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Chronic Myofascial Pain

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https://www.readbyqxmd.com/read/27858678/clinicians-perspective-of-the-current-diagnostic-criteria-for-myofascial-pain-syndrome
#1
L Grosman-Rimon, Hance Clarke, Patricia Branco Mills, Aaron Kin-Yun Chan, Dinesh Kumbhare
INTRODUCTION: Myofascial pain syndrome (MPS) is one of the most common chronic musculoskeletal pain disorders. However, MPS is often under-diagnosed. The purpose of this study was to characterize practicing clinicians' perspectives of the current diagnostic criteria for MPS. METHODS: A cross-sectional study design was used with a self-administered questionnaire. The questionnaire evaluated clinicians' perspective of the current diagnostic criteria for MPS. The sample population (n= 119) consisted of 40% family physicians, 31% physical medicine (PM) and rehabilitation specialists, 11% rheumatologists, 10% emergency room (ER) physicians, and 8% anesthesiologists specializing in chronic pain...
November 11, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27852100/withdrawn-acupuncture-for-neck-disorders
#2
REVIEW
Kien Trinh, Nadine Graham, Dominik Irnich, Ian D Cameron, Mario Forget
BACKGROUND: Neck pain is one of the three most frequently reported complaints of the musculoskeletal system. Treatments for neck pain are varied, as are perceptions of benefit. Acupuncture has been used as an alternative to more conventional treatment for musculoskeletal pain. This review summarises the most current scientific evidence on the effectiveness of acupuncture for acute, subacute and chronic neck pain. This update replaces our 2006 Cochrane review update on this topic. OBJECTIVES: To determine the effects of acupuncture for adults with neck pain, with focus on pain relief, disability or functional measures, patient satisfaction and global perceived effect...
November 17, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27830925/headache-low-back-pain-other-nociceptive-and-mixed-pain-conditions-in-neurorehabilitation-evidence-and-recommendations-from-the-italian-consensus-conference-on-pain-in-neurorehabilitation
#3
Alessandro Picelli, Maria G Buzzi, Carlo Cisari, Marialuisa Gandolfi, Daniele Porru, Silvia Bonadiman, Annalisa Brugnera, Roberto Carone, Rosanna Cerbo, Ubaldo Del Carro, Raffaele Gimigliano, Marco Invernizzi, Danilo Miotti, Rossella Nappi, Stefano Negrini, Vittorio Schweiger, Cristina Tassorelli, Stefano Tamburin
Pain is a disabling symptom and is often the foremost symptom of conditions for which patients undergo neurorehabilitation. We systematically searched the PubMed and Embase electronic databases for current evidence on the frequency, evolution, predictors, assessment, and pharmacological and non-pharmacological treatment of pain in patients with headache, craniofacial pain, low back pain, failed back surgery syndrome, osteoarticular pain, myofascial pain syndrome, fibromyalgia, and chronic pelvic pain. Despite the heterogeneity of published data, consensus was reached on pain assessment and management of patients with these conditions and on the utility of a multidisciplinary approach to pain therapy that combines the benefits of pharmacological therapy, physiotherapy, neurorehabilitation, and psychotherapy...
November 10, 2016: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27814873/chronic-caesarian-section-scar-pain-treated-with-fascial-scar-release-techniques-a-case-series
#4
Jennifer B Wasserman, Jessica L Steele-Thornborrow, Jeremy S Yuen, Melissa Halkiotis, Elizabeth M Riggins
OBJECTIVE: To describe outcomes of two subjects with chronically painful Caesarian section (C-section) scars following an intervention of specific myofascial scar release techniques. STUDY DESIGN: Case series. BACKGROUND: Over 1.3 million C-sections are performed annually in the US. Anywhere from 7 to 18% of those will develop chronic scar pain. Although anecdotal evidence supporting the use of fascial release in reducing surgical scar pain exists, almost no research has been published...
October 2016: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/27792797/genetic-polymorphisms-of-catechol-o-methyltransferase-association-with-temporomandibular-disorders-and-postoperative-pain
#5
Irena Mladenovic, Gordana Supic, Ruzica Kozomara, Slobodan Dodic, Nedeljka Ivkovic, Bojana Milicevic, Ivana Simic, Zvonko Magic
AIMS: To evaluate the association between catechol-O-methyltransferase (COMT) gene polymorphisms and temporomandibular disorders (TMD), TMD pain, psychosocial impairment related to TMD, and postoperative pain. METHODS: A total of 90 patients with a diagnosis of painful TMD and 92 matched controls were investigated for the presence of TMD, TMD pain, and psychosocial variables by the Research Diagnostic Criteria for TMD. In a prospective cohort study of 40 subjects who underwent extraction of at least one fully impacted mandibular third molar, subjects had 6 months post-surgery follow-up of postoperative pain...
