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Trigger Point Pain

A A Fouda
Most minimally invasive treatments for dysfunction of the temporomandibular joint (TMJ) are empirical, and aimed at the painful trigger points with the purpose of preventing muscular spasm and restoring normal function. In this prospective study I investigated whether the choice of site of injection of hypertonic dextrose affected the benefits of treatment of internal derangement and pain. I studied 72 patients with pain and clicking as a result of dysfunction of the TMJ. Patients were divided into four groups with four separate sites for intra-articular injection...
August 11, 2018: British Journal of Oral & Maxillofacial Surgery
Leonid Kalichman, Inbar Levin, Itzhak Bachar, Elisha Vered
BACKGROUND: Kinesio taping is a possible therapeutic modality for myofascial pain, nevertheless, very scarce research has been performed on this subject. OBJECTIVE: To evaluate the immediate and short-term effect of kinesio taping application on myofascial trigger points (MTrPs) and pressure pain thresholds (PPTs) in the upper trapezius and gastrocnemius muscles. METHODS: Two randomized, single-blinded, controlled trials were simultaneously executed on the upper trapezius and gastrocnemius muscles...
July 2018: Journal of Bodywork and Movement Therapies
Jan Dommerholt, Michelle Finnegan, Todd Hooks, Li-Wei Chou
In the current issue of this clinical overview, we are pleased to include several basic research studies ranging from the differentiation of radicular and non-radicular low back pain based on the presence of trigger points (TrPs) to the role of TrPs in patients with osteoarthritis, the diagnostic criteria of TrP, the accurate placement of needles in the piriformis muscle with dry needling (DN), and the reliability of TrP identification, among others. As usual, there are many new DN studies, but also several review papers, and manual TrP research...
July 2018: Journal of Bodywork and Movement Therapies
Cid André Fidelis de Paula Gomes, Almir Vieira Dibai-Filho, Fabiano Politti, Tabajara de Oliveira Gonzalez, Daniela Aparecida Biasotto-Gonzalez
OBJECTIVE: The purpose of this study was to evaluate the effect of combined manual therapy (MT) and diadynamic (DD) currents on myofascial trigger points of the upper trapezius muscle in individuals with a diagnosis of unilateral shoulder impingement syndrome. METHODS: A randomized clinical trial was conducted involving 60 individuals with shoulder impingement syndrome who were allocated to the following 3 groups: (1) MT and DD currents (MTDD), (2) MT alone, and (3) DD currents alone...
August 8, 2018: Journal of Manipulative and Physiological Therapeutics
Mary Kamal Nassif Takla
BACKGROUND: Electrotherapeutic modalities have proven to be one of the best therapeutic options for myofascial pain syndrome, targeting the myofascial trigger points (MTrPs). Combined therapy (CT) is described with paucity in literature as the application of ultrasound (US) and electrical stimulating current concurrently and at the same site. AIM: The aim was to compare between low-frequency, high-intensity burst transcutaneous electrical nerve stimulation CT (burst-TENS-CT) and medium-frequency, low-intensity amplitude modulated frequency CT (AMF-CT) on upper trapezius active MTrPs (A-MTrPs)...
August 10, 2018: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
Albert F Moraska, Robert C Hickner, Rachael Rzasa-Lynn, Jay P Shah, Jonathan R Hebert, Wendy M Kohrt
OBJECTIVE: To investigate changes in nutritive blood flow as well as interstitial glucose and lactate within an active myofascial trigger point (MTrP) following massage. DESIGN: Randomized, placebo-controlled trial. SETTING: Subjects were recruited from the general population; procedures were conducted at a research center affiliated with a university hospital. PARTICIPANTS: Twenty-five adults (18-49 years old) with episodic or chronic tension-type headache and an active MTrP in the upper trapezius muscle...
August 6, 2018: Archives of Physical Medicine and Rehabilitation
Ashley Davis Lake, Heather Myers, Brett Aefsky, Robert Butler
Background: Dry needling (DN) has been established as an effective treatment for myofascial pain, however, there are no studies thus far investigating the benefit to movement and motor control. Purpose: The primary purpose of this study was to compare differences in a series of outcomes between dry needling, dry needling and stretching, and stretching only in a sample of healthy males. A secondary purpose was to compare change over time. Design: Blinded, randomized controlled trial...
