Results of treatment of myofascial pain syndrome using apparatus-punctural anti-pain therapy

Likhachev S.A.

Republican Research and Clinical Center of Neurology and Neurosurgery

Mironov S.A.

Verkhnedvinsk Central District Hospital

Results of treatment of myofascial pain syndrome using apparatus-punctural anti-pain therapy

Authors:

Likhachev S.A., Mironov S.A.

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Journal: Russian Journal of Pain. 2022;20(1): 21‑26

DOI: 10.17116/pain20222001121

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To cite this article:

Likhachev SA, Mironov SA. Results of treatment of myofascial pain syndrome using apparatus-punctural anti-pain therapy. Russian Journal of Pain. 2022;20(1):21‑26. (In Russ.)
https://doi.org/10.17116/pain20222001121

Подписка 2025-2 (Russian Journal of Pain)

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Myofascial pain syndrome (MFPS) is a multifactorial disease. In order to expose it to the patient during examination, the doctor needs to pay attention not only to the data of anamnesis, complaints and neurological examination, but also to the data of manual muscle testing. The trigger points and painful muscle cords found during its use in the affected muscles confirm this diagnosis, and also allows us to purposefully use our treatment method to effectively eliminate pain syndrome.

OBJECTIVE

To evaluate the results of treatment of patients with MFPS with the use of apparatus-punctural anti-pain therapy (APP therapy), carried out through the administration of Midocalm drugs using the PPA-01 device.

MATERIAL AND METHODS

Between November 2020 and October 2021 51 people were recruited into the study (29 women (57%), 22 men (43%)) with MFPS of various localization. We used: manual muscle testing, digital pain rating scale, Oswestry quality of Life questionnaire, McGill pain questionnaire, estesiometric study, thermographic study.

RESULTS

It was found that the most common is the MFPS of the muscles of the lumbar localization — 55%, then the cervical — 37% and the thoracic — 8% of the number of patients examined. An algorithm has been developed for the selection of the zone of influence in case of MFPS of various localization, which allows to influence TP in all interested muscles. The study revealed a decrease in pain intensity, thresholds of tactile and pain sensitivity, and an improvement in the quality of life in almost all treated patients (94%).

CONCLUSION

The use of APP therapy in the treatment of MFPS of various localization will increase the effectiveness of treatment, improve the quality of life of patients and reduce the duration of treatment.

Keywords:

myofascial pain syndrome

APP therapy

Authors:

Likhachev S.A.

Republican Research and Clinical Center of Neurology and Neurosurgery

Mironov S.A.

Verkhnedvinsk Central District Hospital

Received:

16.12.2022

Accepted:

24.12.2022

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