October 2016: Journal of Oral & Facial Pain and Headache
https://www.readbyqxmd.com/read/27755562/selenium-and-zinc-status-in-chronic-myofascial-pain-serum-and-erythrocyte-concentrations-and-food-intake
#6
João Araújo Barros-Neto, Adelmir Souza-Machado, Durval Campos Kraychete, Rosangela Passos de Jesus, Matheus Lopes Cortes, Michele Dos Santos Lima, Mariana Carvalho Freitas, Tascya Morganna de Morais Santos, Gustavo Freitas de Sousa Viana, José Antonio Menezes-Filho
INTRODUCTION: Nutritional disorders have been reported to be important causal factors that can intensify or cause a painful response in individuals with chronic musculoskeletal pain. AIM: To assess the habitual intake of and the serum and erythrocyte levels of selenium and zinc in patients with chronic myofascial pain. MATERIALS AND METHODS: A case-control study of 31 patients with chronic myofascial pain (group I) and 31 subjects without pain (group II)...
2016: PloS One
https://www.readbyqxmd.com/read/27752210/a-comparative-study-of-trigger-point-therapy-with-local-anaesthetic-0-5%C3%A2-bupivacaine-versus-combined-trigger-point-injection-therapy-and-levosulpiride-in-the-management-of-myofascial-pain-syndrome-in-the-orofacial-region
#7
Pranav Gupta, Virendra Singh, Sujata Sethi, Arun Kumar
AIM: To compare the efficacy of combined local anesthetic injection with 0.5 % bupivacaine and levosulpiride versus local anesthetic injection alone on outcome measures including levels of pain intensity and depression in the management of myofascial pain syndrome in orofacial region. PATIENTS AND METHODS: This was a prospective, randomized, controlled and open-label comparative clinical study. Seventy-four patients diagnosed to have myofascial pain syndrome and fulfilling the inclusion criteria were enrolled for the study...
September 2016: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/27737756/botulinum-toxin-type-a-for-the-treatment-of-head-and-neck-chronic-myofascial-pain-syndrome-a-systematic-review-and-meta-analysis
#8
REVIEW
Mohammad Khalifeh, Kalpesh Mehta, Nibu Varguise, Piedad Suarez-Durall, Reyes Enciso
BACKGROUND: The authors conducted a systematic review to study the efficacy of botulinum toxin type A (BoTN-A) in the treatment of myofascial pain syndrome. TYPES OF STUDIES REVIEWED: The authors identified randomized, double-masked, placebo-controlled studies on June 1, 2016, from PubMed, Web of Science, and the Cochrane Library. Three of the authors assessed the studies for risk of bias. Outcomes included pain reduction on a visual analog scale, the number of responders, and the posttreatment pain threshold to applied pressure using algometry...
December 2016: Journal of the American Dental Association
https://www.readbyqxmd.com/read/27713577/a-narrative-review-of-new-trends-in-the-diagnosis-of-myofascial-trigger-points-diagnostic-ultrasound-imaging-and-biomarkers
#9
John Z Srbely, Dinesh Kumbhare, Liza Grosman-Rimon
Myofascial pain syndrome (MPS) is one of the most common conditions of chronic musculoskeletal pain encountered by primary healthcare practitioners on a daily basis. It is generally accepted amongst the broad profile of healthcare practitioners treating MPS that the presence of discrete, palpable and tender nodules within the muscle, known as myofascial trigger points (MTrP), is necessary to confirm the diagnosis of MPS. Manual palpation is currently the most common technique used to detect MTrP, however, previous research has shown that the reliability of manual palpation for detecting MTrP is poor, and in our opinion unacceptably poor, leading to inconsistent diagnosis of MPS and poor patient outcomes...
September 2016: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/27679773/chronic-pelvic-pain-psychiatric-disorders-and-early-emotional-traumas-results-of-a-cross-sectional-case-control-study
#10
Flávia L Osório, Ana Carolina F Carvalho, Mariana F Donadon, André L Moreno, Omero Polli-Neto
AIM: To compare the prevalence of psychiatric disorders and early emotional traumas between women with chronic pelvic pain (CPP) and healthy women. METHODS: One hundred women in reproductive age, 50 of them had CPP (according to the criteria set by the International Association for Study of Pain), and 50 were considered healthy after the gynecological evaluation. The eligibility criteria were defined as follows: chronic or persistent pain perceived in the pelvis-related structures (digestive, urinary, genital, myofascial or neurological systems)...
