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Myofascial pain trigger point

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
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
Robert D Gerwin
Myofascial pain syndromes caused by trigger points (TrPs) in muscle are a common cause of local and generalized pain. Trigger points are hyperirritable zones in contracted bands of muscle, thought to be caused by muscle overload or stress. Stress TrPs have characteristic electromyographic features, and can be visualized with ultrasound and magnetic resonance elastography. Trigger point needling or injection can be effective in inactivating TrP, but correcting triggers is also critical.
October 2016: Seminars in Neurology
Paloma María Blasco-Bonora, Aitor Martín-Pintado-Zugasti
OBJECTIVES: To investigate the effects of deep dry needling (DN) of myofascial trigger points (MTrPs) of the masseter and temporalis on pain, pressure pain threshold (PPT), pain-free maximal jaw opening and temporomandibular disorder (TMD)-related disability in patients with sleep bruxism (SB) and myofascial TMD. METHODS: Seventeen subjects (11 women, 6 men) aged 39±13 years (range 23-66) diagnosed with SB and myofascial TMD were invited to participate in this prospective case series study...
October 3, 2016: Acupuncture in Medicine: Journal of the British Medical Acupuncture Society
Maryam Abbaszadeh-Amirdehi, Noureddin Nakhostin Ansari, Soofia Naghdi, Gholamreza Olyaei, Mohammad Reza Nourbakhsh
BACKGROUND: Active myofascial trigger points (MTrPs) are major pain generators in myofascial pain syndrome. Dry needling (DN) is an effective method for the treatment of MTrPs. OBJECTIVE: To assess the immediate neurophysiological and clinical effects of DN in patients with upper trapezius MTrPs. METHODS: This was a prospective, clinical trial study of 20 patients with upper trapezius MTrPs and 20 healthy volunteers (matched for height, weight, body mass index and age), all of whom received one session of DN...
October 3, 2016: Acupuncture in Medicine: Journal of the British Medical Acupuncture Society
L S Fouad, A H Chen, P D Pettit, A Micallef
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
Vitsarut Buttagat, Thitipong Narktro, Kamonporn Onsrira, Chaithawat Pobsamai
OBJECTIVE: To investigate effects of traditional Thai massage (TTM) on electromyographic (EMG) activity, muscle tension and pain intensity in patients with upper back pain associated with myofascial trigger points (MTrPs). DESIGN: A single-blind, randomized clinical trial. SETTING: The Department of Physical Therapy, School of Health Science, Mae Fah Luang University, Thailand. INTERVENTION: Fifty patients were randomly assigned to receive a 30-min session of either TTM or control (sham microwave diathermy)...
October 2016: Complementary Therapies in Medicine
Tamsyn R Webb, Dévan Rajendran
BACKGROUND: This systematic review aimed to determine the evidence for the effect of a single manually applied myofascial technique (MFT) on joint range of motion (JROM) and pain in non-pathological symptomatic subjects. METHODS: Authors independently searched the following databases: PEDro; Cochrane Library; NLM PubMed; EMBASE; Academic Search Premier; MEDLINE; Psychology and Behavioural Sciences Collection; PsycINFO; SPORTSDiscus; CINAHL Plus from 2003 to 2015...
July 2016: Journal of Bodywork and Movement Therapies
Navid Taheri, Asghar Rezasoltani, Farshad Okhovatian, Mehdi Karami, Sayed Mohsen Hosseini, Hosein Kouhzad Mohammadi
INTRODUCTION: Myofascial pain syndrome (MPS) is a neuromuscular dysfunction consisting of both motor and sensory abnormalities. Considering the high prevalence of MPS and its related disabilities and costs, this study was designed to determine the reliability of new ultrasonographic indexes of the upper trapezius muscle as well as the sensitivity and specificity of 2D ultrasound imaging for diagnostic purposes. Furthermore, we sought to evaluate the effectiveness of dry needling (DN) on studied ultrasonographic indexes...
July 2016: Journal of Bodywork and Movement Therapies
Ester Cerezo-Téllez, María Torres Lacomba, Isabel Fuentes-Gallardo, Orlando Mayoral Del Moral, Beatriz Rodrigo-Medina, Carlos Gutiérrez Ortega
BACKGROUND: Neck pain is a frequent complaint in office workers. This pain can be caused by myofascial trigger points (MTrPs) in the trapezius muscle. This study aimed to determine the effectiveness of deep dry needling (DDN) of active MTrPs in the trapezius muscle. METHODS: A randomized, single blinded clinical trial was carried out at the Physical Therapy Department at Physiotherapy in Women's Health Research Group at Physical Therapy Department of University of Alcalá, in Alcalá de Henares, Madrid, Spain...
September 2016: Journal of Manual & Manipulative Therapy
Rifat Aridici, Alparslan Yetisgin, Ahmet Boyaci, Ahmet Tutoglu, Erol Bozdogan, Dilek Sen Dokumaci, Nihat Kilicaslan, Nurefsan Boyaci
OBJECTIVE: The aim of this study was to compare the therapeutic efficacy of high-power pain threshold (HPPT) ultrasound therapy applied to the trigger points and dry needling (DN) in myofascial pain syndrome. DESIGN: Sixty-one patients were randomly assigned to an HPPT (n = 30) and dry needling (n = 31) groups. The primary outcome measures were the Visual Analog Scale (VAS) and Neck Pain and Disability Scale (NPDS), both at 1 week and 4 weeks after treatment. The secondary outcome measures were the number of painful trigger points, range of the tragus-acromioclavicular joint, the Short Form-36, the Beck Depression Inventory, the Beck Anxiety Inventory, and sonoelastographic tests after a 1-week treatment...
