial effect of kinesium bandage (KB) in the treatment of MAS in the muscle of trapezius. It is believed that a multidisciplinary approach to MAS treatment could be more useful. The aim of this study is to compare the effectiveness of TNE and TNE and KB combination alone in the treatment of MAS in the trapezius muscle. Factors and Methods: 40 patients with MAS were randomly divided into two groups (20 patients per group): Group 1: TNE (1 ml betametazone dipropionat + 3 ml lidocaine + 1 ml salin); Group 2: TNE with KB. At the beginning and 1-3 months after treatment, the visual analog scale (GAS) and neck disability index (BSI) were recorded. The average age of patients in Group 1 and Group 2 was 45.9±12.49 and 47.0±14.34 respectively. Although the GAS and BSI scores in both groups in the 1st and 3rd months significantly decreased compared to the initial value, the GAS and BSI scores in the 3rd month were significantly lower compared to the Group 1 in Group 2 (p<0.05). Result: Recently, the most widely accepted strategy for the management of MAS is to treat the underlying ethology. If the main reason is not treated, the trigger points can be reactivated and MAS can become chronic. A multidisciplinary approach to treatment seems to be the most useful option. With TNE, KB can be considered as an alternative treatment approach to prevention of nuts and chronicalization in MAS treatment. The complex pathology of myofascial pain syndrome (MPS) with its underlying central and perip-heral neural mechanisms may contribute to the difficulty in treating MPS, in the chronic setting. Even if a certain level of pain relief is achieved after the trigger point injection (TPI), which is the most widely used treatment method, in MPS, this effect persists for a short time and a few treatment sessions are gen-rally required. Therefore, a multidisciplinary approach to treatment seems to be most useful. Moreover, a few studies are supporting the effectiveness of kinesio taping (KT) for MPS in the trapezius muscle. The aim of this study was to investigate the effectiveness of only TPI and the combination of TPI with KT on the trapezius muscle in the treatment of MPS. Material and Methods: Fourty patients with MPS were randomly divided into two groups (20 patients per group): Group 1: only TPI (1 ml of 20 mg betamethasone dipropionate combined with 3 ml of 2% lidocaine and 1 ml of saline solution); Group 2: TPI plus KT. Visual analog scale (VAS) and neck disability index (NDI) were recorded at baseline and 1, 3 months post-treatment. Results: The average age of patients was 45.9±12.49 and 47.0±14.34 years in Group 1 and Group 2, respec- tively. VAS and NDI scores in 1 and 3 months significantly decreased in both groups compared to baseline (p<0.05). However, the VAS and NDI scores at 3 months were significantly lower in Group 2 versus Group 1 (p<0.05). Conclusion: Recently, the most extensively admitted strategy for the management of MPS is to treat the underlying etiology. Trigger points might reactivate and MPS might sustain if the main cause is not treated. A multidisciplinary approach to treatment appears to be most beneficial. TPI plus KT may be considered as an alternative treatment approach for the prevention of recurrence and chronicity in the treatment of MPS. Keywords: Myofascial Pain Syndrome; Trigger Point Injection; Kinesio Taping

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