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Trigger Point Pain

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...
October 10, 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
Ramon Margalef, Marc Sisquella, Marc Bosque, Clara Romeu, Orlando Mayoral, Sonia Monterde, Mercedes Priego, Rafael Guerra-Perez, Nicolau Ortiz, Josep Tomas, Manel M Santafe
Myofascial pain syndrome is one of the most common forms of muscle pain. In this syndrome pain is originated by the so-called trigger points, which consists of a set of palpable contraction knots in the muscle. It has been proposed that a high spontaneous neurotransmission may be involved in the generation of these contraction knots. To confirm this hypothesis, we exposed mouse muscles to an anticholinesterasic agent to increase the neurotransmision in the synaptic cleft in two different conditions, in vivo and ex vivo experiments...
October 11, 2018: Journal of Applied Physiology
Matt Wentzell
Objective: To describe the successful conservative management of a chronic recurrent flexor hallucis longus (FHL) stenosing tenosynovitis. Clinical Features: A 20-year-old female pre-professional ballet dancer presented with medial ankle and mid-foot pain of 7.5 months duration. Pain was constant but exacerbated with training and assuming the en pointe and demi-pointe dance positions. Plantar flexion of the great toe was pain provoking. Triggering of the great toe and audible and palpable crepitus were noted with active and passive great toe range of motion...
August 2018: Journal of the Canadian Chiropractic Association
Mehmet Cem Özden, Berkem Atalay, Ali Veysel Özden, Abdülkadir Burak Çankaya, Erdinç Kolay, Sami Yıldırım
OBJECTIVE: This randomized, single-center clinical trial aimed to compare the efficacy of superficial dry needling (SDN) and deep dry needling (DDN) in patients with myofascial temporomandibular disorder (MTMD) related to the masseter muscle. METHODS: Forty patients showing MTMD with trigger points in the masseter muscle were randomly assigned to groups. Dry needling of the masseter muscle was performed once per week for three weeks. Pressure pain threshold (PPT) measurements, visual analog scale scores, and maximal jaw opening were assessed...
October 9, 2018: Cranio: the Journal of Craniomandibular Practice
Sheryl Bourgaize, Genevieve Newton, Dinesh Kumbhare, John Srbely
Two prominent forms of chronic musculoskeletal pain disorders are fibromyalgia (FM) and myofascial pain syndrome (MPS). Inconsistent diagnosis of chronic musculoskeletal pain is an important clinical issue, as MPS is often mistaken for FM. Distinction between the two diagnoses depends largely on identification of either tender points or myofascial trigger points in FM and MPS, respectively. However, there currently is no standard diagnostic protocol for MPS. Consequently, this results in a lack of consistency across health care practitioners diagnosing both FM and MPS...
April 2018: Journal of the Canadian Chiropractic Association
Gwendolen Jull, Toby Hall
Neck pain commonly accompanies migraine and tension-type headache, but the literature is divided on whether this neck pain is a headache symptom or is associated with cervical musculoskeletal dysfunction. Clarification is essential for hypotheses on the pathogenesis of these headaches and their variants and for decisions on suitability of local neck treatments, both from research and clinical practice perspectives. Reasons for disparate findings could relate to participant selection in headache studies and/or the bases on which decisions on the presence of cervical musculoskeletal dysfunction are reached...
September 25, 2018: Musculoskeletal Science & Practice
Stuart L Goldberg, Dhakshila Paramanathan, Raya Khoury, Sharmi Patel, Dayo Jagun, Srikesh Arunajadai, Victoria DeVincenzo, Ruth Pe Benito, Brooke Gruman, Sukhi Kaur, Scott Paddock, Andrew D Norden, Eric V Schultz, John Hervey, Terrill Jordan, Andre Goy, Andrew L Pecora
BACKGROUND: Discussions regarding palliative care and end-of-life care issues are frequently delayed past the time of usefulness, resulting in unwanted medical care. We sought to develop a patient-reported outcome (PRO) instrument that allows patients to voice their symptom burdens and facilitate timing of discussions. SUBJECTS, MATERIALS, AND METHODS: A seven-item PRO instrument (Cota Patient Assessed Symptom Score-7 item [CPASS-7]) covering physical performance status, pain, burden, and depression was administered (September 2015 through October 2016) with correlation to overall survival, correcting for time to complete survey since diagnosis...
September 28, 2018: Oncologist
Arnaud J Noreña, Philippe Fournier, Alain Londero, Damien Ponsot, Nicolas Charpentier
Acoustic shocks and traumas sometimes result in a cluster of debilitating symptoms, including tinnitus, hyperacusis, ear fullness and tension, dizziness, and pain in and outside the ear. The mechanisms underlying this large variety of symptoms remain elusive. In this article, we elaborate on the hypothesis that the tensor tympani muscle (TTM), the trigeminal nerve (TGN), and the trigeminal cervical complex (TCC) play a central role in generating these symptoms. We argue that TTM overuse (due to the acoustic shock), TTM overload (due to muscle tension), and ultimately, TTM injury (due to hypoxia and "energy crisis") lead to inflammation, thereby activating the TGN, TCC, and cortex...
