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https://www.readbyqxmd.com/read/29775120/successful-improvement-of-pain-symptomatology-in-a-suspected-case-of-cramp-fasciculation-syndrome-via-interventional-pain-treatment
#1
Anita Gupta, Lucas First, Celeste A Swain
Peripheral nerve hyperexcitability (PNH) syndromes are a rare set of neuromuscular disorders that include cramp-fasciculation syndrome (CFS) and Isaacs syndrome (IS). Successful treatment of these diseases has been achieved with antiepileptic medications; however, chronic pain symptoms can persist. We provide a case report of a 25-year-old female who has suffered from painful severe muscle spasms and fasciculations since childhood. With CFS as our working diagnosis, a treatment regimen using interventional pain techniques, including sympathetic chain blocks, ketamine infusions, and trigger point injections, resulted in a significant decrease in the patient's chronic pain symptoms...
May 18, 2018: Journal of Pain & Palliative Care Pharmacotherapy
https://www.readbyqxmd.com/read/29762446/prospective-analysis-of-the-greater-occipital-nerve-location-in-patients-undergoing-occipital-nerve-decompression
#2
Jacqueline S Israel, Steve J Kempton, Ahmed M Afifi
BACKGROUND: Migraine surgery and onabotulinumtoxinA injections aim to deactivate neurovascular trigger points implicated in chronic headaches. The greater occipital nerve (GON) is a common trigger point. The depth of this nerve has not been previously described. The purpose of this study was to report the intraoperative location, including depth, of the GON in human subjects undergoing migraine surgery. METHODS: We reviewed records of patients who underwent GON decompression by a single surgeon...
May 14, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29757068/physiotherapy-interventions-for-patients-with-chronic-pelvic-pain-a-systematic-review-of-the-literature
#3
Pedro Fuentes-Márquez, Irene Cabrera-Martos, Marie Carmen Valenza
OBJECTIVE: To summarize the available scientific evidence on physiotherapy interventions in the management of chronic pelvic pain (CPP). DATA SOURCES: A systematic review of randomized controlled trials was performed. An electronic search of MEDLINE, CINAHL, and Web of Science databases was performed to identify relevant randomized trials from 2010-2016. STUDY SELECTION: Manuscripts were included if at least one of the comparison groups received a physiotherapy intervention...
May 14, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29740386/effectiveness-of-trigger-point-manual-treatment-on-the-frequency-intensity-and-duration-of-attacks-in-primary-headaches-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#4
Luca Falsiroli Maistrello, Tommaso Geri, Silvia Gianola, Martina Zaninetti, Marco Testa
Background: A variety of interventions has been proposed for symptomatology relief in primary headaches. Among these, manual trigger points (TrPs) treatment gains popularity, but its effects have not been investigated yet. Objective: The aim was to establish the effectiveness of manual TrP compared to minimal active or no active interventions in terms of frequency, intensity, and duration of attacks in adult people with primary headaches. Methods: We searched MEDLINE, COCHRANE, Web Of Science, and PEDro databases up to November 2017 for randomized controlled trials (RCTs)...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29733749/real-time-dynamics-of-neutrophil-clustering-in-response-to-phototoxicity-induced-cell-death-and-tissue-damage-in-mouse-ear-dermis
#5
Sang A Park, Young Ho Choe, Eunji Park, Young-Min Hyun
Neutrophils are highly motile innate immune cells; they actively migrate in response to inflammatory signals. Using two-photon intravital microscopy, we discovered that neutrophils form stable clusters upon phototoxicity at a certain threshold. Without significant damage to the collagen structure of mouse dermis, neutrophils aggregated together with nearby neutrophils. Surprisingly, this in situ neutrophil clustering resulted in rigorous changes of migratory direction. The density of residing neutrophils was also a critical factor affecting clustering...
