Comparative Efficacy of Acupuncture, Dry Needle and Botox Injection in Management of Patient with Myofascial Pain Dysfunction Syndrome using Electromyography and Visual Analogue Scale (A randomized clinical trial)

Al sayed, Wajmah; Shalaby, Eman; Elhabashy, Hala Rashad; Abdel-Ghany, Hassan

doi:10.21608/adjc.2024.319332.1625

	Comparative Efficacy of Acupuncture, Dry Needle and Botox Injection in Management of Patient with Myofascial Pain Dysfunction Syndrome using Electromyography and Visual Analogue Scale (A randomized clinical trial)
Advanced Dental Journal
Volume 7, Issue 3, July 2025, Page 331-343 PDF (607.04 K)
Document Type: Original Article
DOI: 10.21608/adjc.2024.319332.1625
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Authors
Wajmah Al sayed ¹; Eman Shalaby ²; Hala Rashad Elhabashy³; Hassan Abdel-Ghany ²
¹Oral & maxillofacial surgery, Cairo University, Cairo, Egypt
²Oral & Maxillofacial Surgery, Faculty of Dentistry, Cairo University, Cairo, Egypt
³Clinical Neurophysiology Department, Faculty of Medicine, Cairo University, Cairo, Egypt
Abstract
Aim: is to compare the efficacy of acupuncture, dry needle and Botox injection in management of patient with myofascial pain dysfunction syndrome using electromyography and Visual Analogue Scale (VAS). Material & Methods: The study included 39 clinically diagnosed individuals with Myofascial Pain Dysfunction Syndrome (MPDS) who were seeking medical intervention. Random assignment was used to allocate participants to one of three treatment modalities: acupuncture, dry Needle, or Botox injections. Muscle activity, and pain levels, were assessed using electromyography (EMG) during periods of rest, clenching, and chewing, as well as the Visual Analog Scale (VAS), respectively, at baseline, 2-months, and 6-months postoperative. Statistical analysis was changed to collected data. Results: Generally, EMG recorded values of Masseter and Temporalis muscles were found reduced for all three groups in three tests (rest, clenching, and chewing) all over study time. The difference in change from base line to 2, and 6 months among three groups were statistically significant for both muscles, where Acupuncture group showed significant difference than other two groups. The VAS recorded values were reduced for all three groups all over study time. Acupuncture group had the highest reduction in pain intensity at 2 months. Conclusion: Botox Injection, Acupuncture, and Dry Needle are effective and valuable minimally invasive techniques in management of patient with MPDS. They are effective in reducing masseter and temporalis muscles hyperactivity as well as pain intensity in patients with MPDS, however Acupuncture is with more promising outcomes in short and long term follow up.
Keywords
Acupuncture; Botox; Dry Needle; MPDS; EMG


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