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https://www.readbyqxmd.com/read/29445517/autonomic-components-of-complex-regional-pain-syndrome-crps-are-favourably-affected-by-electrical-twitch-obtaining-intramuscular-stimulation-etoims-effects-on-blood-pressure-and-heart-rate
#1
Jennifer Chu, Frans Bruyninckx, Duncan V Neuhauser
Introduction: Favourable pain relief results on evoking autonomous twitches at myofascial trigger points with Electrical Twitch Obtaining Intramuscular Stimulation (ETOIMS). Aim: To document autonomic nervous system (ANS) dysfunction in Complex Regional Pain Syndrome (CRPS) from blood pressure (BP) and pulse/heart rate changes with ETOIMS. Methods and materials: A patient with persistent pain regularly received serial ETOIMS sessions of 60, 90, 120 or ≥150 min over 24 months...
July 2017: BMJ Innovations
https://www.readbyqxmd.com/read/29444277/pathophysiology-and-management-of-abdominal-myofascial-pain-syndrome-amps-a-three-year-prospective-audit-of-a-management-pathway-in-120-patients
#2
Gopinath Niraj
Background: Chronic abdominal wall pain arising from the myofascial structures is termed abdominal myofascial pain syndrome and is an important cause of refractory abdominal pain that utilizes significant health care costs. The current literature is vague on its management. Design: The author presents a prospective audit of a structured management pathway and discusses the pathophysiology of abdominal myofascial pain syndrome. The objective was to identify an effective and durable treatment for the individual patient and evaluate patient satisfaction with the management pathway...
February 9, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29437773/autoimmune-fasciitis-triggered-by-the-anti-programmed-cell-death-1-monoclonal-antibody-nivolumab
#3
Matthew Js Parker, Mark E Roberts, Paul C Lorigan, Daniel G du Plessis, Hector Chinoy
A 43-year-old woman with a history of recently diagnosed metastatic melanoma was commenced on systemic therapy with nivolumab, an anti-programmed cell death-1 monoclonal antibody and one of an increasing group of the so-called 'immune checkpoint inhibitors'. She experienced a dramatic complete response within 6 months of initiation. However, in addition to developing incident autoimmune hypothyroidism, she also developed progressive fatigue, proximal weakness, myalgia and dysphagia. Initial investigations with blood tests, electrophysiology and a muscle biopsy were non-specific or normal...
February 8, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29420573/prevalence-of-diagnosed-temporomandibular-disorders-a-cross-sectional-study-in-brazilian-adolescents
#4
Fernanda Mara de Paiva Bertoli, Carolina Dea Bruzamolin, Eduardo Pizzatto, Estela Maris Losso, João Armando Brancher, Juliana Feltrin de Souza
BACKGROUND: The prevalence of signs and symptoms of temporomandibular disorders (TMD) increases during adolescence and adulthood. Few studies have examined TMD prevalence in Brazilian adolescents. AIM: To investigate the prevalence of TMD in Brazilian adolescents. METHODS: A representative population-based sample of 934 adolescents (10-14-years-old) was examined. TMD screening was performed using a questionnaire by the American Academy of Orofacial Pain...
2018: PloS One
https://www.readbyqxmd.com/read/29420391/clinical-management-of-endometriosis
#5
Tommaso Falcone, Rebecca Flyckt
Endometriosis is a common and challenging condition of reproductive-aged women that carries a high individual and societal cost. The many molecular dissimilarities between endometriosis lesions and eutopic endometrium create difficulties in the development of new drug therapies and treatments. Surgery remains the gold standard for definitive diagnosis, but it must be weighed against the risks of surgical morbidity and potential decreases in ovarian reserve, especially in the case of endometriomas. Safe and effective surgical techniques are discussed within this article for various presentations of endometriosis...