May 7, 2018: Cell Adhesion & Migration
https://www.readbyqxmd.com/read/29722319/dry-needling-at-myofascial-trigger-points-mitigates-chronic-post-stroke-shoulder-spasticity
#6
Li Tang, Yan Li, Qiang-Min Huang, Yang Yang
Post-stroke spasticity is associated with restriction in the range of motion of the shoulder. Reducing muscular dystrophy may help relieve muscular dysfunction in patients with post-stroke shoulder spasticity. Dry needle therapy is a method of needling the trigger points using a syringe needle without the use of a drug. Dry needle therapy is commonly used for pain at the shoulder, neck, waist, and back. In this case study, a 62-year-old male patient affected with cerebral hemorrhage of the right frontal lobe had received rehabilitative treatment for 12 years...
April 2018: Neural Regeneration Research
https://www.readbyqxmd.com/read/29720379/effectiveness-of-dry-needling-of-rectus-abdominis-trigger-points-for-the-treatment-of-primary-dysmenorrhoea-a-randomised-parallel-group-trial
#7
Alberto Gaubeca-Gilarranz, César Fernández-de-Las-Peñas, José Raúl Medina-Torres, José M Seoane-Ruiz, Aurelio Company-Palonés, Joshua A Cleland, Jose L Arias-Buría
OBJECTIVE: To compare the effectiveness of trigger point dry needling (TrP-DN) versus placebo needling, relative to an untreated control group, on pain and quality of life in primary dysmenorrhoea. METHODS: In this randomised, single blind, parallel-group trial, 56 females with primary dysmenorrhoea were randomly allocated to TrP-DN (n=19), placebo needling (n=18) or no treatment (n=19). Patients in both groups were asked to undertake a stretching exercise of the rectus abdominis daily...
May 2, 2018: Acupuncture in Medicine: Journal of the British Medical Acupuncture Society
https://www.readbyqxmd.com/read/29718418/the-effectiveness-of-dry-needling-and-exercise-therapy-in-patients-with-dizziness-caused-by-cervical-myofascial-pain-syndrome-prospective-randomized-clinical-study
#8
Tugba Aydin, Bahar Dernek, Tülin Sentürk Ege, Ayse Karan, Cihan Aksoy
Objective: The aim of this study is to compare the effectiveness of dry needling therapy combined with exercise and exercise treatment alone for alleviating the dizziness caused by cervical myofascial pain syndrome. Design: This was a prospective randomized clinical study that included 61 women who had dizziness and myofascial trigger points on the neck muscles. The patients were randomized into a dry needling + exercise group (N = 31) and an exercise only group (N = 30)...
April 28, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29717675/quantitative-ultrasound-using-texture-analysis-of-myofascial-pain-syndrome-in-the-trapezius
#9
Dinesh A Kumbhare, Sara Ahmed, Michael G Behr, Michael D Noseworthy
Objective-The objective of this study is to assess the discriminative ability of textural analyses to assist in the differentiation of the myofascial trigger point (MTrP) region from normal regions of skeletal muscle. Also, to measure the ability to reliably differentiate between three clinically relevant groups: healthy asymptomatic, latent MTrPs, and active MTrP. Methods-18 and 19 patients were identified with having active and latent MTrPs in the trapezius muscle, respectively. We included 24 healthy volunteers...
2018: Critical Reviews in Biomedical Engineering
https://www.readbyqxmd.com/read/29713403/efficacy-of-trigger-point-injections-in-patients-with-lumbar-disc-hernia-without-indication-for-surgery
#10
Bahar Dernek, Levent Adiyeke, Tahir Mutlu Duymus, Akın Gokcedag, Fatma Nur Kesiktas, Cihan Aksoy
Study Design: Prospective comparative study. Purpose: To investigate the efficacy of gluteal trigger point (TP) injections with prilocaine in patients with lumbosacral radiculopathy complaining of gluteal pain. Overview of Literature: TP injections can be performed using several anesthetic agents, primarily lidocaine and prilocaine. While several studies have used lidocaine, few have used prilocaine. Methods: A total of 65 patients who presented at the polyclinic with complaints of lower back pain with lumbar disc herniation (based on physical examination and magnetic resonance imaging) and TPs in the gluteal region were included in this prospective comparative study...
