Myofascial Pain Syndrome Clinical Trial
Official title:
Comparative Study of Shock Wave Therapy and Low Level Laser Therapy Effect in Patients With Myofascial Pain Syndrome of the Trapezius
This study evaluates the effects of low level laser therapy and extracorporeal shock wave therapy in patients with myofascial pain syndrome of the upper trapezius. Half of the patients receive laser therapy, half of them receive shock wave therapy for three weeks.
Low Level Laser Therapy (LLLT) inducing photochemical and photothermal effect, increases
blood flow and vascular permeability and improves cell metabolism. All these lead to muscle
recovery. It also activates somatosensory receptors of the skin and reduces local pain and
muscle spasm.
The specific mechanisms of extracorporeal shock wave therapy (ESWT) in treating
musculoskeletal pain remain unclear. It reduces pain and inflammation by modulating
nitrogen-monoxide (NO) and vascular endothelial growth factor (VEGF). It can destroy sensory
unmyelinated nerve fibers, and stimulate neovascularization and collagen synthesis in
degenerative tissues.
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