Comparison of Local Anesthetic Injection and Exercise Therapy Results in Patients with Chronic Cervical Myofascial Pain Syndrome

Abstract

Objective: The study was planned to evaluate patients with chronic cervical myofascial pain syndrome treated with lidocane injection and exercise and to compare the efficacy of treatments.Material and Method: The study included 73 patients (40 females, 33 males) aged between 25 and 65 years, who had been treated with exercise and lidocane injection due to the diagnosis of myofascial pain syndrome in our clinic 6 months ago, and volunteered to participate in the study. The mean age of the participants in the exercise group (n=38) was 44.16±10.63 years. The age of the participants in the lidokayn injection group (n=35) was 42.20±11.63 years. The exercise group was given stretching exercises for the neck and upper back muscles, and strengthening exercises for the neck muscles, 3 sets of 10 times a day. On the other hand, to the Lidokayn injection group participating in the study, 2 ml of 1% lidocaine was applied locally to the trigger points according to the injection technique defined by Travell and Simons. Patients' pain Visual Analogue Scale. pressure pain threshold Algometer, muscle spasm Palpable Muscle Spasm Scoring, cervical normal joint movement (CROM), disability level Neck Disability Scale, depression status Beck Depression Scale, anxiety status Beck Anxiety Inventory and quality of life SF-36 Short Form-36 scales. . Statistical significance level is (p<0.05).Results: The results of lidocaine ejection and exercise are similar in the treatment of MAS. We think that exercise therapy is more feasible in the treatment of MAS because it is non-invasive, easily applicable and more economical.