February 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29409817/botulinum-toxin-treatment-of-pain-syndromes-an-evidence-based-review
#6
Yasaman Safarpour, Bahman Jabbari
This review evaluates the existing level of evidence for efficacy of BoNTs in different pain syndromes using the recommended efficacy criteria from the Assessment and Therapeutic Subcommittee of the American Academy of Neurology. There is a level A evidence (effective) for BoNT therapy in post-herpetic neuralgia, trigeminal neuralgia, and posttraumatic neuralgia. There is a level B evidence (probably effective) for diabetic neuropathy, plantar fasciitis, piriformis syndrome, pain associated with total knee arthroplasty, male pelvic pain syndrome, chronic low back pain, male pelvic pain, and neuropathic pain secondary to traumatic spinal cord injury...
January 31, 2018: Toxicon: Official Journal of the International Society on Toxinology
https://www.readbyqxmd.com/read/29406997/subcutaneous-accessory-pain-system-saps-a-novel-pain-pathway-for-myofascial-trigger-points
#7
Haytham Eloqayli
Despite the accumulating neuro-physiological evidence of myofascial pain, many clinicians are skeptical about its existence as a separate disease entity. No single theory can fully explain the four cardinal features of MPS; taut bands, local tenderness, local twitching and the characteristic pattern of referred pain. Bridging the gap between basic and clinical knowledge mandates coupling the local trigger point changes with the clinically seen distant somatically innervated referred pain. The main question addressed by the present theory is why do trigger points behave differently in comparison to the surrounding muscle tissue and are trigger points the primary problem or secondary to a primary pathology...
February 2018: Medical Hypotheses
https://www.readbyqxmd.com/read/29405762/the-distinction-of-hot-herbal-compress-hot-compress-and-topical-diclofenac-as-myofascial-pain-syndrome-treatment
#8
Jurairat Boonruab, Netraya Nimpitakpong, Watchara Damjuti
This randomized controlled trial aimed to investigate the distinctness after treatment among hot herbal compress, hot compress, and topical diclofenac. The registrants were equally divided into groups and received the different treatments including hot herbal compress, hot compress, and topical diclofenac group, which served as the control group. After treatment courses, Visual Analog Scale and 36-Item Short Form Health survey were, respectively, used to establish the level of pain intensity and quality of life...
January 2018: J Evid Based Integr Med
https://www.readbyqxmd.com/read/29395449/do-signs-of-an-effusion-of-the-temporomandibular-joint-on-magnetic-resonance-imaging-correlate-with-signs-and-symptoms-of-temporomandibular-joint-disease
#9
N Thomas, D E Harper, S Aronovich
Effusions are common among patients with disorders of the temporomandibular joint (TMJ), but publications are limited and results inconsistent about the correlation between them and important clinical variables, in particular severity of pain and degenerative disease. We organised a retrospective study of patients who presented for the evaluation and management of arthralgia of the TMJ and myofascial pain at the University of Michigan between 2011 and 2014. Inclusion criteria were: patients who had pain that was primarily arthrogenous, and coexisting myogenous pain, who had had initial non-surgical treatment, and arthroscopy of the TMJ with or without intramuscular injection of onabotulinumtoxinA (Botox,® Allegan, Weston, Fl, USA)...
January 25, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29392210/corticospinal-excitability-as-a-biomarker-of-myofascial-pain-syndrome
#10
Aurore Thibaut, Dian Zeng, Wolnei Caumo, Jianhua Liu, Felipe Fregni
Introduction: Myofascial pain syndrome (MPS) is a common chronic pain disorder that lacks effective diagnostic criteria. To better understand neurophysiological changes in chronic pain, several trials exploring corticospinal excitability in different populations of patients with chronic pain have been performed. Objectives: In this systematic review, we aimed to investigate the current literature on MPS and intracortical disinhibition, by means of increased intracortical facilitation and decreased intracortical inhibition (ICI)...
