A New Approach to the Pathogenetic Treatment of Myofascial Pain Syndrome
Myofascial pain syndrome (MFРS) is one of the most common causes of pain in patients of different ages and often depends on the social activity of a person. The difficulties encountered in the treatment of this pathology are the lack of knowledge in the field of the pathogenesis of this pathological process and, as a result, the impossibility of selecting a rational combination of therapy. Given that this process has many "masks", the treatment regimen is based on symptomatic therapy. At the same time, a more effective direction based on pathogenesis is not used in most cases. Medical treatment with the use of muscle relaxants and pain medications is the most commonly used direction in the treatment of MFРS. This direction is effective, but is associated with two or three doses of several groups of drugs, and this increases the risk of developing various adverse reactions (e. g. gastrointestinal, cardiovascular). Non-pharmacological methods are used less frequently and are associated with certain difficulties in the form of a lack of certain equipment and medical specialists. Although this direction is widely represented by various physiotherapy procedures, acupuncture, acupressure, manual therapy and massage. The problems of developing the direction of pathogenetic treatment of MFРS are, in most cases, ignorance of the pathogenesis and the lack of a universal method of treatment that will effectively influence the pathogenesis of MFS, while being easy to learn and use. Hardware-puncture analgesic therapy (APP-therapy) is a universal pharmacopuncture pathogenetic method of treating MFPS that combines physical and pharmacological effects (local administration of small doses of Mydocalm drug solution) on trigger points, carried out by means of a semi-automatic analgesic device developed by the authors (SAAD-01).