Penatalaksanaan Sindrom Nyeri Miofasial

Oleh :

dr. David Susanto, Sp.N, FINA

Penatalaksanaan sindrom nyeri miofasial bertujuan untuk mengatasi rasa nyeri terutama pada area trigger point. Pilihan tata laksana mencakup pemberian medikamentosa seperti obat antiinflamasi nonsteroid, antidepresan trisiklik, dan anestesi lokal. Modalitas non farmakologi mencakup dry needling dan transcutaneous electrical nerve stimulation (TENS).[1,2]

Terapi Nonfarmakologi

Terapi nonfarmakologi dapat berupa peregangan, dry needling, dan TENS.

Referensi

1. Galasso A, Urits I, An D, et al. A Comprehensive Review of the Treatment and Management of Myofascial Pain Syndrome. Curr Pain Headache Rep, 2020. 24, 43. https://doi.org/10.1007/s11916-020-00877-5
2. Urits I, Charipova K, Gress K, Schaaf AL, et al. Treatment and Management of Myofascial Pain Syndrome. Best Practical & Research Clinical Anaesthesiology. 2020. 34 : 427- 448.
3. Das R, Jhajharia B. Fascia and Myofascial Pain Syndrome – An Overview. Asian Pac. J. Health Sci. 2022. 9(4) : 228-232.
7. Uberall M. Efficacy and Tolerability of the Antispasmodic, pridinol, in patients with muscle pain results of primepain, a retrospective analysis of open label real world data provided by the German pain E – registry. Current Medical Research and Opinion. 2022. 38 (7) : 1203-1217.
8. Barbero M, Schneebeli A, Koetsier E, Maino P. Myofascial pain syndrome and trigger points: evaluation and treatment in patients with musculoskeletal pain. Curr Opin Support Palliat Care. 2019 Sep;13(3):270-276. doi: 10.1097/SPC.0000000000000445. PMID: 31313700..
9. Das S. Updated Review on Overview of Dry Needling. International Journal of Health Sciences. 2022. 6(S1) : 5127 – 5140.
10. Anton DL, Moreno CL, Medero JV, Munoz CG, dan Munoz JA. Effectiveness of Dry Needling of Myofascial Trigger Points in The Triceps Surae Muscles: Systematic Review. 2022. 10 : 1-16.
11. Losada N, Moreno P, dan Osa MD. Botulinum Toxin in the Treatment of Myofascial Pain Syndrome. Rev Soc Esp Dolor. 2021. 28 (2) : 100 – 109.
12. Mansoori SS, Moustafa IM, Ahbouch A, dan Harrison DE. Optimal Duration of Stretching Exercise in Patients with Chronic Myofascial Pain Syndrome: A Randomized Controlled Trial. J Rehabil Med. 2021. 53 : 1 - 8.
13. Cao QW, Peng BG, Wang L, Huang YQ, Jia DL, Jiang H, Lv Y, Liu XG, Liu RG, Li Y, Song T, Shen W, Yu LZ, Zheng YJ, Liu YQ, Huang D. Expert consensus on the diagnosis and treatment of myofascial pain syndrome. World J Clin Cases. 2021 Mar 26;9(9):2077-2089. doi: 10.12998/wjcc.v9.i9.2077. PMID: 33850927; PMCID: PMC8017503.

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Penatalaksanaan Sindrom Nyeri Miofasial

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