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Cervical region trigger point Injection with dry needling versus wet needling by lidocaine in geriatric population: a comparative study

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Last updated: 05 Jan 2025

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Abstract

Background
Myofascial pain syndrome is a common musculoskeletal disorder which is characterized by presence of trigger points. Its prevalence is up to 60% in geriatric population, and local treatment is important due to the limitation in prescribing systemic pain killer for that population with multiple comorbidities, and the polypharmacy they have.
Objectives
This clinical trial aimed to compare between lidocaine injection 0.5% (wet needling) and dry needling “DN” (both are local techniques) in treatment of chronic neck pain in geriatrics.
Materials and methods
Forty elderly participants (above age of 60) who met the inclusion criteria and had a typical trigger point (MTrP) were allocated randomly in two groups, wet needling by lidocaine injection 0.5% versus dry needling. Measures which were taken pre- and post-treatment in each group and post-treatment for both groups were compared together. These measures were pain score and visual analog scale (VAS) for pain, patient satisfaction, and patient discomfort.
Results
Comparison of the post-treatment results in both groups showed that PS was significantly improved in both groups while VAS was significantly improved in the lidocaine group but improvement of VAS in the dry needling group (DNG) was non-significant. Comparison between the two groups in the post-treatment visit revealed non-significant difference between the two groups as regards PS but VAS in group I (lidocaine group) is significantly lower than that in group II (DNG), also significant higher patient satisfaction and significant lower patient discomfort in group I than in group II, and burning sensation was significantly higher in group II than in group I.
Conclusion
Dry needling still has some positive results yet. Wet needling by lidocaine was associated with rapid patient satisfaction and less discomfort and was proved to be practical for treatment of myofascial trigger point (MTrP). So, wet needling by lidocaine for MTrPs in geriatric population is a good choice.

DOI

10.1186/s42077-019-0026-x

Keywords

Dry Needling, Lidocaine, Myofascial pain Syndrome, trigger point, VAS and pain score

Authors

First Name

Dalia A.

Last Name

Ibrahim

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Affiliation

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Email

drdaliaahmedl976@yahoo.com

City

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Orcid

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First Name

Hesham A.

Last Name

Abdelrahem

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Volume

11

Article Issue

1

Related Issue

44735

Issue Date

2019-02-01

Receive Date

2019-04-16

Publish Date

2019-05-20

Print ISSN

1687-7934

Online ISSN

2090-925X

Link

https://asja.journals.ekb.eg/article_329573.html

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https://asja.journals.ekb.eg/service?article_code=329573

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329,573

Publication Type

Journal

Publication Title

Ain-Shams Journal of Anesthesiology

Publication Link

https://asja.journals.ekb.eg/

MainTitle

Cervical region trigger point Injection with dry needling versus wet needling by lidocaine in geriatric population: a comparative study

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Article

Created At

20 Dec 2024