AB1000 Evaluation of The Presence and Frequency of Neuropathic Pain Component in Myofascial Pain Syndrome

Background Neuropathic Pain Component in Myofascial Pain Syndrome is very imoprtant in the grups of aged between 20–50 years which is neck or upper back region. It was evalueyted by using specific diagnostic crtiteria, visual analog scale (VAS) and Neck Pain and Disability Index (NPDI) Objectives The aim of this study was to determine the presence and incidence of neuropathic pain in myofascial pain syndrome (MPS) and to detect factors that may be related to neuropathic pain Methods 112 patients with MPS in their neck or upper back region (aged between 20–50 years) and 62 age, gender and body mass index matched, healthy controls were included in the study. The existence of MPS was evaluated using specific diagnostic crtiteria. Pain assessment was made by visual analog scale (VAS). Neck Pain and Disability Index (NPDI) was used for the evaluation of the disability depends on neck and upper back pain. The existence of neuropathic pain component in both trigger point and referred pain regions was assessed with Leeds Assessment of Neuropathic Symptoms and Signs (LANSS), painDETECT and Douleur Neuropathique 4 (DN4) questionnaires. Results Mean ages of the patients with MPS was 33.4±8.0 years and controls was 33.5±8.4 years (p>0.05). The mean VAS score for pain and the mean NPDI values were significantly higher in the patients group (5.9±1.0 and 35.7±28.3, respectively, p Conclusions In this study, the existence of neuropathic component was determined in both trigger point and referred pain regions of patients with MPS. Neuropathic component was more prominent in the referred pain area. Central pain mechanisms may be responsible for this result. Further studies with more patients are needed to confirm our results. We think that, it is important to consider neuropathic component in the treatment of MPS. Disclosure of Interest None declared