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TRIGGER BIOPUNCTURE OF MYOFASCIAL PAIN SYNDROME
(Health Care Center of the International Foundation of Humanitarian Initiatives,Clinic «Symptom», Moscow) SAAKYAN E.S., MD.
Widely distributed Myofascial Pain Syndrome causes long-term disability and reduces life quality of the young, adult, especially old age population. Therapy of pain, usually requires a long time and a various Pharmacological and Hormonal Therapy.
The stude presents the results of Injection of Homeopathic preparations in Acupuncture Points for outpatient treatment of Myofascial pain.
Myofascial pain usually accompanies trigger points of striated muscles, joints bursa, tendons at the point of attachment to the bone. Trigger Points are effective object of individual pain therapy. The majority of Trigger Points Locations, particularly on the Neck, the Scapule and the Upper Shoulder the same as the traditional Chinese Acupuncture Points.
Methods:Total of 29 male of 46 to 74 age suffering from inflammatory-degenerative changes in the area of trapezoid muscle and tendon pain syndrome were treated by Trigger Biopuncture.Duration of Therapy was 2-4 months. Locationof trigger points were determined according to the patient's complaints and through the gentle palpation. In most of cases (about 80 %) Trigger Points coincided with acupuncture points of the Small and Large Intestine, Triple Heater, Bladder meridians. Homeopathic prepartions Traumel, Zeel T, Discus Compositum(-Heel), Nozodes and Autohemonozodes were injected into the Trigger Points and corresponding Segmental Paravertebral Points. Nozodes were prepared after Computerized ElectroAcupuncture testing of Homeopatic remedies and individual selection of Recipe. For Autonozodes Patients Blood Pattern were added to Nozode.
For acute pain Treatment Preparations were injected in the sites of Trigger Points and cjrrespondingt Acupuncture and Segmental points in a dose of 0.01 ml Intracutaneously 2-3 times in the first week. Further, after the reduction of the intensity of the pain Praparations was injected 1-2 times per week in the first month, then once every three weeks during 2-4 months before the appearance of a stable positive effect. For additional treatment of concomitant depression of chronic pain syndrome was appointed tranquilizing drugs - Glycine, Pikamilon, Afobazol. Also Psychotherapy sessions of Relaxation, Electrostimulation, Stonetherapy, Aromatherapy were conducted.
To assess the state of emotional status and activity modified Visual analogues scale of Pain, Activity, Mood were used. Recorded the following symptoms: pain-no pain, mood - good-bad, emotional profile - satisfied - unsatisfied, vigorous - relaxed, intense, calm agitated, physical activity: active - passive, strong - weak, etc.
Results: After the first sessions of Biopuncture the intensity of pain decreased by 26.2% according to the Scale of visual analogues pain. In 2 months after the Complete course of Biopuncture (8-10 sessions) pain intensity declined by 85%. In 5 patients had a positive effect after 3 - 4 months of treatment. Psychological characteristic of the "tension" decreased by 82 %. Signs of Mood and Physical activity also have changed positively (by 36% and 42 % respectively). The Sleep was normalized in most patients within the first 2-3 weeks.
Trigger Biopuncture provides significant Pain Relief at Patients with Myofascial Pain Syndrome. Treatment combined with Psychotherapy sessions of Relaxation, Electrostimulation, Aromatherapy significantly improved the General state of patients and their Psycho-Tmotional status, Activity, Sleep.