Algoritma Tata Laksana Cervical Myofascial Pain Syndrome dengan obesitas

Cervical MPS

Confirmed by Anamnesis and Physical Examination

MTrPs Regional Pain + Obesity dan Forward Head Posture

Chronic MPS Acute MPS

Mild Pain (VAS 1 -3) Moderate to Severe Pain (VAS 4 - 10)

 Education (Postural Correction

 Therapy)
 Education (Postural Correction Education (Postural Control)
Therapy)  Exercise  Exercise
o Neck Exercise (strengthening
 Exercise o Neck Exercise (stretching to relieve pain)
o Aerobic Exercise and stretching)
o Neck Exercise (strengthening
 Massage o Aerobic Exercise (Weight
and stretching)
Control exercise)
o Aerobic Exercise (Weight  Modality Treatment (LLLT, US, and TENS)
 Massage
Control exercise)  Pharmacotherapy (muscle relaxant, NSAID,
 Massage benzodiazepine, TPI with corticosteroid,  Pharmacotherapy (VAS > 4)
 Refer to nutritionist lidocaine patch)  Refer to nutritionist

Pain Relieved
Pain Improvement Pain Did Not Improve

*Evaluation of TrP and Pain Deep Dry Needling

3 weeks post dry needling

Pain Improvement*