April 2018: International Journal of Sports Physical Therapy
Rodney U Anderson, David Wise, Brian H Nathanson
OBJECTIVE: To evaluate effectiveness of physical therapy, biofeedback, and/or cognitive behavioral therapy for Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS). This symptom complex has resisted resolution from conventional urologic treatment of the prostate, which includes antibiotics, alpha-blockers, and analgesics. Beginning in 1995, a new paradigm was introduced viewing CP/CPPS as a psycho-neuromuscular disorder driven by protective pelvic floor guarding and psychosocial stress...
July 27, 2018: Urology
Daniel Cury Ribeiro, Angus Belgrave, Ana Naden, Helen Fang, Patrick Matthews, Shayla Parshottam
BACKGROUND: Neck and shoulder disorders may be linked to the presence of myofascial trigger points (MTrPs). These disorders can significantly impact a person's activities of daily living and ability to work. MTrPs can be involved with pain sensitization, contributing to acute or chronic neck and shoulder musculoskeletal disorders. The aim of this review was to synthesise evidence on the prevalence of active and latent MTrPs in subjects with neck and shoulder disorders. METHODS: We conducted an electronic search in five databases...
July 25, 2018: BMC Musculoskeletal Disorders
Thomas G Sutlive, Andrew Golden, Kristin King, William B Morris, John E Morrison, Josef H Moore, Shane Koppenhaver
Background: Patellofemoral pain syndrome (PFPS) is a prevalent knee disorder. A novel yet increasingly popular treatment for PFPS is trigger point dry needling (DN). Purpose: The purpose of this study was to determine if DN is more effective at reducing pain and disability than a sham treatment in individuals with PFPS. Study design: Randomized trial. Materials/Methods: Sixty military health care beneficiaries (36 males) with a clinical diagnosis of PFPS were recruited and completed the study...
June 2018: International Journal of Sports Physical Therapy
Diarmuid Denneny, Helena C Frawley, Katrine Petersen, Rebecca McLoughlin, Suzanne Brook, Salma Hassan, Amanda C de C Williams
OBJECTIVE: To determine the effectiveness of trigger point manual therapy (TPMT) for reducing chronic non-cancer pain and associated problems in adults, by analysing all relevant randomised controlled trials (RCTs). DATA SOURCES: We searched databases and clinical trials registers from their inception to May 2017. STUDY SELECTION: We included RCTs in any language that recruited patients over the age of 18, with pain of three months duration or more...
July 16, 2018: Archives of Physical Medicine and Rehabilitation
Qiangmin Huang, Yadan Zhang, Yantao Ma, Bo Hou, Qingqing Fei, Shusheng Tan, Hui Zhang
The similarities and differences between trigger points of myalgia and acupoints were explored. Nodules could be detected by B-ultrasound at trigger points of myalgia, but not acupoints. In clinical symptoms, the referred pain pathway of trigger points of myalgia is similar with the pathway of acupuncture meridian. Therefore, the location of trigger points of myalgia should take referred pain as pathway, which is similar with locating acupoints as meridian. Acupuncture at trigger points of myalgia takes jumping feeling as criterion, while acupuncture at acupoints are mainly based on acid swelling and numbness...
July 12, 2018: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
Massimo Varenna, Chiara Crotti
Complex Regional Pain Syndrome type 1 (CRPS-1) is a disabling painful disease whose hallmark is pain disproportionate to inciting event. CRPS is also characterized by symptoms and signs, such as vasomotor, sudomotor, trophic and motor changes. Therapeutic approach of CRPS-1 still remains a challenge for clinicians treating a disease with potential heavy consequences on patient prognosis. In the past years, the treatment with bisphosphonates (BPs) has gained some success as confirmed by the results of a number of meta-analyses...
July 14, 2018: Rheumatology International
Seyed Ahmad Raeissadat, Seyed Mansoor Rayegani, Fatemeh Sadeghi, Shahram Rahimi-Dehgolan
Purpose: Myofascial pain syndrome (MPS) is a common musculoskeletal disorder among young adults associated with presence of myofascial trigger points. We aimed to evaluate efficacy of ozone injection (OI) in MPS patients, compared with two currently used methods including lidocaine injection (LI) and dry needling (DN). Patients and methods: In this single-blinded study, a total of 72 eligible patients were included and then randomly divided into three equal groups: DN, OI, and LI...
