Abstract
Summary
Myofascial pain syndrome (MPS) plays an important role in the genesis of pain in failed back surgery. When other conservative and operative procedures had failed to give satisfactory results in failed back surgery, needling and infiltration of trigger points and tender spots followed by comprehensive multidisciplinary program proved to be a safe, low cost and very effective therapeutic approach in a high percentage of cases with chronic myofascial pain syndrome. The needling and infiltration was followed by physical therapy sessions including heat, electric stimulation, relaxation exercises, stretching exercises and correction of perpetuating and predisposing factors for MPS.
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