January 2018: Trends in Hearing
Pierfrancesco Fusco, Stefano Di Carlo, Paolo Scimia, Giulia Degan, Emiliano Petrucci, Franco Marinangeli
Objective: The purpose of this case series was to describe the outcomes of diagnostic ultrasound-assisted dry needling in the management of piriformis syndrome. Clinical Features: Case 1: a 45-year-old woman reported gluteal pain occasionally radiating in the sciatic region. Her magnetic resonance imaging showing sciatic nerve edema in the underlying portion of the piriformis muscle. Case 2: a 55-year-old man had gluteal pain after deep palpation or being in a prolonged sitting position...
September 2018: Journal of Chiropractic Medicine
Da-Ye Kim, Jae Min Kim
Myofascial pain syndrome is a common painful condition encountered in the general population. Previous studies evaluating the efficacy of botulinum toxin for the treatment of myofascial pain syndrome are limited, with variable results. This prospective study investigated the efficacy and safety of direct injection of Prabotulinumtoxin A (Nabota® ) into painful muscle groups for cervical and shoulder girdle myofascial pain. Twelve patients with chronic myofascial pain syndrome of the neck and shoulder underwent an injection of Prabotulinumtoxin A...
September 3, 2018: Toxins
Jiaxin Yuan, Li Gong, Hongliang Wu, Qi Chen, Jiahui Wang, Weiyi Chen, Xiaotong Wang, Chao Ren
PURPOSE: It will provide a reference for early detection, early diagnosis and early treatment of atypical primary Sjogren syndrome with neurological impairment as the first symptom. METHODS: Case report and Literature review. RESULTS: Here we report a 30-year-old woman diagnosed with trigeminal damage secondary to pSS who presented atypical trigeminal neuralgia of numbness of the right head and face and persistent prickling-like pain not associated with eating, talking or tooth-brushing, and had no "trigger point"...
November 15, 2018: Journal of Neuroimmunology
Gabriela Aguilo-Seara, Christopher Michael Runyan
Ganglion cysts within the temporomandibular joint (TMJ), although uncommon, typically present with swelling, pain, trismus, and difficulty with mastication. The authors report an unusual case of a ganglion cyst in the TMJ of a 52-year-old man who presented with chief complaints of severe headaches and dizziness that had not subsided following treatment with medication, trigger point injections, or sphenopalatine ganglion blocks. The cyst appeared as a nonenhancing, T2 hyperdensity adjacent to the left TMJ condyle on magnetic resonance imaging, supported by the presence of chronic erosion and remodeling of the anterior aspect of the left condylar head on computed tomography...
October 2018: Journal of Craniofacial Surgery
Clécio Vier, Marina Barbosa de Almeida, Marcos Lisboa Neves, Adair Roberto Soares Dos Santos, Marcelo Anderson Bracht
BACKGROUND: Orofacial pain of myofascial origin is often associated with temporomandibular joint dysfunction, affects chewing muscles and may lead to functional limitations. Dry needling is an intervention commonly used for inactivating myofascial pain trigger points. OBJECTIVE: To systematically review the effects of dry needling on orofacial pain of myofascial origin in patients with temporomandibular joint dysfunction. METHODS: This systematic review has pain intensity as primary outcome...
August 22, 2018: Brazilian Journal of Physical Therapy
Birthe Loa Knizek, Heidi Hjelmeland
BACKGROUND: Previous research has shown that men who adhere to traditional beliefs about masculinity have increased health risks compared to those who do not. Single marital status, unemployment, retirement, and physical illness are commonly known risk factors for male suicidal behavior. Most men struggling with these risk factors are, however, not suicidal. To find out more about what makes some men vulnerable to suicidal behavior, risk factors must be analyzed in light of men's life history as well as the social context where they live their masculinity...
August 22, 2018: BMC Psychiatry
Cecilia H Fuglsang, Troels Johansen, Kai Kaila, Helge Kasch, Flemming W Bach
Background Impaired brain oxygen delivery can trigger and exacerbate migraine attacks. Normoxic hypercapnia increases brain oxygen delivery markedly by vasodilation of the cerebral vasculature, and hypercapnia has been shown to abort migraine attacks. Stable normoxic hypercapnia can be induced by a compact partial rebreathing device. This pilot study aimed to provide initial data on the device's efficacy and safety. Methods Using a double-blinded, randomized, cross-over study design, adult migraine-with-aura patients self-administered the partial rebreathing device or a sham device for 20 minutes at the onset of aura symptoms...
September 2018: Cephalalgia: An International Journal of Headache
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...
October 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
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