Effectiveness of ultrasound guided interfascial hydrodissection with the use of saline anesthetic solution for myofascial pain syndrome of the upper trapezius: a single blind randomized controlled trial
BackgroundMyofascial pain syndrome (MPS) is described as pain that arise from myofascial trigger points (MTrPs) which is a hyperirritable spot within a taut band of skeletal muscle. A newer needling technique called the interfascial hydrodissection (IH), wherein anesthetic saline solution (ASS) is i...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Rehabilitation Sciences |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fresc.2023.1281813/full |
| _version_ | 1827589990314409984 |
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| author | Charidy Suarez-Ramos Consuelo Gonzalez-Suarez Consuelo Gonzalez-Suarez Ivan Neil Gomez Ivan Neil Gomez Maria Katherine Gonzalez Philippe Hubert Co Jose Alfonso Llamas |
| author_facet | Charidy Suarez-Ramos Consuelo Gonzalez-Suarez Consuelo Gonzalez-Suarez Ivan Neil Gomez Ivan Neil Gomez Maria Katherine Gonzalez Philippe Hubert Co Jose Alfonso Llamas |
| author_sort | Charidy Suarez-Ramos |
| collection | DOAJ |
| description | BackgroundMyofascial pain syndrome (MPS) is described as pain that arise from myofascial trigger points (MTrPs) which is a hyperirritable spot within a taut band of skeletal muscle. A newer needling technique called the interfascial hydrodissection (IH), wherein anesthetic saline solution (ASS) is injected between the fascia of the muscles using ultrasound as guide. It is theorized that this technique blocks the nerve branches and improve gliding in between the muscle and fascia.ObjectiveTo determine the short and long-term effects of interfascial hydrodissection using 2% Lidocaine and saline solution compared to dry needling with MPS of the upper trapezius on pain and quality of life using.MethodsThis study is a single-blind randomized controlled trial where ultrasound guided IH with ASS was compared to dry needling (DN) of the MTrPs. Both groups were taught self-stretch exercises (SSE) to be done everyday after the procedure. Outcome measures were pain using the visual analogue scale (VAS) and quality of life assessment with EQ-5D-5l questionnaire. All participants were assessed by a blinded assessor before the intervention, immediately after, 10 and 30 min, one week, two weeks, four weeks, three months, and six months after the procedure. Data Analysis: Two-way mixed ANOVA and follow-up independent T-test were conducted for the outcome measures across several time points between the 2 groups.ResultsA total of 46 participants with two dropouts were all included during the final analysis. Both groups demonstrated significant differences in VAS scores between baseline and the different time points, the IH + SSE group demonstrated the more significant effect size at as compared to the DN + SSE group. For EQ-5D-5l, no statistical differences were seen in all dimensions but there was a larger effect size for usual activities, pain/discomfort and anxiety/depression.ConclusionInterfascial hydrodissection is a technique that can manage both short and long term symptoms of MPS. This could be utilized as an alternative management for those with chronic MPS of the upper trapezius.
Philippine Health Research Registry IDPHRR221003-005034. |
| first_indexed | 2024-03-09T01:10:31Z |
| format | Article |
| id | doaj.art-48ec1983b71942daae09e10eee6446b5 |
| institution | Directory Open Access Journal |
| issn | 2673-6861 |
| language | English |
| last_indexed | 2024-03-09T01:10:31Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Rehabilitation Sciences |
| spelling | doaj.art-48ec1983b71942daae09e10eee6446b52023-12-11T05:50:11ZengFrontiers Media S.A.Frontiers in Rehabilitation Sciences2673-68612023-12-01410.3389/fresc.2023.12818131281813Effectiveness of ultrasound guided interfascial hydrodissection with the use of saline anesthetic solution for myofascial pain syndrome of the upper trapezius: a single blind randomized controlled trialCharidy Suarez-Ramos0Consuelo Gonzalez-Suarez1Consuelo Gonzalez-Suarez2Ivan Neil Gomez3Ivan Neil Gomez4Maria Katherine Gonzalez5Philippe Hubert Co6Jose Alfonso Llamas7Physical Medicine and Rehabilitation, Our Lady of Lourdes Hospital, Manila, PhilippinesPhysical Medicine and Rehabilitation, Our Lady of Lourdes Hospital, Manila, PhilippinesResearch Center for Health Science, University of Santo Tomas, Manila, PhilippinesDepartment of Occupational Therapy, College of Rehabilitation Science, University of Santo Tomas, Manila, PhilippinesCenter of Health Research and Movement Sciences, University of Santo Tomas, Manila, PhilippinesPhysical Therapy and