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https://www.readbyqxmd.com/read/29025044/international-consensus-on-diagnostic-criteria-and-clinical-considerations-of-myofascial-trigger-points-a-delphi-study
#1
César Fernández-de-Las-Peñas, Jan Dommerholt
Objective: There is no consensus on the essential diagnostic criteria for diagnosing a trigger point (TrP). In fact, a variety of diagnostic criteria are currently being used. Our aim was to conduct a Delphi panel to achieve an international consensus on the cluster of criteria needed for the TrP diagnosis to reach a consensus on the definition of active and latent TrPs and to clarify different clinical considerations about TrPs. Methods: Following international guidelines, an international three-round Delphi survey was conducted...
August 22, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29025041/trigger-points-pressure-pain-hyperalgesia-and-mechanosensitivity-of-neural-tissue-in-women-with-chronic-pelvic-pain
#2
Pedro Fuentes-Márquez, Marie Carmen Valenza, Irene Cabrera-Martos, Ana Ríos-Sánchez, Olga Ocón-Hernández
Objectives: This study aims to evaluate the presence of myofascial trigger points (TrPs), widespread pressure pain sensitivity, and mechanosensitivity of neural tissue in women with chronic pelvic pain. Design: Case-control study. Setting: Faculty of Health Sciences. Subjects: Forty women with chronic pelvic pain between age 18 and 60 years and 40 matched healthy controls were included in the study. Methods: TrPs were bilaterally explored in gluteus maximus, gluteus medius, gluteus minimus, quadratus lumborum, and adductor magnus muscles...
August 25, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/28993113/the-cognitive-impact-of-chronic-low-back-pain-positive-effect-of-multidisciplinary-pain-therapy
#3
Marcus Schiltenwolf, Michael Akbar, Eva Neubauer, Simone Gantz, Herta Flor, Andreas Hug, Haili Wang
OBJECTIVES: Little is known about the affected cognitive problems in chronic low back pain patients. For this patient cohort research mostly focused on memory of pain, rather than cognitive difficulties related to pain. Chronic pain may be associated with specific (yet undefined) cognitive deficits that affect everyday behaviour. We set out to compare the cognitive function of patients with chronic low back pain (cLBP) in the course of multidisciplinary pain treatments before and after therapy...
October 6, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/28990015/efficacy-of-the-twin-block-a-peripheral-nerve-block-for-the-management-of-chronic-masticatory-myofascial-pain-a-case-series
#4
Veena Kanti, Sowmya Ananthan, Gayathri Subramanian, Samuel Y P Quek
Masticatory myofascial pain is the one of the most common etiologies for nonodontogenic pain, often characterized by the presence of trigger points. Conventional management includes approaches such as jaw exercises, physical therapy, intraoral appliances, medications, and trigger point injections. Peripheral/regional nerve blocks have shown to be effective in managing myogenous pain conditions. The twin block is a nerve block that blocks both the masseteric and the anterior deep temporal nerves. The objective of this case series is to illustrate expeditious and sustained efficacy of the twin block in the management of chronic masticatory myofascial pain...
October 6, 2017: Quintessence International
https://www.readbyqxmd.com/read/28980273/specialized-pain-clinics-in-primary-care-common-diagnoses-referral-patterns-and-clinical-outcomes-novel-pain-management-model
#5
Yacov Fogelman, Eli Carmeli, Amir Minerbi, Baruch Harash, Simon Vulfsons
An estimated 19% of the adult population in western countries lives with chronic pain. Pain management lies mainly within the primary care and community setting. We evaluated the outcome of a new model of secondary care clinics, conducted by primary care physicians with specialized training in pain medicine. Data on referral patterns, prevalence of pain diagnosis, and medication consumption were recorded at five secondary pain management clinics in the community setting. In total, 997 patients with pain attended 2,652 visits (average 2...
