Comparative evaluation of the effect of therapeutic ultrasound and transcutaneous electric nerve stimulation in temporalis and masseter myofascial pain

Ramesh, DNSV; Nair, Divya; Kempwade, Pragati; Thriveni, R; Byatnal, Amit; Rukhsar, Iram

doi:10.4103/jnsbm.jnsbm_125_19

Cited by 3 publications

(1 citation statement)

References 22 publications

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“…In the current study, the female predominance of 66.7% is observed. These results are in accordance with the previous studies done by Ramesh et al [15] with 83.3%, Venkatesh G Naikmasur et al [16] with 60%, Roopika Handa et al with 70% and Shalu Rai et al [17] with 62% female predominance.…”

Section: Discussionsupporting

confidence: 93%

Evaluation of Efficacy of Ultrasound Therapy as an Adjuvant in Management of Myofascial Pain: A Randomized Clinical Trial

Valluri

Manne

Natarajan

et al. 2023

J. Pharm. Res. Int.

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Aims: To determine ultrasound therapy as an effective adjuvant for the management of myofascial pain involving masticatory muscles. Study Design: Randomized clinical trial study. Place and Duration of Study: Department of oral medicine and radiology, Narayana dental college and hospital between March 2021 to November 2022. Methodology: We included 30 patients (20 females and 10 males; age group >18 years) clinically diagnosed with Myofascial pain who were randomly assigned into two groups each comprising of 15 patients. Group A patients received ultrasound therapy along with tizanidine 2mg twice a day for 14 days while group B patients received tizanidine alone. All the patients were evaluated for maximum inter-incisal distance, tenderness of muscles of mastication on palpation, pain while chewing, and pain during mandibular movements at baseline, 7th and 14th day. Results: A significant pain reduction and improvement in mouth opening was found in both the groups. However, patients who received both tizanidine and ultrasound therapy had greater relief compared to other group from 7th day to 14th day and the results were statistically significant. Conclusion: No side effects were observed in Group A during or after ultrasound therapy. As it is a non-invasive therapeutic modality and offers good patient compliance, ultrasound therapy can be used as an effective therapeutic adjuvant for the management of myofascial pain.

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Section: Discussionsupporting

confidence: 93%

Evaluation of Efficacy of Ultrasound Therapy as an Adjuvant in Management of Myofascial Pain: A Randomized Clinical Trial

Valluri

Manne

Natarajan

et al. 2023

J. Pharm. Res. Int.

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Effectiveness of electrotherapy for the treatment of orofacial pain: A systematic review and meta-analysis

et al. 2023

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Objective Summarize the evidence from randomized controlled trials and controlled trials that examined the effectiveness of electrotherapy in the treatment of patients with orofacial pain. Data Source Medline, Embase, CINAHL PLUS with Full text, Cochrane Library Trials, Web of Science, and Scopus. Review Methods A data search (last update, July 1, 2022) and a manual search were performed (October 5, 2022). Trials involving adults with orofacial pain receiving electrotherapy compared with any other type of treatment were included. The main outcome was pain intensity; secondary outcomes were mouth opening and tenderness. The reporting was based on the new PRISMA Guidelines. Results From the electronics databases and manual search 43 studies were included. Although this study was open to including any type of orofacial pain, only studies that investigated temporomandibular disorders were found. The overall quality of the evidence for pain intensity was very low. Although the results should be carefully used, transcutaneous electric nerve stimulation therapy showed to be clinically superior to placebo for reducing pain after treatment (2.63 [−0.48; 5.74]) and at follow-up (0.96 [−0.02; 1.95]) and reduce tenderness after treatment (1.99 [−0.33; 4.32]) and at follow-up (2.43 [−0.24; 5.10]) in subjects with mixed temporomandibular disorders. Conclusion The results of this systematic review support the use of transcutaneous electric nerve stimulation therapy for patients with mixed temporomandibular disorders to improve pain intensity, and tenderness demonstrating that transcutaneous electric nerve stimulation is superior to placebo. There is inconsistent evidence supporting the superiority of transcutaneous electric nerve stimulation against other therapies.

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Comparative Evaluation of Efficacy of Therapeutic Ultrasound and Phonophoresis in Myofascial Pain Dysfunction Syndrome

Raj

Saravanan

Preethi

et al. 2022

Journal of Indian Academy of Oral Medicine and Radiology

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Introduction: Myofascial pain dysfunction syndrome (MPDS) is a common presenting condition in the dental office. No specific therapy has proven its superiority over the other in managing myofascial pain dysfunction syndrome. Since phonophoresis was beneficial for other musculoskeletal medical conditions, the same strategy was adopted to prove its efficacy in MPDS. Aim and Objective: The aim of the study is to compare and evaluate the effectiveness of therapeutic ultrasound (ThUS) and diclofenac and thiocolchicoside gel phonophoresis in MPDS. Materials and Methods: Thirty patients with MPDS were randomly assigned into two groups. Group 1 (n = 15), therapeutic ultrasound was applied with ultrasound gel without any therapeutic ingredient for 10 min and five sessions. Group 2 (n = 15), ultrasound was applied with ultrasound gel with diclofenac and thiocolchicoside gel for 10 minutes and five sessions. Pain and mouth opening was taken as evaluation parameters. Result: A comparison of results obtained from the two groups before and after treatment at the end of each session shows significant improvement in both the parameters. However, in Group 2 more improvement in all outcome variables can be seen compared with group 1. Conclusion: Phonophoresis with diclofenac and thiocolchicoside (analgesic and muscle relaxant) proved to be an excellent treatment in MPDS. They proved more effective than therapeutic ultrasound in controlling pain and improving mouth opening.

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Comparative evaluation of the effect of therapeutic ultrasound and transcutaneous electric nerve stimulation in temporalis and masseter myofascial pain

Cited by 3 publications

References 22 publications

Evaluation of Efficacy of Ultrasound Therapy as an Adjuvant in Management of Myofascial Pain: A Randomized Clinical Trial

Evaluation of Efficacy of Ultrasound Therapy as an Adjuvant in Management of Myofascial Pain: A Randomized Clinical Trial

Effectiveness of electrotherapy for the treatment of orofacial pain: A systematic review and meta-analysis

Comparative Evaluation of Efficacy of Therapeutic Ultrasound and Phonophoresis in Myofascial Pain Dysfunction Syndrome

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