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Trigger Point Pain

Beatriz M Moya Esteban, Juan A Solano Calvo, Celia Torres Morcillo, Juan J Delgado Espeja, Jerónimo González Hinojosa, Álvaro Zapico Goñi
OBJECTIVE: After an obstetric trauma, a non-negligible number of postpartum women complain of perineal pain and dyspareunia. These symptoms clearly diminish their quality of life. Many treatment options have been suggested, such as oral analgesia, local anaesthetic, or steroid injections… Regretfully, none of these have yet demonstrated their efficacy with the validated trials. The objective of this review is to retrospectively evaluate the response to vaginal infiltrations into the trigger points (where the vaginal/perineal examination sets off the maximum intensity of pain) combining local anaesthetic and corticosteroids...
December 12, 2018: Archives of Gynecology and Obstetrics
Frank S Fröschen, Nadine Gravius, Jan-Frederic Lau, Thomas Martin Randau, Eva Kaup, Max J Friedrich, Sascha Gravius
PURPOSE: The contact allergens nickel, cobalt, and chromium are often discussed as possible triggers of allergic reactions to orthopedic implants. Additionally, acrylates and polymerization additives in bone cement (e.g., benzoyl peroxide (BPO)) have been implicated as triggers of eczema, wound healing disorders, and aseptic implant loosening. We report about six patients with aseptic loosening after total knee arthroplasty (TKA), who underwent revision surgery after testing positive for BPO hypersensitivity...
December 11, 2018: International Orthopaedics
Eleuterio A Sánchez-Romero, Daniel Pecos-Martín, Cesar Calvo-Lobo, David García-Jiménez, Victoria Ochoa-Sáez, Verónica Burgos-Caballero, Josué Fernández-Carnero
BACKGROUND: A source of myofascial pain and myofascial trigger points (MTrPs) in muscles of the knee area could play a crucial role in the management of pain in osteoarthritis patients. The aim of this study was to describe and compare demographic, clinical and myofascial pain syndrome characteristics in older adults with knee osteoarthritis by sex and age distribution. METHODS: A cross-sectional study was carried out. 114 patients with osteoarthritis were recruited in older-adult care centers...
December 6, 2018: Knee
Jason L Weller, Douglas Comeau, James A D Otis
Myofascial pain syndromes arise from acute and chronic musculoskeletal pain and often have a referred neuropathic component. It affects more than three quarters of the world's population and is one of the most important and overlooked causes of disability. The origins of pain are thought to reside anywhere between the motor end plate and the fibrous outer covering of the muscle, with involvement of microvasculature and neurotransmitters at the cellular level. Diagnosis is made by clinical examination for the presence of myofascial trigger points, though some ancillary tests may provide supportive evidence...
December 2018: Seminars in Neurology
Emre Ata, Murat Kösem, Emre Adiguzel
BACKGROUND: Myofascial pain syndrome is a common form of musculoskeletal disorder that originates from a painful site in a muscle or related fascia. There are various non-invasive and invasive treatment methods. OBJECTIVE: To investigate the efficacy of myofascial trigger point kinesiotaping with that of local anesthetic injection alone on the degree of pain and quality of life in myofascial pain syndrome. METHODS: Seventy-six patients with myofascial pain syndrome were randomly assigned to three study groups...
November 23, 2018: Journal of Back and Musculoskeletal Rehabilitation
C Jiménez-Sánchez, M Ortiz-Lucas, E Bravo-Esteban, O Mayoral-Del Moral, P Herrero-Gállego, J Gómez-Soriano
OBJECTIVE: Several diagnostic methods have been used in the identification of mechanical properties of skeletal muscle, including myofascial trigger points (MTrPs), however, they are not suitable for daily clinical use. Myotonometry offers an easy noninvasive alternative to assess these muscle properties. Nevertheless, previous research has not yet studied the mechanical properties of MTrPs by myotonometry. The purposes of this study were (1) to analyze the differences in the mechanical properties between latent MTrPs and their taut bands by myotonometry, (2) to investigate the inter-rater reproducibility of myotonometric measurements, and (3) to examine the association between myotonometry and passive isokinetic dynamometry...
November 26, 2018: Physiological Measurement
Manz Andrea Stefanie, Attin Thomas, Sener Beatrice, Sahrmann Philipp
BACKGROUND: Dentine hypersensitivity is especially frequent in patients with pronounced periodontal attachment loss. Aim of the treatment is an obstruction of the dentine tubules in order to inhibit liquid or osmotic motion, which is considered as trigger for pain sensations. Novel approaches aim for obstruction by calcium phosphate compounds in order to rely on biocompatible compounds. It was the aim of the study to optically investigate the morphology and to assess the fluid permeability of treated dentine surfaces...
