TREATMENT OF CHRONIC NECK PAIN USING DIFFERENT INJECTIONS (COMPARATIVE STUDY)

Abstract

he approach to the treatment of chronic neck pain should be conservative and multidisciplinary, and should include education, pharmacological treatment, physical therapy, massage therapy, gentle stretching, exercise and injections therapy. Standards of care are determined on the basis of all clinical data available for an individual patient and are subjected to change as scientific knowledge and technology advance and patterns of care evolve. Mesotherapy consists of a series of “microinjections” of drug/active substance into the dermis using 4 mm short needles where the needle is positioned at a 45 degree angle from the skin. Following injection, the drug slowly reaches the underlying tissues achieving concentrations higher than those obtained with intramuscular administration and allows slow diffusion of the drug into the tissues underlying the site of injection. Prolotherapy involves the injection of 5% dextrose into the subcutaneous tissues to induce healing. The irritant solutions act on lesions by eliciting temporary, low-grade inflammation at the injury site, in turn encouraging the initiation of the inflammatory healing cascade. Dry needling is a skilled intervention that uses a thin filliform needle to release trigger points in a muscle. It acts by