September 22, 2016: World Journal of Psychiatry
https://www.readbyqxmd.com/read/27672341/thermal-temporal-summation-and-decay-of-after-sensations-in-temporomandibular-myofascial-pain-patients-with-and-without-comorbid-fibromyalgia
#11
Malvin N Janal, Karen G Raphael, Dane B Cook, David A Sirois, Lena Nemelivsky, Roland Staud
INTRODUCTION: Chronic myofascial temporomandibular disorders (TMD) may have multiple etiological and maintenance factors. One potential factor, central pain sensitization, was quantified here as the response to the temporal summation (TS) paradigm, and that response was compared between case and control groups. OBJECTIVES: As previous research has shown that fibromyalgia (FM) is diagnosed iñ20% of TMD patients, Aim 1 determined whether central sensitization is found preferentially in myofascial TMD cases that have orofacial pain as a regional manifestation of FM...
2016: Journal of Pain Research
https://www.readbyqxmd.com/read/27634087/myofascial-triggerpoint-release-mtr-for-treating-chronic-shoulder-pain-a-novel-approach
#12
Christopher-Marc Gordon, Frank Andrasik, Robert Schleip, Niels Birbaumer, Massimiliano Rea
BACKGROUND: This study comprehensively evaluated a myofascial triggerpoint release (MTR) technique for shoulder pain. METHODS: Twenty-three (from an initial sample of 25) patients experiencing shoulder pain received MTR, in four 10-min sessions over a period of 2 weeks, applied exclusively on the more painful shoulder, with assessments being recorded both before and after treatment (and for pain at 1 and 13 months). Measures of stiffness and elasticity were collected to monitor the process of therapy, while subjective measures of pain and objective measures of pressure pain thresholds tracked primary outcomes...
July 2016: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/27621541/the-effect-of-disocclusion-time-reduction-therapy-to-treat-chronic-myofascial-pain-a-single-group-interventional-study-with-3-year-follow-up-of-100-cases
#13
Prafulla Thumati, Roshan P Thumati
PURPOSE: The purpose of this study is to evaluate the longevity of reduced disclusion time in treating and removing myofascial pain dysfunction symptoms following the T-Scan-based, immediate complete anterior guidance development (ICAGD) coronoplasty. This measured occlusal adjustment has been shown to reduce the muscle hyperactivity of myofascial pain. METHODS: Myofascial pain symptomatic patients were recruited as per the diagnostic criteria for temporomandibular disorders (TMDs), including the clinical protocol and assessment instruments outlined by the international RDC/TMD consortium network (version: January 20, 2014) to assess the efficacy of reduced disclusion time in left and right lateral excursions to resolve the myofascial pain symptoms...
July 2016: Journal of Indian Prosthodontic Society
https://www.readbyqxmd.com/read/27617838/effects-of-myofascial-release-in-non-specific-chronic-low-back-pain-a-randomized-clinical-trial
#14
Maria Dolores Arguisuelas, Juan Francisco Lisón, Daniel Sánchez-Zuriaga, Isabel Martínez-Hurtado, Julio Doménech-Fernández
STUDY DESIGN: Double-blind, randomized parallel sham-controlled trial with concealed allocation and intention-to treat analysis. OBJECTIVE: To investigate the effects of an isolate Myofascial Release protocol (MFR) on pain, disability and fear- avoidance beliefs in patients with chronic low back pain (CLBP). SUMMARY OF BACKGROUND DATA: MFR is a form of manual medicine widely used by physiotherapists in the management of different musculoskeletal pathologies...
September 9, 2016: Spine
https://www.readbyqxmd.com/read/27583882/comparing-complementary-alternative-treatment-for-chronic-shoulder-pain-of-myofascial-origin-collateral-meridian-therapy-versus-local-tender-area-related-meridians-therapy
#15
Ru-Yu Pan, Yung-Chi Hsu, Chih-Shung Wong, Shinn-Long Lin, Tsung-Ying Li, Chen-Hwan Cherng, Shan-Chi Ko, Chun-Chang Yeh
The aim of this study was to compare the short-term outcomes between 2 different treatments for unilateral chronic shoulder pain of myofascial origin, that is, local tender area related meridians (LTARMs) treatment and collateral meridian therapy (CMT), which were performed 6 times over a period of 4 weeks.Seventy patients with unilateral shoulder pain of chronic myofascial origin were enrolled. The patients were randomly assigned to 2 different treatment groups: 1 group received CMT (n = 35) and the other received LTARM (n = 35)...
