This study aims to clinically evaluate the efficacy of trigger points using active drug mix (Triamcinolone with lidocaine) on relief of myofascial pain of jaw muscle.
Age more than or equal 18 years
Both sexes
Patients' willingness to follow instructions
Patients who will be using any medications to reduce the pain and/or have any effect on the skeletal muscle
Clinical conditions such as pregnancy
Medical problems that may interfere with the procedures such as bleeding disorders
Cognitive impairment or exhibited inadequate cooperation
Parallel
Saline
DrugPatients will take 1 ml of lidocaine 2%
Triamcinolone with lidocaine
DrugPatients will take 1 ml of active drug mix (1/4 ml of Triamcinolone and 3/4 ml of lidocaine)
Lidocaine
DrugPatients will take 1 ml lidocaine 2%
current pain intensity
• Patients' subjective pain experience. Each patient will be asked to rate his or her current and worst pain intensity on visual analogue scale (VAS) of 0-10 with zero being no pain and ten corresponds to the worst pain that the patient ever had
maximum mouth opening
* Maximum mouth opening (MMO). Assessment of MMO will be performed by measuring the distance in mm between the incisal edges of the upper and lower central incisors using a ruler. * The postoperative demand for analgesics will be evaluated by recording the number of the analgesic's intake. * Patient satisfaction. * Pressure pain threshold (PPT). Data will be collected preoperatively, pain will be measured immediately after the treatment, as well as one week, one month, and 3 months after the end of the treatment sessions
post operative demands for analgesics
measuring unit number
patient satisfaction
measured by likert scale
pressure pain threshold (PPT)
measuresd by algometer
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