May 2017: Pain Reports (Baltimore, Md.)
https://www.readbyqxmd.com/read/29373060/comparison-of-compressive-myofascial-release-and-the-graston-technique-for-improving-ankle-dorsiflexion-range-of-motion
#11
Justin Stanek, Taylor Sullivan, Samantha Davis
CONTEXT: Restricted dorsiflexion (DF) at the ankle joint can cause acute and chronic injuries at the ankle and knee. Myofascial release and instrument-assisted soft tissue mobilization (IASTM) techniques have been used to increase range of motion (ROM); however, evidence directly comparing their effectiveness is limited. OBJECTIVE: To compare the effects of a single session of compressive myofascial release (CMR) or IASTM using the Graston Technique (GT) on closed chain ankle-DF ROM...
January 26, 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29367122/clinical-classification-criteria-for-nonspecific-low-back-pain-a-delphi-survey-of-clinical-experts
#12
Vincent Dewitte, Robby De Pauw, Kayleigh De Meulemeester, Wim Peersman, Lieven Danneels, Katie Bouche, Arne Roets, Barbara Cagnie
BACKGROUND: Nonspecific low back pain (NSLBP) is a common problem. Attempts have been made to classify NSLBP patients into homogenous subgroups. Classification systems based on identifying the underlying mechanism(s) driving the disorder are clinically useful to guide specific interventions. OBJECTIVE: To establish consensus among experts regarding clinical criteria suggestive of a dominance of 'articular', 'myofascial', 'neural', 'central', and 'sensorimotor control' dysfunction patterns (DPs) in NSLBP patients...
January 8, 2018: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/29364040/comparison-of-upper-trapezius-and-infraspinatus-myofascial-trigger-point-therapy-by-dry-needling-in-overhead-athletes-with-unilateral-shoulder-impingement-syndrome
#13
Fahimeh Kamali, Ehsan Sinaei, Maryam Morovati
CONTEXT: Chronic musculoskeletal disorders in shoulder joint are often associated with myofascial trigger points (MTrP), particularly in the upper trapezius (UT) muscle. Dry needling (DN) is a treatment of choice for myofascial pain syndrome. However, local lesions and severe post-needle soreness sometimes hamper the direct application of DN in the UT. Therefore, finding an alternative point of treatment seems useful in this regard. OBJECTIVE: To compare the efficacy of UT versus infraspinatus (ISP) DN on pain and disability of subjects with shoulder pain...
January 24, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29354923/-new-opinion-on-the-mechanism-of-dazhu-bl-11-for-gonalgia-with-flexion-extension-dysfunction
#14
Hang Xing, Wannian Peng
The effect of Dazhu (BL 11) for gonalgia with flexion-extension dysfunction is remarkable, and its mechanism of action is interpreted as the influential point of bone treating bone diseases. However, through the exploration of a variety of literature, the relevant classical research, the views of senior experts, and combined with the author's experience, we put forward some new ideas and views for reference. Through in-depth analysis about pathogenesis of gonalgia with flexion-extension dysfunction and the functional attributes of Dazhu (BL 11), combining meridian tendons differentiation and myofascial meridians, we consider that Dazhu (BL 11), with its unique "location" advantage, plays the role of regulating multiple viscera, meridians, meridian tendons and myofascial meridians, which is the mechanism for gonalgia with flexion-extension dysfunction...
September 12, 2017: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/29348655/the-headache-of-temporomandibular-disorders
#15
J Virdee
This article endeavours to revise the key guidance and evidence on temporomandibular disorders (TMD), with a particular focus on myofascial pain. It highlights the important role that primary care dental practitioners play in providing holistic care during the patient's journey to manage this painful condition. I hope to give an insight into my own personal experiences to highlight the challenges patients can face in seeking appropriate support.