October 5, 2017: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/28973049/headache-exacerbates-pain-characteristics-in-temporomandibular-disorders
#6
Yuri Martins Costa, Dayse Regina Alves da Costa, Ana Paula de Lima Ferreira, André Luís Porporatti, Peter Svensson, Paulo César Rodrigues Conti, Leonardo Rigoldi Bonjardim
AIMS: To evaluate the impact of headache in adults with masticatory myofascial pain (MMP) on the outcome variables clinical pain (ie, self-reported pain intensity and pressure pain sensitivity), sleep quality, and pain catastrophizing. METHODS: A total of 97 patients with MMP were diagnosed with co-existing headache (MMPH group, n = 50) or without headache (MMP group, n = 47) according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD)...
October 3, 2017: Journal of Oral & Facial Pain and Headache
https://www.readbyqxmd.com/read/28971042/extracorporeal-shock-wave-therapy-versus-trigger-point-injection-in-the-treatment-of-myofascial-pain-syndrome-in-the-quadratus-lumborum
#7
Jin Oh Hong, Joon Sang Park, Dae Geun Jeon, Wang Hyeon Yoon, Jung Hyun Park
OBJECTIVE: To compare the effectiveness of extracorporeal shock wave therapy (ESWT) and trigger point injection (TPI) for the treatment of myofascial pain syndrome in the quadratus lumborum. METHODS: In a retrospective study at our institute, 30 patients with myofascial pain syndrome in the quadratus lumborum were assigned to ESWT or TPI groups. We assessed ESWT and TPI treatment according to their affects on pain relief and disability improvement. The outcome measures for the pain assessment were a visual analogue scale score and pain pressure threshold...
August 2017: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28971041/characteristics-of-myofascial-pain-syndrome-of-the-infraspinatus-muscle
#8
Junbeom Kwon, Hyoung Seop Kim, Won Hyuk Chang, Chunung Park, Sang Chul Lee
OBJECTIVE: To report the characteristics of myofascial trigger points (MTrPs) in the infraspinatus muscle and evaluate the therapeutic effect of trigger-point injections. METHODS: Medical records of 297 patients (221 women; age, 53.9±11.3 years) with MTrPs in the infraspinatus muscle were reviewed retrospectively. Because there were 83 patients with MTrPs in both infraspinatus muscles, the characteristics of total 380 infraspinatus muscles with MTrPs (214 one side, 83 both sides) were investigated...
August 2017: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28966039/temporomandibular-disorder-otologic-implications-and-its-relationship-to-sleep-bruxism
#9
Bruno Gama Magalhães, Jaciel Leandro de Melo Freitas, André Cavalcanti da Silva Barbosa, Maria Cecília Scheidegger Neves Gueiros, Simone Guimarães Farias Gomes, Aronita Rosenblatt, Arnaldo de França Caldas Júnior
INTRODUCTION: Temporomandibular disorder is an umbrella term for various clinical problems affecting the muscles of mastication, temporomandibular joint and associated structures. This disorder has a multifactor etiology, with oral parafunctional habits considered an important co-factor. Among such habits, sleep bruxism is considered a causal agent involved in the initiation and/or perpetuation of temporomandibular disorder. That condition can result in pain otologic symptoms. OBJECTIVE: The aim of the present study was to investigate the relationship between temporomandibular disorder and both otologic symptoms and bruxism...
August 23, 2017: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/28956546/aspergillus-myofasciitis-in-a-chronic-granulomatous-disease-patient-first-case-report
#10
Guido Camanni, Alessio Sgrelli, Luigi Ferraro
Aspergillus myofasciitis is a rare infection of the muscles and their fascial sheaths that has been reported in patients with immune deficiencies of various kinds but, until now, not with chronic granulomatous disease (CGD). Patients affected by CGD are at high risk of invasive aspergillus infections. The case described involves a 14-year-old boy with a severe autosomal recessive CGD who was admitted to hospital with an Aspergillus myofasciitis of the left forearm. He was treated with liposomal amphotericin for 14 days and then with oral voriconazole for three months with an excellent clinical outcome...
