DRY NEEDLING TECHNIQUE IN MYOFASCIAL PAIN - CLINICAL CASE REPORT.

Myofascial pain characterized by the presence of myofascial trigger points (TP) that can cause local pain and referred pain, that is, perceived in a different location. TP is a palpable nodule and a painful point of compression, which, in addition to local pain, promotes pain. It is called referred pain when pain caused by TP also affects other regions, such as: other muscles, teeth, gums, TMJ and ears. It is of fundamental importance the anatomical knowledge of the muscles, since it facilitates the localization of the TP and palpation, as well as the functional knowledge of the muscles, since the TP can be activated when the patient makes a certain movement / gesture, this facilitates the correct diagnosis. When the procedures performed reach the TP areas, muscle pain is rapidly eliminated, restoring function and normal muscle length. One of the most widely used treatments has been dry pressing, the theory is that the needle through mechanical trauma stimulates the release of intracellular potassium, which blocks the transmission of nerve impulses temporarily. The needle also breaks the adhesions of the fibers that may exist. The objective of this work is to report two cases of myofascial pain treatment using the dry needling technique. Where, Ms D.S.R and Ms O.H.S.R. attended the UNIFEB clinic, with symptoms of muscular pain and difficulty opening the mouth and chewing, dry needling was performed and there was instant improvement of the pain picture, and improvement in movements that were previously limited.