Evaluation of dry needling and 0.5% lidocaine injection therapies in myofascial pain trigger points in masticatory muscles

OBJECTIVE: The purpose of this study was to compare the effectiveness of trigger points injections using lidocaine 0.5% and dry needling without any kind of home-based rehabilitation program. METHODS: Sixteen patients with myofascial pain and trigger points in masticatory muscles were randomly assig...

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Main Authors: Renato Oliveira Ferreira da Silva, Paulo César Rodrigues Conti, Carlos dos Reis Pereira Araújo, Rafael dos Santos Silva
Format: Article
Language:English
Published: Dental Press Editora 2012-04-01
Series:Dental Press Journal of Orthodontics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512012000200020
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author Renato Oliveira Ferreira da Silva
Paulo César Rodrigues Conti
Carlos dos Reis Pereira Araújo
Rafael dos Santos Silva
author_facet Renato Oliveira Ferreira da Silva
Paulo César Rodrigues Conti
Carlos dos Reis Pereira Araújo
Rafael dos Santos Silva
author_sort Renato Oliveira Ferreira da Silva
collection DOAJ
description OBJECTIVE: The purpose of this study was to compare the effectiveness of trigger points injections using lidocaine 0.5% and dry needling without any kind of home-based rehabilitation program. METHODS: Sixteen patients with myofascial pain and trigger points in masticatory muscles were randomly assigned to two groups and received only one application session. The pressure pain threshold (PPT) was recorded before and after the injection: Ten minutes, 24 hours later, 7, 15, 21 and 30 days after the treatment. Visual analogue scale (VAS) was used to in all evaluation periods. RESULTS: There were no difference between groups for PPT, but for all groups the PPT during the time significantly increased when compared the before treatment. VAS showed differences between groups and during the time. The 0.5% lidocaine had the lowest VAS values when compared to dry needling, but at 30 days there were no differences among them. CONCLUSIONS: Despite the differences in VAS and considering there were no differences in PPT increases, we concluded that, in this study, both groups were able to disrupt the mechanisms of trigger point and relieve the myofascial pain symptoms.
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spelling doaj.art-a3a36c07e9f64a94bccc85d5e31b8c3a2022-12-21T19:58:56ZengDental Press EditoraDental Press Journal of Orthodontics2176-94512177-67092012-04-0117211311810.1590/S2176-94512012000200020Evaluation of dry needling and 0.5% lidocaine injection therapies in myofascial pain trigger points in masticatory musclesRenato Oliveira Ferreira da SilvaPaulo César Rodrigues ContiCarlos dos Reis Pereira AraújoRafael dos Santos SilvaOBJECTIVE: The purpose of this study was to compare the effectiveness of trigger points injections using lidocaine 0.5% and dry needling without any kind of home-based rehabilitation program. METHODS: Sixteen patients with myofascial pain and trigger points in masticatory muscles were randomly assigned to two groups and received only one application session. The pressure pain threshold (PPT) was recorded before and after the injection: Ten minutes, 24 hours later, 7, 15, 21 and 30 days after the treatment. Visual analogue scale (VAS) was used to in all evaluation periods. RESULTS: There were no difference between groups for PPT, but for all groups the PPT during the time significantly increased when compared the before treatment. VAS showed differences between groups and during the time. The 0.5% lidocaine had the lowest VAS values when compared to dry needling, but at 30 days there were no differences among them. CONCLUSIONS: Despite the differences in VAS and considering there were no differences in PPT increases, we concluded that, in this study, both groups were able to disrupt the mechanisms of trigger point and relieve the myofascial pain symptoms.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512012000200020Myofascial painTrigger pointNeedling therapies
spellingShingle Renato Oliveira Ferreira da Silva
Paulo César Rodrigues Conti
Carlos dos Reis Pereira Araújo
Rafael dos Santos Silva
Evaluation of dry needling and 0.5% lidocaine injection therapies in myofascial pain trigger points in masticatory muscles
Dental Press Journal of Orthodontics
Myofascial pain
Trigger point
Needling therapies
title Evaluation of dry needling and 0.5% lidocaine injection therapies in myofascial pain trigger points in masticatory muscles
title_full Evaluation of dry needling and 0.5% lidocaine injection therapies in myofascial pain trigger points in masticatory muscles
title_fullStr Evaluation of dry needling and 0.5% lidocaine injection therapies in myofascial pain trigger points in masticatory muscles
title_full_unstemmed Evaluation of dry needling and 0.5% lidocaine injection therapies in myofascial pain trigger points in masticatory muscles
title_short Evaluation of dry needling and 0.5% lidocaine injection therapies in myofascial pain trigger points in masticatory muscles
title_sort evaluation of dry needling and 0 5 lidocaine injection therapies in myofascial pain trigger points in masticatory muscles
topic Myofascial pain
Trigger point
Needling therapies
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512012000200020
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