April 2018: Asian Spine Journal
https://www.readbyqxmd.com/read/29709524/evidence-of-generalized-muscle-stiffness-in-the-presence-of-latent-trigger-points-within-infraspinatus
#11
Patrick J Grabowski, Laura C Slane, Darryl G Thelen, Travis Obermire, Kenneth S Lee
OBJECTIVE: To evaluate stiffness of infraspinatus muscle tissue, both with and without latent trigger points, using ultrasound shear wave elastography. The primary hypothesis is that muscle with a latent trigger point will demonstrate a discrete region of increased shear wave speed. The secondary hypothesis is that shear wave speeds in the region with the trigger point will be higher in patients compared with controls, and will be similar between the two groups in the uninvolved regions...
April 27, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29708766/effect-of-soft-tissue-techniques-on-headache-impact-disability-and-quality-of-life-in-migraine-sufferers-a-pilot-study
#12
Gemma-Victoria Espí-López, Maria-Arantzazu Ruescas-Nicolau, Cristina Nova-Redondo, Josep C Benítez-Martínez, Pierre-Michel Dugailly, Deborah Falla
OBJECTIVE: To determine the efficacy of suboccipital inhibitory techniques in people with migraine compared with a control treatment based on myofascial trigger point (MTrP) therapy and stretching. DESIGN: A randomized, double-blind controlled pilot trial was conducted. SETTINGS/LOCATION: University research laboratory. SUBJECTS: Forty-six adults diagnosed with migraine with over 6 months duration. INTERVENTIONS: Participants were randomized to receive either combined MTrP therapy and stretching (control group) or the control treatment plus suboccipital soft tissue inhibition (experimental group)...
April 30, 2018: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/29692327/evaluation-of-the-effects-of-occlusal-splint-trigger-point-injection-and-arthrocentesis-in-the-treatment-of-internal-derangement-patients-with-myofascial-pain-disorders
#13
Itır Şebnem Bilici, Yusuf Emes, Buket Aybar, Serhat Yalçın
PURPOSE: In temporomandibular disorders (TMDs), unless splints are effective, combined therapies are performed. The aim of this study is to show the effectiveness of the local anaesthethic injections (trigger point injections) to the masticatory muscles. MATERIALS AND METHODS: The study was composed of TMD patients and the predictor variables were therapy combinations including stabilization splint (SS) therapy, SS+trigger point injection therapy (TPI) and arthrocentesis...
March 31, 2018: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29686165/-chronic-low-back-pain-associated-with-gluteus-medius-muscle-a-case-report
#14
Kazunori Oda, Kyongsong Kim, Rinko Kokubo, Daijiro Morimoto, Takao Kitamura, Toyohiko Isu, Akio Morita
The clinical features and etiology of low back pain(LBP)and buttock pain(BuP)has been poorly understood. We report a case of long-term BuP that was successfully treated with gluteus medius muscle(GMeM)decompression under local anesthesia. A 71-year-old man was referred to our hospital because of long-term BuP and claudication. Left BuP that radiated to the left thigh was observed. The pain was mostly triggered by palpation at the middle of the iliac crest and greater trochanter. Lumbar and pelvic radiograms showed no significant lesions...
April 2018: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/29681188/improvement-in-clinical-outcomes-after-dry-needling-versus-myofascial-release-on-pain-pressure-thresholds-quality-of-life-fatigue-pain-intensity-quality-of-sleep-anxiety-and-depression-in-patients-with-fibromyalgia-syndrome
#15
Adelaida M Castro Sánchez, Hector García López, Manuel Fernández Sánchez, José Manuel Pérez Mármol, María Encarnación Aguilar-Ferrándiz, Alejandro Luque Suárez, Guillermo Adolfo Matarán Peñarrocha
PURPOSE: To compare the effectiveness of dry needling versus myofascial release on myofascial trigger points pain in cervical muscles, quality of life, impact of symptoms pain, quality of sleep, anxiety, depression, and fatigue in patients with fibromyalgia syndrome. METHOD: A single-blind randomized controlled trial was conducted. Sixty-four subjects with fibromyalgia were randomly assigned to a dry needling group or a myofascial release group. Pain pressure thresholds of myofascial trigger points were evaluated in the cervical muscles...
