Efficacy Of Therapeutic Ultrasound And Transcutaneous Electric Nerve Stimulation In Myofascial Pain –A Comparative Study
Efficacy Of Therapeutic Ultrasound And Transcutaneous Electric Nerve Stimulation
Keywords:
Myofascial Pain, Therapeutic Ultrasound, Trans Cutaneous Electric Nerve StimulationAbstract
Background: Myofascial pain is the one which originates from myofascial trigger points in skeletal muscle. The specific treatment should be aimed at finding the aetiology and removing the root of cause and when specific aetiology is difficult to be determined an oral physician should rely on treatment which is less invasive and reversible, like transcutaneous electrical nerve stimulation (TENS) and therapeutic ultrasound for pain and muscle dysfunction. To determine and compare the therapeutic efficacy of ultrasound and TENS in the management of myofascial pain. Materials and Methods: Study was a prospective and comparative study with randomised collection and division of samples with myofascial pain. Method: 30 patients with Myofascial pain were assigned in to two different groups with 15 each. Group 1 received TENS therapy and Group 2 received therapeutic ultrasound and both groups were evaluated using Visual analogue scale (VAS) scale for pain. Analysis was done using Student’s t- test (paired t‑test and unpaired t‑test) for intragroup and intergroup comparison Results: The results showed a significant reduction in post treatment mean pain score in Therapeutic US( 2.07)than TENS(3.20 )and follow up mean pain score almost similar to the post treatment in Th US(2.33 )while increased in TENS(4.40). Conclusion: Data provides significant reduction in pain by using therapeutic US and TENS and therapeutic US appeared to be the better procedure for pain management in Myofascial pain. [Ramesh N Natl J Integr Res Med, 2019; 10(3):11-15]
References
[2] Bremerich A, Wiegel W, Thein T, Dietze T. Transcutaneous electric nerve stimulation (TENS) in the therapy of chronic facial pain. Preliminary report. J Craniomaxillofac Surg 1988; 16:379-81.
[3] Mehul J. Desai, Vikramjeet Sainin, Shawnjeet Saini. Myofascial Pain Syndrome: A treatment Review. Pain Ther .2013; 2:21-36.
[4] Simons DG. Muscular pain syndrome. In: Friction JR, Award EA (eds). Advances in Pain Research and Therapy. New York: Raven Press. 1990: 1-41.
[5] Dr. Arun Garg, Dr. Shivani Jain, Dr. Shipra Gupta, Dr. Vandana Gupta. Myofascial Pain Dysfunction Syndrome: An Overview. Journal of Heal Talk, July-August 2013, volume05, issue 06
[6] Eng-ChingYap. Myofascial Pain- An Overview. Ann Acad Med Singapore. 2007;36:43-8
[7] Okeson JP. Management of Temporomandibular Disorders and Occlusion. 5th ed. St. Louis: C.V. Mosby; 2003.
[8] Dworkin SF, Huggins KH, LeResche L, Von Korff M, Howard J,Truelove E, et al. Epidemiology of signs and symptoms in temporomandibular disorders: Clinical signs in cases and controls. J Am Dent Assoc 1990; 120:273‑81.
[9] Isacsson G, Linde C, Isberg A. Subjective symptoms in patients with temporomandibular joint disk displacement versus patients with myogenic craniomandibular disorders. J Prosthet Dent 1989; 61:70‑7.
[10] Jensen R, Rasmussen BK, Pedersen B, Lous I, Olesen J. Prevalence of oromandibular dysfunction in a general population. J Orofac Pain .1993; 7:175‑82.
[11] Wright EF .Referred craniofacial pain patterns in patients with temporomandibular disorder. J Am Dent Assoc. 2000; 131:130715
[12] Shealy CN, Taslitz N, Mortimer JT, Becker DP: Electrical inhibition of pain: experimental evaluation. Anesth Analg 46:299-305, 1967.
[13] Melzack R, Wall PD. Pain mechanisms: A new theory. Science 1965; 150:971-9.
[14] Rodrigues D, Oliveira AS, Berzin F. Effect of TENS on the activation pattern of the masticatory muscles in TMD Patients. Braz J Oral Sci 2004; 3:510‑5.
[15] Kato MT, Kogawa EM, Santos CN, Conti PC. TENS and low-level laser therapy in the management of temporomandibular disorders. J Appl Oral Sci. 2006; 14:130–5.
[16] Moger G, Shashikanth MC, Sunil MK, Shambulingappa P. Transcutaneous electrical nerve stimulation therapy in temporomandibular disorder: A clinical study. J Indian Aca Oral Med Radiol. 2011; 23:46–50.
[17] Rajpurohit B, Khatri SM, Metgud D, Bagewadi A. Effectiveness of transcutaneous electrical nerve stimulation and micro current electrical nerve stimulation in bruxism associated with masticatory muscle pain-a comparative study. Indian J Dent Res. 2010; 21:104–6
[18] Speed CA. Therapeutic ultrasound in soft tissue lesions. Rheumatology (Oxford) 2001; 40:1331-6.
[19] Ariji Y, Katsumata A, Hiraiwa Y, Izumi M, Sakuma S, Shimizu M,et al. Masseter muscle sonographic features as indices for evaluating efficacy of massage treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 110:517‑26.
[20]Dündar Ü, Solak Ö, Şamlı F, Kavuncu V. Effectiveness of ultrasound therapy in cervical myofascial pain syndrome: a double blind, placebo-controlled study. Archives of Rheumatology. 2010; 25(3):110-5.
[21] Esposito CJ, Veal SJ, Farman AG. Alleviation of myofascial pain with ultrasonic therapy. J Prosthet Dent 1984; 51:106‑8.
[22] Esenyel M, Caglar N, Aldemir T. Treatment of myofascial pain. Am J Phys Med Rehabil 2000; 79: 48‑52.
[23] Majlesi J, Unalan H. High‑power pain threshold ultrasound technique in the treatment of active myofascial trigger points: A randomized, double‑blind, case‑control study. Arch Phys Med.Rehabil 2004; 85: 833‑6.
[24] Rai S, Ranjan V, Misra D, Panjwani S.Management of myofascial pain by therapeutic ultrasound and transcutaneous electrical nerve stimulation: A comparative study. Eur J Dent 2016; 10:46-53.