Rehabilitation Medicine Department, Gat Andres Bonifacio Medical Center, Manila, PhilippinesHealth Hub Physical Therapy, Rehabilitation Medicine and Orthopedics Clinic Inc., Manila, PhilippinesPhysical Therapy and Rehabilitation Medicine Department, Region I Medical Center, Dagupan City, Pangasinan, PhilippinesBackgroundMyofascial pain syndrome (MPS) is described as pain that arise from myofascial trigger points (MTrPs) which is a hyperirritable spot within a taut band of skeletal muscle. A newer needling technique called the interfascial hydrodissection (IH), wherein anesthetic saline solution (ASS) is injected between the fascia of the muscles using ultrasound as guide. It is theorized that this technique blocks the nerve branches and improve gliding in between the muscle and fascia.ObjectiveTo determine the short and long-term effects of interfascial hydrodissection using 2% Lidocaine and saline solution compared to dry needling with MPS of the upper trapezius on pain and quality of life using.MethodsThis study is a single-blind randomized controlled trial where ultrasound guided IH with ASS was compared to dry needling (DN) of the MTrPs. Both groups were taught self-stretch exercises (SSE) to be done everyday after the procedure. Outcome measures were pain using the visual analogue scale (VAS) and quality of life assessment with EQ-5D-5l questionnaire. All participants were assessed by a blinded assessor before the intervention, immediately after, 10 and 30 min, one week, two weeks, four weeks, three months, and six months after the procedure. Data Analysis: Two-way mixed ANOVA and follow-up independent T-test were conducted for the outcome measures across several time points between the 2 groups.ResultsA total of 46 participants with two dropouts were all included during the final analysis. Both groups demonstrated significant differences in VAS scores between baseline and the different time points, the IH + SSE group demonstrated the more significant effect size at as compared to the DN + SSE group. For EQ-5D-5l, no statistical differences were seen in all dimensions but there was a larger effect size for usual activities, pain/discomfort and anxiety/depression.ConclusionInterfascial hydrodissection is a technique that can manage both short and long term symptoms of MPS. This could be utilized as an alternative management for those with chronic MPS of the upper trapezius. Philippine Health Research Registry IDPHRR221003-005034.https://www.frontiersin.org/articles/10.3389/fresc.2023.1281813/fullmyofascial pain syndromeinterfascial hydrodissectionupper trapeziusupper back painwet needling |
| spellingShingle | Charidy Suarez-Ramos Consuelo Gonzalez-Suarez Consuelo Gonzalez-Suarez Ivan Neil Gomez Ivan Neil Gomez Maria Katherine Gonzalez Philippe Hubert Co Jose Alfonso Llamas Effectiveness of ultrasound guided interfascial hydrodissection with the use of saline anesthetic solution for myofascial pain syndrome of the upper trapezius: a single blind randomized controlled trial Frontiers in Rehabilitation Sciences myofascial pain syndrome interfascial hydrodissection upper trapezius upper back pain wet needling |
| title | Effectiveness of ultrasound guided interfascial hydrodissection with the use of saline anesthetic solution for myofascial pain syndrome of the upper trapezius: a single blind randomized controlled trial |
| title_full | Effectiveness of ultrasound guided interfascial hydrodissection with the use of saline anesthetic solution for myofascial pain syndrome of the upper trapezius: a single blind randomized controlled trial |
| title_fullStr | Effectiveness of ultrasound guided interfascial hydrodissection with the use of saline anesthetic solution for myofascial pain syndrome of the upper trapezius: a single blind randomized controlled trial |
| title_full_unstemmed | Effectiveness of ultrasound guided interfascial hydrodissection with the use of saline anesthetic solution for myofascial pain syndrome of the upper trapezius: a single blind randomized controlled trial |
| title_short | Effectiveness of ultrasound guided interfascial hydrodissection with the use of saline anesthetic solution for myofascial pain syndrome of the upper trapezius: a single blind randomized controlled trial |
| title_sort | effectiveness of ultrasound guided interfascial hydrodissection with the use of saline anesthetic solution for myofascial pain syndrome of the upper trapezius a single blind randomized controlled trial |
| topic | myofascial pain syndrome interfascial hydrodissection upper trapezius upper back pain wet needling |
| url | https://www.frontiersin.org/articles/10.3389/fresc.2023.1281813/full |
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