Efficacy of Single Prick Needling Under Ultrasound Guide for The Treatment of Primary Myofascial Pain Syndrome for Iraqi People

Dr. Samer Fadhel Hassan Al-Wazni

doi:10.17605/cajmns.v6i1.2689

Dr. Samer Fadhel Hassan Al-Wazni M.B.Ch.B., D.M.R.D., C.A.B.M.S.-R.D., F.I.C.M.S.-P.M. Lecturer, Department of Radiology, College of Medicine, University of Wasit, Wasit, Iraq.

DOI: https://doi.org/10.17605/cajmns.v6i1.2689

Keywords: Prick needling Under ultrasound guide technique (MFS) syndrome.

Abstract

Primary syndrome of myofascial pain was a persistent pain issue which affects the muscles and adjacent connective tissue (fascia). This condition may result through causes include muscular overuse, inadequate posture, stress, and injury. The aim of the current study is to conduct a general reviewing of all previous related to prick's efficacy in the treatment of primary myofascial pain syndrome by using under ultrasound guide technique. A prospective study of 150 patients suffering from primary myofascial pain syndrome, mostly neck pain (sternocleidomastoid and trapezius muscles), at the Medical City at Baghdad (Gazzy Alhariery for Surgical Specialists and Bagdad Teaching Hospital) and Samer Alwazni pain medicine clinic at AL-Kut City, from 2019 to 3023, undergo acupuncture needling under ultrasound guide for the destruction of taut bands, with follow of pain for three month interval period, the results was:50% of patient got pain free from 1st session,20% of patients got relieving of pain from 2nd session while 30% had recurrent pain. In the context of under ultrasound guide imaging, all literatures found that prick has been regarded as an effective tool in the management of primary myofascial pain syndrome. Under ultrasound guide helps prick locating trigger points with precision as well as inserting the needles accurately, which is likely to yield better results in terms of pain relief and muscle relaxation. As a result, combining acupuncture and under ultrasound guide are likely to be effective in the treatment of primary myofascial pain syndrome devoid of any invasive practices. Prick needling under ultrasound guide guidance among patients suffering from myofascial pain syndrome shows greater effectiveness both in terms of pain relief and enhancement of quality of life and in overall MPS management.

References

C. A. Speed, "Injection therapies for soft-tissue disorders," Best Practice & Research Clinical Rheumatology, vol. 17, no. 1, pp. 167–181, 2003.

C. A. Speed, "Injection therapies for soft-tissue lesions," Best Practice & Research Clinical Rheumatology, vol. 21, no. 2, pp. 333–347, 2007.

B. Casanueva, P. Rivas, B. Rodero, C. Quintial, J. Llorca, and M. A. Gonzalez-Gay, "Short-term improvement following dry needle stimulation of tender points in fibromyalgia," Rheumatology International, Apr. 2013.

E. Manheimer, A. White, B. Berman, K. Forys, and E. Ernst, "Meta-analysis: acupuncture for low back pain," Annals of Internal Medicine, vol. 142, no. 8, pp. 651–663, 2005.

C. C. Gunn, W. E. Milbrandt, A. S. Little, and K. E. Mason, "Dry needling of muscle motor points for chronic low-back pain: a randomized clinical trial with long-term follow-up," Spine, vol. 5, no. 3, pp. 279–291, 1980.

K. Lewit, "The needle effect in the relief of myofascial pain," Pain, vol. 6, no. 1, pp. 83–90, 1979.

B. S. Neal and J. Longbottom, "Is there a role for acupuncture in the treatment of tendinopathy?" Acupuncture in Medicine, vol. 30, no. 4, pp. 346–349, 2012.

APTA, "Physical therapists & the performance of dry needling: an educational resource paper," Alexandria, VA, USA, 2012.

NCBPTE, "Position statement: intramuscular manual therapy (dry needling)," North Carolina Board of Physical Therapy Examiners, Jun. 14, 2012.

MSSBPT, "Intramuscular manual therapy (dry needling) may be performed by a licensed physical therapist," Mississippi State Board of Physical Therapy, Part 3101, Rule 1.3c, Sep. 10, 2012.

LAPTB, Louisiana Physical Therapy Practice Act: Treatment with Dry Needling, Louisiana Physical Therapy Board, Rule 311, p. 29, Oct. 20, 2011.

NEBPT, "Minutes of the Board of Physical Therapy: discussion of board opinions," Nebraska Board of Physical Therapy, Jun. 20, 2011, pp. 1–4.

SPTB, Requirements for physical therapists to perform dry needling, Colorado Department of Regulatory Agencies: State Physical Therapy Board, Rule 211, 2008, pp. 10–11.

G. D. Maitland, Vertebral Manipulation, 2nd ed. London, UK: Butterworths, 1968.

F. M. Kaltenborn, Mobilization of the Spine, 1st ed. Oslo, Norway: Olaf Norlis Bokhandel, 1970.

R. McKenzie and S. May, The Cervical and Thoracic Spine: Mechanical Diagnosis and Therapy, 2nd ed., vol. 1. Waikanae, New Zealand: Spinal Publications, 2006.

T. M. Cummings and A. R. White, "Needling therapies in the management of myofascial trigger point pain: a systematic review," Archives of Physical Medicine and Rehabilitation, vol. 82, no. 7, pp. 986–992, 2001.

L. DiLorenzo et al., "Hemiparetic shoulder pain syndrome treated with deep dry needling during early rehabilitation: a prospective, open-label, randomized investigation," Journal of Musculoskeletal Pain, vol. 12, no. 2, pp. 25–34, 2004.

A. D. Furlan, M. W. van Tulder, D. C. Cherkin, H. Tsukayama, L. Lao, B. W. Koes, and B. M. Berman, "Acupuncture and dry needling for low back pain: an updated systematic review within the framework of the Cochrane collaboration," Spine, vol. 30, no. 8, pp. 944–963, 2005.

K. Itoh, Y. Katsumi, and H. Kitakoji, "Trigger point acupuncture treatment of chronic low back pain in elderly patients—a blinded RCT," Acupuncture in Medicine, vol. 22, no. 4, pp. 170–177, 2004.