January 19, 2018: British Dental Journal
https://www.readbyqxmd.com/read/29346490/composition-architecture-and-functional-implications-of-the-connective-tissue-network-of-the-extraocular-muscles
#16
Linda K McLoon, André Vicente, Krysta R Fitzpatrick, Mona Lindström, Fatima Pedrosa Domellöf
Purpose: We examined the pattern and extent of connective tissue distribution in the extraocular muscles (EOMs) and determined the ability of the interconnected connective tissues to disseminate force laterally. Methods: Human EOMs were examined for collagens I, III, IV, and VI; fibronectin; laminin; and elastin using immunohistochemistry. Connective tissue distribution was examined with scanning electron microscopy. Rabbit EOMs were examined for levels of force transmission longitudinally and transversely using in vitro force assessment...
January 1, 2018: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/29343984/appropriateness-of-sham-or-placebo-acupuncture-for-randomized-controlled-trials-of-acupuncture-for-nonspecific-low-back-pain-a-systematic-review-and-meta-analysis
#17
Yan Xiang, Jinyuan He, Rui Li
Objectives: To establish whether sham acupuncture (SA) or placebo acupuncture (PA) is more efficacious for reducing low back pain (LBP) than other routine treatments and to discuss whether SA or PA is appropriate for randomized controlled trials of acupuncture for LBP. Methods: Six databases were searched on 31 May 2017. We included only randomized controlled trials of adults with LBP and lower back myofascial pain syndrome. The studies had at least two control arms: a sham-controlled acupuncture arm and a routine care or waiting list arm (people who did not receive acupuncture until the end of treatment)...
2018: Journal of Pain Research
https://www.readbyqxmd.com/read/29338489/multimodal-physiotherapy-treatment-based-on-a-biobehavioral-approach-for-patients-with-chronic-cervico-craniofacial-pain-a-prospective-case-series
#18
Fernando Marcos-Martín, Luis González-Ferrero, Noelia Martín-Alcocer, Alba Paris-Alemany, Roy La Touche
The purpose of this prospective case series was to observe and describe changes in patients with chronic cervico-craniofacial pain of muscular origin treated with multimodal physiotherapy based on a biobehavioral approach. Nine patients diagnosed with chronic myofascial temporomandibular disorder and neck pain were treated with 6 sessions over the course of 2 weeks including: (1) orthopedic manual physiotherapy (joint mobilizations, neurodynamic mobilization, and dynamic soft tissue mobilizations); (2) therapeutic exercises (motor control and muscular endurance exercises); and (3) patient education...
January 17, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29336283/headaches-and-facial-pain-in-rhinology
#19
Asitha D L Jayawardena, Rakesh Chandra
"Sinus headache" is a common chief complaint that often leads patients to an otolaryngologist's office. Because facial pain may or may not be sinogenic in origin, the otolaryngologist should be equipped to evaluate and treat or to appropriately refer these patients. Analysis of current data indicates that the majority of patients who present with sinus headaches actually have migraines. Furthermore, the downstream effect of the cytokine cascade initiated in migraine physiology can cause rhinologic symptoms, including rhinorrhea, congestion, and lacrimation, which may also confound diagnosis...
January 1, 2018: American Journal of Rhinology & Allergy
https://www.readbyqxmd.com/read/29336129/somatic-tinnitus
#20
REVIEW
Massimo Ralli, Antonio Greco, Fabrizio Cialente, Arianna Di Stadio, Lucia Longo, Andrea Ciofalo, Rosaria Turchetta, Giancarlo Cianfrone, Marco de Vincentiis
Modulation of tinnitus characteristics such as pitch and loudness has been extensively described following movements of the head, neck and limbs, vertical or horizontal eye gaze, pressure on myofascial trigger points, cutaneous stimulation of the hands, electrical stimulation of the median nerve, and transcranial direct current stimulation. Modulation of tinnitus follows complex interactions between auditory and somatosensory afferents and can be favored by underlying somatic disorders. When tinnitus appears to be preceded or strictly linked to a somatic disorder, and therefore related to problems of the musculoskeletal system rather than of the ear, it is defined somatic tinnitus...
December 1, 2017: International Tinnitus Journal
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