April 23, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29656623/superior-and-middle-cluneal-nerve-entrapment-as-a-cause-of-low-back-pain
#16
REVIEW
Toyohiko Isu, Kyongsong Kim, Daijiro Morimoto, Naotaka Iwamoto
Low back pain (LBP) is encountered frequently in clinical practice. The superior and the middle cluneal nerves (SCN and MCN) are cutaneous nerves that are purely sensory. They dominate sensation in the lumbar area and the buttocks, and their entrapment around the iliac crest can elicit LBP. The reported incidence of SCN entrapment (SCN-E) in patients with LBP is 1.6%-14%. SCN-E and MCN entrapment (MCN-E) produce leg symptoms in 47%-84% and 82% of LBP patients, respectively. In such patients, pain is exacerbated by lumbar movements, and the symptoms mimic radiculopathy due to lumbar disorder...
March 2018: Neurospine
https://www.readbyqxmd.com/read/29621041/transvaginal-trigger-point-injections-improve-pain-scores-in-women-with-pelvic-floor-hypertonicity-and-pelvic-pain-conditions
#17
Jamie Bartley, Esther Han, Priyanka Gupta, Natalie Gaines, Kim A Killinger, Judith A Boura, Morgan Farrah, Jason Gilleran, Larry T Sirls, Kenneth M Peters
OBJECTIVES: Chronic pelvic pain in women often requires multimodal treatment regimens. We describe our method of transvaginal trigger point injections (TPIs) and report outcomes using change in pain scores. METHODS: This was a retrospective review of women treated with in-office pelvic floor muscle injections from January 2012 to August 2015. Lidocaine 1% and 2%, bupivacaine 0.5%, or ropivacaine 0.5% with or without the addition of triamcinolone 40 mg was used for the injections...
April 4, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29618110/identification-of-myofascial-trigger-points-in-breast-cancer-survivors-with-upper-limb-pain-interrater-reliability
#18
An De Groef, Marijke Van Kampen, Evi Dieltjens, Sophie De Geyter, Lore Vos, Tessa De Vrieze, Inge Geraerts, Nele Devoogdt
Objective: Despite the increasing awareness of the contribution of myofascial dysfunctions to upper limb pain in breast cancer survivors, reliability of the identification of myofascial trigger points (MTPs) in this population has not yet been investigated. Therefore, the aim of the present study was to investigate the interrater reliability of the identification of MTPs by palpation at the upper limb region in breast cancer survivors with upper limb pain. Design: Interrater reliability study...
November 22, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29589778/physiotherapy-management-of-patients-with-chronic-pelvic-pain-cpp-a-systematic-review
#19
Susanne G R Klotz, Mila Schön, Gesche Ketels, Bernd Löwe, Christian A Brünahl
INTRODUCTION: Chronic pelvic pain (CPP) is a common pain condition. However, treatment remains challenging. Musculoskeletal findings are frequent; therefore physiotherapy might be helpful. The purpose of this review was to evaluate the current evidence on physiotherapy in patients with CPP (PROSPERO registration number CRD42016037516). METHODS: Six databases were searched and additional hand searches were performed. Two reviewers independently conducted the database search and selected studies using a two-step approach...
March 28, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29589380/massage-reflexology-and-other-manual-methods-for-pain-management-in-labour
#20
REVIEW
Caroline A Smith, Kate M Levett, Carmel T Collins, Hannah G Dahlen, Carolyn C Ee, Machiko Suganuma
BACKGROUND: Many women would like to avoid pharmacological or invasive methods of pain management in labour, and this may contribute towards the popularity of complementary methods of pain management. This review examined the evidence currently available on manual methods, including massage and reflexology, for pain management in labour. This review is an update of the review first published in 2012. OBJECTIVES: To assess the effect, safety and acceptability of massage, reflexology and other manual methods to manage pain in labour...
March 28, 2018: Cochrane Database of Systematic Reviews
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