September 1, 2017: Le Infezioni in Medicina
https://www.readbyqxmd.com/read/28956477/effectiveness-of-myofascial-release-in-treatment-of-chronic-musculoskeletal-pain-a-systematic-review
#11
Katri Laimi, Annika Mäkilä, Esa Bärlund, Niina Katajapuu, Airi Oksanen, Valpuri Seikkula, Jari Karppinen, Mikhail Saltychev
OBJECTIVE: To evaluate the evidence on the effectiveness of myofascial release therapy to relieve chronic musculoskeletal pain and to improve joint mobility, functioning level, and quality of life in pain sufferers. Data sources and review: Randomized controlled trials were systematically gathered from CENTRAL, Medline, Embase, CINAHL, Scopus, and PEDro databases. The methodological quality of articles was assessed according to the Cochrane Collaboration's domain-based framework. In addition, the effect sizes of main outcomes were calculated based on reported means and variances at baseline and in follow-up...
September 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28953647/predictive-value-of-brain-18f-fdg-pet-ct-in-macrophagic-myofasciitis-a-case-report
#12
Axel Van Der Gucht, Mukedaisi Abulizi, Paul Blanc-Durand, Mehdi Aoun-Sebaiti, Berivan Emsen, Romain K Gherardi, Antoine Verger, François-Jérôme Authier, Emmanuel Itti
RATIONALE: Although several functional studies have demonstrated that positron emission tomography/computed tomography with F-fluorodeoxyglucose (F-FDG PET/CT) appears to be efficient to identify a cerebral substrate in patients with known macrophagic myofasciitis (MMF), the predictive value of this imaging technique for MMF remains unclear. PATIENT CONCERNS: We presented data and images of a 46-year-old woman. DIAGNOSES: The patient was referred to our center for suspected MMF due to diffuse arthromyalgias and cognitive disorder (involving an impairment of visual selective attention and a weakness in executive functions revealed by neuropsychological assessment) which occurred few years after last vaccine injections...
September 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28952852/effects-of-self-myofascial-release-on-shoulder-function-and-perception-in-adolescent-tennis-players
#13
Julien Le Gal, Mickael Begon, Benoit Gillet, Isabelle Rogowski
CONTEXT: Tennis induces a decreased internal rotation range of motion at the dominant glenohumeral joint. The effects of self-myofascial release have not yet been investigated to restore glenohumeral range of motion. OBJECTIVE: This study aimed at investigating the effects of self-myofascial release on the shoulder function and perception in adolescent tennis players. DESIGN: Test-retest design. SETTING: Tennis training sport facilities...
September 27, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28952174/children-with-migraine-provocation-of-headache-via-pressure-to-myofascial-trigger-points-in-the-trapezius-muscle-a-prospective-controlled-observational-study
#14
M N Landgraf, J T Biebl, T Langhagen, I Hannibal, T Eggert, K Vill, L Gerstl, L Albers, R von Kries, A Straube, F Heinen
BACKGROUND: The objective was to evaluate a supposed clinical interdependency of myofascial trigger points and migraine in children. Such interdependency would support an interaction of spinal and trigeminal afferences in the trigemino-cervical complex as a contributing factor in migraine. METHODS: Children ≤18 years with the confirmed diagnosis of migraine were prospectively investigated. Comprehensive data on medical history, clinical neurological and psychological status were gathered...
September 26, 2017: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/28947688/-pathophysiology-and-treatment-of-orofacial-pain
#15
Masamichi Shinoda, Noboru Noma
"Pain" is one of body defense mechanisms and crucial for the life support. However, orofacial pain such as myofascial pain syndrome, burning mouth syndrome and trigeminal neuralgia plays no part in body defense mechanisms and requires therapeutic intervention. Recent studies have indicated that plastic changes in the activities of trigeminal neurons, satellite glial cells in trigeminal ganglion, secondary neurons, microglia and astrocytes in trigeminal spinal subnucleus following orofacial inflammation and trigeminal nerve injury are responsible for orofacial pain mechanisms...
2017: Clinical Calcium
https://www.readbyqxmd.com/read/28942118/carpal-tunnel-syndrome-effectiveness-of-physical-therapy-and-electrophysical-modalities-an-updated-systematic-review-of-randomized-controlled-trials
#16
REVIEW
Bionka M A Huisstede, Peter Hoogvliet, Thierry P C Franke, Manon S Randsdorp, Bart W Koes
OBJECTIVE: To review scientific literature studying the effectiveness of physical therapy and electrophysical modalities for carpal tunnel syndrome (CTS). DATA SOURCES: The Cochrane Library, PubMed, EMBASE, CINAHL, and PEDro. STUDY SELECTION: Two reviewers independently applied the inclusion criteria to select potential eligible studies. DATA EXTRACTION: Two reviewers independently extracted the data and assessed the methodological quality using the Cochrane Risk of Bias Tool...
