Dry Needling for Myofascial Pain Syndrome

Myofascial pain syndrome (MAS) is defined as a regional painful syndrome characterized by pain and tenderness in a muscle group or a muscle, a taut band within the muscle, pain reflected by pressing, and the presence of trigger points. It causes localized muscle pain in the shoulder and neck. The frequency of mas is around 12% in the normal population, and its frequency increases in those with chronic diseases. It is more common in the 30-60 age range and in the female population. Mechanical causes such as micro-macro trauma, nociceptive disorders, physical fatigue, psychological stress and genetic factors are blamed in its etiopathogenesis. Painful myofascial trigger points may occur by pressing on all muscles in the body, although it is more common in the trazius muscle, especially in those who work at a desk, who are constantly in a certain position, and who are sedentary. Myofascial trigger points are often detected by examination.

Inclusion Criteria:Among the patients who applied to Sultan 2. Abdulhamid Han Hospital Physical Medicine and Rehabilitation Department and were diagnosed with myofascial pain syndromeDecided to receive dry needling treatmentBetween the ages of 18 and 65At least 1 painful myofascial trigger point in the m.trapezius, m.levator scapula musclesPatients with neck pain lasting less than 6 monthsExclusion Criteria:Those with a history of cervical operationThose who have a history of shoulder operationPatients with radiculopathy as a result of the examinationThose who have been injected into the determined area in the last 3 monthsThose diagnosed with fibromyalgia according to the 2018 fibromyalgia scaleThose with cervical disc herniation in the MR imaging taken within the last 1 yearPregnant/pregnant womenThose who are allergic to silverThose with a history of malignancyThose with positive red flagsThose with known rheumatological diseaseThose who do not accept dry needlingThose with cognitive impairmentThose who have local infection in the application area