November 21, 2018: BMC Oral Health
Tsung-Yung Tang, Shau-Gang Shyu, Bo-Cheng Kao, Chueh-Hung Wu
No abstract text is available yet for this article.
November 17, 2018: American Journal of Physical Medicine & Rehabilitation
Ben R Hando, Daniel I Rhon, Joshua A Cleland, Suzanne J Snodgrass
BACKGROUND: Trigger point dry needling interventions are utilized by physical therapists to manage shoulder pain. Observational studies have shown positive short-term outcomes in patients with subacromial pain syndrome receiving trigger point dry needling. However, little research has been done to evaluate the long-term effectiveness of trigger point dry needling specifically as it compares to other commonly utilized interventions such as exercise and manual therapy. The purpose of this study is to assess the additive short and long-term effectiveness of trigger point dry needling to a standard physical therapy approach of manual therapy and exercise for patients with subacromial pain syndrome...
November 6, 2018: Brazilian Journal of Physical Therapy
N Lemeunier, E B Jeoun, M Suri, T Tuff, H Shearer, S Mior, J J Wong, S da Silva-Oolup, P Torres, C D'Silva, P Stern, H Yu, M Millan, D Sutton, K Murnaghan, P Cȏté
PURPOSE: To determine the reliability and validity of clinical tests to assess posture, pain location, and cervical spine mobility in adults with grades I-IV neck pain and associated disorders (NAD). METHODS: We systematically searched electronic databases to update the systematic review of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Eligible reliability and validity studies were critically appraised using modified versions of the QAREL and QUADAS-2 instruments, respectively...
December 2018: Musculoskeletal Science & Practice
Aleksandra Kisilewicz, Marcin Janusiak, Rafał Szafraniec, Małgorzata Smoter, Bogdan Ciszek, Pascal Madeleine, César Fernández-de-Las-Peñas, Adam Kawczyński
The study aimed to assess the effects of compression trigger point therapy on the stiffness of the trapezius muscle in professional basketball players (Part A), and the reliability of the MyotonPRO device in clinical evaluation of athletes (Part B). Twelve professional basketball players participated in Part A of the study (mean age: 19.8 ± 2.4 years, body height 197 ± 8.2 cm, body mass: 91.8 ± 11.8 kg), with unilateral neck or shoulder pain at the dominant side. Part B tested twelve right-handed male athletes (mean ± SD; age: 20...
September 2018: Journal of Human Kinetics
Giannapia Affaitati, Raffaele Costantini, Claudio Tana, Domenico Lapenna, Cosima Schiavone, Francesco Cipollone, Maria Adele Giamberardino
BACKGROUND: In migraine patients with cervical myofascial trigger points whose target areas coincide with migraine sites (M + cTrPs), TrP anesthetic injection reduces migraine symptoms, but the procedure often causes discomfort. This study evaluated if a topical TrP treatment with 3% nimesulide gel has similar efficacy as the injection but produces lesser discomfort with higher acceptability by the patients. METHODS: Retrospective analysis of medical charts of M + cTrPs patients in the period January 2012-December 2016 at a single Headache Center...
November 8, 2018: Journal of Headache and Pain
Ester Cerezo-Téllez, María Torres-Lacomba, Orlando Mayoral-Del-Moral, Soraya Pacheco-da-Costa, David Prieto-Merino, Beatriz Sánchez-Sánchez
BACKGROUND: Chronic non-specific neck pain is related to limited cervical mobility, impaired function, neck muscles myofascial pain syndrome, and stress at work. The aforementioned factors are strongly related and may lead to a negative impact on health-related quality of life. There are some effective conservative Physical therapy interventions for treating chronic non-specific neck pain. Currently, Deep Dry Needling is emerging as an alternative for improving symptoms and consequently, the quality of life in patients with chronic non-specific neck pain...
