The aim ofthis stud) was to compare lidocaine injection w ith traditional Chinese acupuncture treatment in cerv ical MI'S. 60 patients w ith cer\ ical MPS were treated and randomh assigned to two groups; lidocaine injection in 30. 63 I rP). traditional Chinese acupuncture treatment (n 30. 60TrP). Treatment effectiveness were assessed using h i ' pain pressure threshold (PPT). pain score (I'S) and \ isual analog scales lor pain al the entry and end ol'the treatment Additionally, depression and anxietv associated with

chronic pain were assessed using the Beck Depression Inventor) (BDI) and Taylor Manifest Anxiety Scale (I MAS). PP I and I'S improved in the lidocaine group, but not in the acupuncture group. Visual analog scores significant!) decreased in the both groups. The BDI scores indicated depression in 41.9% of the patients, with 14.6% ol'the patients having moderate depression. I ligh anxiety scores on the IMAS were present in 89.3% ol'the patients. When BDI and IMAS scores were compared with VAS and PIT levels, no signilicant correlations were found, but when compared with pain duration before treatment. correlations were signilicant 1 idocaine injection is more practical and rapid than acupuncture treatment and is more cost effective and seems the treatment of choice in MPS. Patients with myofascial pain syndrome had higher scores foranxiet) than for depression.

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