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Trigger Point Infiltrations into the Temporal Muscles of Patients with Fibromyalgia and Headaches: A Randomized, Double-Blinded and Controlled Study

DOI: 10.4236/oalib.1100813    541 Downloads   970 Views   Citations

ABSTRACT

Aims: To compare the therapeutic effect of blocking trigger points in temporal muscles by using saline and an anesthetic agent among patients with masticatory myofascial pain syndrome, fibromyalgia and headaches and with non-infiltrated controls. Methods: One hundred women, aged 23 to 70 years old, were initially triaged. The seventy patients who experienced at least one trigger point in the temporal muscles were randomly divided into three groups, as follows: saline infiltration, anesthetic infiltration and control (non-infiltrated). Results: All of the patients with cranio cervical pain confirmed the presence of a headache. Temporal muscle tenderness occurred in 90% of patients, and 93% to 98% of the trigger points of the temporal muscles caused headache upon palpation. There was reduced facial pain intensity in 87.71% of the patients infiltrated with saline and 100% of the patients infiltrated with an anesthetic but not in the control group. The results were similar, considering the frequency of the headache. Regarding the intensity of the headache, infiltration with the saline and the anesthetic were both effective and did not exhibit significant differences, whereas significant differences were observed in the control group. Conclusions: Patients with fibromyalgia experience pain in the orofacial region and trigger points in the temporal muscles, which trigger a headache. Treatment with infiltration decreases facial pain and the frequency and intensity of headaches. There were no differences in treatment in terms of the infiltrated substance that was administered.

Conflicts of Interest

The authors declare no conflicts of interest.

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Sabatke, S. , Scola, R. , Paiva, E. and Kowacs, P. (2015) Trigger Point Infiltrations into the Temporal Muscles of Patients with Fibromyalgia and Headaches: A Randomized, Double-Blinded and Controlled Study. Open Access Library Journal, 2, 1-9. doi: 10.4236/oalib.1100813.

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