November 6, 2018: Health and Quality of Life Outcomes
Aitor Martín-Pintado-Zugasti, Orlando Mayoral Del Moral, Robert D Gerwin, Josue Fernández-Carnero
Post-dry needling soreness is a common complication of myofascial trigger point (MTrP) dry needling treatment. The prevention, management and relevance of this complication remain uncertain. This paper examines the current state of knowledge and suggests directions for further studies in this area. MTrPs are hypersensitive nodules in skeletal muscles' taut bands, present in several pain conditions. Dry needling has been recommended for relieving MTrP pain. MTrP dry needling procedures have shown to be associated with post-needling soreness, which is thought to be a consequence of the neuromuscular damage, and hemorrhagic and inflammatory reaction generated by the needle...
October 2018: Journal of Bodywork and Movement Therapies
Zahra Saadat, Ladan Hemmati, Soraya Pirouzi, Mahnaz Ataollahi, Fatemeh Ali-Mohammadi
INTRODUCTION: Upper trapezius trigger points are among the most common causes of neck pain. This study aimed to investigate the effects of integrated Neuromuscular Inhibition Technique (INIT) on pain intensity and threshold. MATERIALS & METHODS: Thirty two female participants with upper trapezius trigger points were recruited in this study. The participants were assigned to control (n = 16) or intervention (n = 16). The intervention group received INIT in one session, consisted of muscle energy technique, ischemic compression and strain-counter strain...
October 2018: Journal of Bodywork and Movement Therapies
Ivan Cherrez-Ojeda, Miguel Felix, Emanuel Vanegas, Valeria L Mata
BACKGROUND Many conditions and triggers have been identified and associated with spontaneous pneumomediastinum (SPM), including asthma, strenuous exercise, chronic obstructive pulmonary disease, diabetic ketoacidosis, inhalational drugs, and other activities associated with the Valsalva maneuver. Among rare findings reported in patients with SPM is tracheal diverticulum. We present a case of SPM that on further evaluation was noted to have a tracheal diverticulum, together with a possible diagnosis of asthma...
October 25, 2018: American Journal of Case Reports
Cassie Scripter
Tension-type headache (TTH) is the most common primary headache disorder, with a worldwide lifetime prevalence of 46% to 78%. TTH causes greater disability and accounts for more missed work days than migraine. The etiology of TTH is thought to be multifactorial, involving genetic and environmental factors. The three subtypes of TTH are infrequent episodic, frequent episodic, and chronic. Patients typically describe headache pain as pressing, dull, and with the sensation of a tight band around the head. Nonprescription analgesics are indicated for management of episodic TTH...
October 2018: FP Essentials
Arthur Yin Fan, Sarah F Alemi, Yingping H Zhu, Sudaba Rahimi, Hui Wei, Haihe Tian, Deguang He, Changzhen Gong, Guanhu Yang, Chong He, Hui Ouyang
BACKGROUND: Vulvodynia, or vulvar pain, is a common condition in women; however, there are few evidence-based clinical trials evaluating nonpharmacological therapies for this condition. Acupuncture is one complementary and integrative medicine therapy used by some patients with vulvodynia. This study evaluates two different acupuncture strategies for the treatment of vulvodynia and aims to evaluate whether either of the acupuncture protocols reduces vulvar pain, pain duration or pain with intercourse...
November 2018: Journal of Integrative Medicine
Ava Lorenc, Gene Feder, Hugh MacPherson, Paul Little, Stewart W Mercer, Deborah Sharp
OBJECTIVE: To identify potentially effective complementary approaches for musculoskeletal (MSK)-mental health (MH) comorbidity, by synthesising evidence on effectiveness, cost-effectiveness and safety from systematic reviews (SRs). DESIGN: Scoping review of SRs. METHODS: We searched literature databases, registries and reference lists, and contacted key authors and professional organisations to identify SRs of randomised controlled trials for complementary medicine for MSK or MH...
October 15, 2018: BMJ Open
Mohammad Shboul, Paul Roschger, Rudolf Ganger, Lefteris Paschalis, Stamatia Rokidi, Shahin Zandieh, Jana Behunova, Christian Muschitz, Astrid Fahrleitner-Pammer, Alvin Yu Jin Ng, Sumanty Tohari, Byrappa Venkatesh, Carine Bonnard, Bruno Reversade, Klaus Klaushofer, Ali Al Kaissi
Analysis of tissue from a 34-years-old male patient from Austrian origin with a history of multiple fractures associated with painful episodes over the carpal, tarsal and at the end of the long bones respectively is presented. Radiographic images and axial 3DCT scans showed widespread defects in trabecular bone architecture and ill-defined cortices over these skeletal sites in the form of discrete cystic-like lesions. Family history indicated two sisters (one half and one full biological sisters) also with a history of fractures...
October 10, 2018: Bone
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