September 20, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28934793/acupuncture-for-myofascial-pain-syndrome-a-network-meta-analysis-of-33-randomized-controlled-trials
#17
Xiuxia Li, Rong Wang, Xin Xing, Xiue Shi, Jinhui Tian, Jun Zhang, Long Ge, Jingyun Zhang, Lun Li, Kehu Yang
BACKGROUND: Acupuncture techniques are commonly used as initial treatments for myofascial pain syndrome. OBJECTIVE: This study aimed to assess and compare the efficacy and safety of different techniques of acupuncture for myofascial pain syndrome. STUDY DESIGN: Network meta-analysis. SETTING: All selected studies were randomized controlled trials (RCTs). METHODS: The Cochrane Central Register of Controlled Trials, PubMed, Web of Science, EMBASE, and Chinese Biomedical Literature Database were searched from their inceptions to February 2016...
September 2017: Pain Physician
https://www.readbyqxmd.com/read/28934634/comparison-of-shoulder-strength-in-males-with-and-without-myofascial-trigger-points-in-the-upper-trapezius
#18
H A Kim, U J Hwang, S H Jung, S H Ahn, J H Kim, O Y Kwon
BACKGROUND: This study was conducted in order to compare the strength of scapular elevator and shoulder abductor with and without restricted scapular elevation between male subjects with and without myofascial trigger points in the upper trapezius. METHODS: In total, 15 male subjects with myofascial trigger points, and 15age- and weight-matched male subjects without myofascial trigger points in the upper trapezius. Each subject was measured in the strength of maximum isometric scapular elevation and shoulder abduction with and without restricted scapular elevation...
September 6, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/28926414/exploration-of-quantitative-sensory-testing-in-latent-trigger-points-and-referred-pain-areas
#19
Silvia Ambite-Quesada, José L Arías-Buría, Carol A Courtney, Lars Arendt-Nielsen, César Fernández-de-Las-Peñas
OBJECTIVE: To investigate somato-sensory nerve fibre function by applying different quantitative sensory testing including thermal, mechanical and vibration thresholds over latent trigger points (TrP) and in its associated referred pain area. METHODS: A total of 20 subjects with unilateral latent TrPs in the extensor carpi radialis brevis were included. Warmth detection threshold (WDT), cold detection threshold CDT) and heat/cold pain thresholds (HPT, CPT), mechanical detection (MDT) and pain (MPT) thresholds, vibration threshold (VT), and pressure pain thresholds (PPT) were blinded assessed over the TrP, in the referred pain area, and in the respective contra-lateral mirror areas...
September 29, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28923050/dry-needling-in-a-manual-physiotherapy-and-therapeutic-exercise-protocol-for-patients-with-chronic-mechanical-shoulder-pain-of-unspecific-origin-a-protocol-for-a-randomized-control-trial
#20
Emma Tejera-Falcón, Nuria Del Carmen Toledo-Martel, Francisco Manuel Sosa-Medina, Fátima Santana-González, Miriam Del Pino Quintana-de la Fe, Tomás Gallego-Izquierdo, Daniel Pecos-Martín
BACKGROUND: Shoulder pain of musculoskeletal origin is the main cause of upper limb pain of non-traumatic origin. Despite being one of the most common reasons for consultation, there is no established protocol for treatment due to the complexity of its etiology. However, it has been shown that the presence of myofascial trigger points on the shoulder muscles is a common condition associated with patients suffering from shoulder pain. This protocol has been created which describes the design of a randomized controlled trial to evaluate the effectiveness of the inclusion of dry needling (DN) within a protocol of manual physiotherapy and therapeutic exercise in the treatment of chronic shoulder pain of unspecific origin...
September 18, 2017: BMC Musculoskeletal Disorders
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