Dry Needling versus Ultrasonic in Treatment of Cervical Myofascial Pain

Abstract

ervical myofascial pain syndrome is a chronic pain disorder characterized by the presence of sensitive points in the trapezius muscles called trigger points which cause local and referred pain. This syndrome typically occurs by repetitive motions done in jobs or hobbies or by stress-related muscle tension. It affects females more than males and is common in the age group 30-50 years old. It is now increasing among teenagers due to excess cell phone texting. It leads to episodes of headache, neck and upper back pain with limitation of cervical range of motion. It can be diagnosed clinically by palpation of both trapezii and finding the trigger points that evoke the pain episode. There is no need to use imaging techniques or extensive laboratory investigations to reach the diagnosis. Treatment options include physical therapy, trigger point injections, pain medications and relaxation techniques. The most common physical therapy modality is the ultrasonic waves and the most recent injection modality is the dry needling. Our study aimed to compare the efficacy of both ultrasound and dry needling in treating cervical myofascial pain syndrome.