2018: Journal of Pain Research
Guillaume Carissimo, Adrien Pain, Eugeni Belda, Kenneth D Vernick
BACKGROUND: Anopheles mosquitoes are efficient vectors of human malaria, but it is unknown why they do not transmit viruses as well as Aedes and Culex mosquitoes. The only arbovirus known to be consistently transmitted by Anopheles mosquitoes is O'nyong nyong virus (ONNV, genus Alphavirus, family Togaviridae). The interaction of Anopheles mosquitoes with RNA viruses has been relatively unexamined. RESULTS: We transcriptionally profiled the African malaria vector, Anopheles coluzzii, infected with ONNV...
July 9, 2018: BMC Genomics
Chad Hulsopple
Injections often are used in the management of common musculoskeletal conditions. Physicians should understand the disease pathophysiology and evidence supporting available injections when determining appropriate therapy. These therapies include corticosteroid injections (CSIs), hyaluronic acid (HA) injections, hypertonic dextrose prolotherapy, platelet-rich plasma (PRP) injections, mesenchymal stem cell (MSC) injections, and trigger point injections (TPIs). CSIs are recommended conditionally by the American College of Rheumatology for osteoarthritis (OA) management...
July 2018: FP Essentials
Vanessa Castelli, Paola Palumbo, Michele d'Angelo, Nandha Kumar Moorthy, Andrea Antonosante, Mariano Catanesi, Francesca Lombardi, Dalila Iannotta, Benedetta Cinque, Elisabetta Benedetti, Rodolfo Ippoliti, Maria Grazia Cifone, Annamaria Cimini
Chemotherapy-induced peripheral neuropathy (CIPN) is a widespread and potentially disabling side effect of various anticancer drugs. In spite of the intensive research focused on obtaining therapies capable to treat or prevent CIPN, the medical demand remains very high. Microtubule-stabilizing agents, among which taxanes, are effective chemotherapeutic agents for the therapy of several oncologic diseases. The inflammatory process activated by chemotherapeutic agents has been interpreted as a potential trigger of the nociceptive process in CIPN...
June 15, 2018: Oncotarget
Melanie R Meister, Nishkala Shivakumar, Siobhan Sutcliffe, Theresa Spitznagle, Jerry Lowder
BACKGROUND: Myofascial pain is characterized by the presence of trigger points, tenderness to palpation, and local or referred pain, and commonly involves the pelvic floor muscles in men and women. Pelvic floor myofascial pain in the absence of local or referred pain has also been observed in patients with lower urinary tract symptoms (LUTS), and we have found that many patients report an improvement in these symptoms after receiving myofascial-targeted pelvic floor physical therapy. OBJECTIVE: To systematically review the literature for examination techniques used to assess pelvic floor myofascial pain in women...
June 27, 2018: American Journal of Obstetrics and Gynecology
Ellen N Thompson, Taras Usichenko
BACKGROUND AND AIMS: A previously undescribed mechanism of pain in the ulnar side of the hand was observed in a series of four patients. All were found to have a sensitive point in the first interspace of the hand and possible entrapment of a terminal branch of ulnar nerve piercing the fascia in the first interphalangeal webspace was suggested. METHODS: Pressure on the sensitive point reproduced the ulnar sided hand pain. Diagnostic and therapeutic injection of the mixture of local anesthetic and corticosteroid were performed...
June 30, 2018: Scandinavian Journal of Pain
Eleuterio A Sánchez-Romero, Daniel Pecos-Martín, César Calvo-Lobo, Victoria Ochoa-Sáez, Verónica Burgos-Caballero, Josué Fernández-Carnero
BACKGROUND: Few studies have investigated the dry needling (DN) approach on knee osteoarthritis (KO) patients. The study's aim was to evaluate the short-term efficacy of adding DN to a therapeutic exercise protocol in the treatment of KO in older adults. METHODS: A double-blind, pilot clinical trial with parallel groups [NCT02698072] was carried out for 12 weeks of treatment and follow-up. Twenty patients aged 65 years and older with myofascial trigger points (MTrPs) in the muscles of the thigh were recruited from older-adult care centers and randomly assigned to a DN + Exercise group or a Sham-DN + Exercise group...
June 2018: Medicine (Baltimore)
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