August 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27539992/change-in-health-related-quality-of-life-at-group-and-individual-levels-over-time-in-patients-treated-for-chronic-myofascial-neck-pain
#16
Marc Brodsky, Karen Spritzer, Ron D Hays, Ka-Kit Hui
BACKGROUND: This study evaluated change in health-related quality of life at the group and individual levels in a consecutive series of patients with chronic myofascial neck pain. METHODS: Fifty patients with chronic neck pain self-administered the Short Form-36 Version 2 (SF-36 v2) before treatment and 6 weeks later. Internal consistency reliability was estimated for the 8 scale scores and Mosier's formula was used to estimate reliability of the physical and mental health composite scores...
August 18, 2016: Journal of Evidence-based Complementary & Alternative Medicine
https://www.readbyqxmd.com/read/27537209/effectiveness-of-dry-needling-for-chronic-nonspecific-neck-pain-a-randomized-single-blinded-clinical-trial
#17
Ester Cerezo-Téllez, María Torres-Lacomba, Isabel Fuentes-Gallardo, Milagros Perez-Muñoz, Orlando Mayoral-Del-Moral, Enrique Lluch-Girbés, Luis Prieto-Valiente, Deborah Falla
Chronic neck pain attributed to a myofascial pain syndrome is characterized by the presence of muscle contractures referred to as myofascial trigger points. In this randomized, parallel-group, blinded, controlled clinical trial, we examined the effectiveness of deep dry needling (DDN) of myofascial trigger points in people with chronic nonspecific neck pain. The study was conducted at a public Primary Health Care Centre in Madrid, Spain, from January 2010 to December 2014. A total of 130 participants with nonspecific neck pain presenting with active myofascial trigger points in their cervical muscles were included...
September 2016: Pain
https://www.readbyqxmd.com/read/27525185/chronic-ucl-injury-a-multimodal-approach-to-correcting-altered-mechanics-and-improving-healing-in-a-college-athlete-a-case-report
#18
Rachel Patrick, Josh McGinty, Ann Lucado, Beth Collier
BACKGROUND: Ulnar collateral ligament (UCL) tears and associated Tommy Johns surgical intervention from excessive and poor quality pitching has increased immensely-with more college and professional pitchers undergoing the surgery in 2014 alone than in the 1990s as a whole.(1) Faulty mechanics developed at young ages are often well-engrained by the late adolescent years and the minimal healing ability of the largely avascular UCL often leads to delayed safe return to sport.(2). PURPOSE: The purpose of this case study was to describe an innovative, multimodal approach to conservative management of a chronic UCL injury in a college-aged baseball pitcher...
August 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27475508/myofascial-pain-mechanisms-to-management
#19
REVIEW
James Fricton
More than 100 million adults in the United States have chronic pain conditions, costing more than $500 billion annually in medical care and lost productivity. They are the most common reason for seeking health care, for disability and addiction, and the highest driver of health care costs. Myofascial pain is the most common condition causing chronic pain and can be diagnosed through identifying clinical characteristics and muscle palpation. Management is focused on integrating patient training in changing lifestyle risk factors with evidence-based treatment...
August 2016: Oral and Maxillofacial Surgery Clinics of North America
https://www.readbyqxmd.com/read/27472521/temporomandibular-disorder-diagnostic-groups-affect-outcomes-independently-of-treatment-in-patients-at-risk-for-developing-chronicity-a-2-year-follow-up-study
#20
Celeste Sanders, Angela Liegey-Dougall, Rob Haggard, Peter Buschang, Steve Karbowski, Richard Riggs, Robert J Gatchel
AIMS: To evaluate whether a biobehavioral intervention would be more effective than a self-care intervention or no intervention in reducing psychosocial distress, reducing pain, and improving functioning in patients with an acute myofascial temporomandibular disorder (m-TMD). METHODS: Participants (n = 435) were from community dental clinics in the Dallas-Fort Worth Metroplex who were seeking treatment for their acute TMD symptoms and were recruited between 2008 and 2013...
2016: Journal of Oral & Facial Pain and Headache
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