October 2016: American Journal of Physical Medicine & Rehabilitation
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
Nico Sollmann, Florian Trepte-Freisleder, Lucia Albers, Nikolai H Jung, Volker Mall, Bernhard Meyer, Florian Heinen, Sandro M Krieg, Mirjam N Landgraf
BACKGROUND: Repetitive peripheral magnetic stimulation (rPMS) has been applied to musculoskeletal pain conditions. Since recent data show that migraine and tension-type headache (TTH) might be closely related to peripheral muscular pain in the neck and shoulder region (supporting the concept of the trigemino-cervical complex (TCC)), this pilot study explores the acceptance of rPMS to the upper trapezius muscles in migraine (partly in combination with TTH). METHODS: We used rPMS to stimulate active myofascial trigger points (aTrPs) of the upper trapezius muscles in 20 young adults suffering from migraine...
November 2016: European Journal of Paediatric Neurology: EJPN
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
Shane Koppenhaver, Robin Embry, John Ciccarello, Justin Waltrip, Rachel Pike, Michael Walker, Cesar Fernández-de-Las-Peñas, Theodore Croy, Timothy Flynn
BACKGROUND: Initial reports suggest that treating myofascial trigger points in the infraspinatus with dry needling may be effective in treating patients with shoulder pain. However, to date, high quality clinical trials and thorough knowledge of the physiologic mechanisms involved is lacking. OBJECTIVES: To examine the effect of dry needling to the infraspinatus muscle on muscle function, nociceptive sensitivity, and shoulder range of motion (ROM) in the symptomatic and asymptomatic shoulders of individuals with unilateral subacromial pain syndrome...
July 21, 2016: Manual Therapy
Aitor Martín-Pintado-Zugasti, Almudena López-López, Jose Luis González Gutiérrez, Daniel Pecos-Martín, Ángel Luis Rodríguez-Fernández, Isabel María Alguacil-Diego, Tomás Gallego-Izquierdo, Josue Fernández-Carnero
BACKGROUND: Myofascial trigger point dry needling is frequently associated with postneedling soreness, which can generate patient dissatisfaction and reduced treatment adherence. Psychological factors may influence the perception of postneedling soreness and the effectiveness of postneedling soreness treatments. OBJECTIVES: The objectives of the present study were (a) to determine whether catastrophizing, kinesiophobia, pain anxiety and fear of pain are significant predictors of postneedling soreness over time and (b) to analyze if the relationships between psychological variables and postneedling soreness vary as a function of the postneedling soreness intervention, which included ischemic compression, placebo or control (without treatment)...
August 1, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Carlos J Roldan, Billy K Huh
BACKGROUND: Pain of myofascial origin is a well-recognized pathology characterized by the presence of two components: referred pain; which is often distant from its source and specific to each muscle, and the trigger point, a localized hyperirritable band present in the affected muscle and able to reproduce the referred pain when stimulated. Myofascial pain (MP) commonly coexists in patients with acute or chronic pain of other etiologies. The uniqueness of the clinical presentation of some MPs and the lack of training of most specialties represent a clinical challenge...
July 2016: Pain Physician
Jose V León-Hernández, Aitor Martín-Pintado-Zugasti, Laura G Frutos, Isabel M Alguacil-Diego, Ana I de la Llave-Rincón, Josue Fernandez-Carnero
BACKGROUND: Dry needling (DN) and percutaneous electrical nerve stimulation (PENS) are widely used techniques in the treatment of myofascial pain. OBJECTIVE: To investigate the immediate and short-term effects of the combination of DN and PENS compared to DN alone on the upper trapezius muscle. METHOD: This is a 72-hour follow-up single-blinded randomized controlled trial. Sixty-two volunteer patients with chronic myofascial neck pain with active Myofascial Trigger Points (MTrPs) in the upper trapezius muscle were recruited...
July 11, 2016: Brazilian Journal of Physical Therapy
Maria Encarnación Aguilar Ferrándiz, Jo Nijs, Yori Gidron, Nathalie Roussel, Rob Vanderstraeten, Dries Van Dyck, Eva Huysmans, Margot De Kooning
BACKGROUND: Myofascial trigger points (MTrPs) are common in people with musculoskeletal pain and may play a role in chronic nonspecific low back pain (CLBP). One of the potential treatments of MTrPs is the Nervomatrix Soleve® auto-targeted neurostimulation device, providing targeted transcutaneous electrical nerve stimulation (TENS) to MTrPs in the lower back muscles. To date, no controlled studies have evaluated the effectiveness of this device for the pain management of this population...
July 2016: Pain Physician
Michelle A Laframboise, Howard Vernon, John Srbely
OBJECTIVE: To investigate the summative effect of two consecutive spinal manipulative therapy (SMT) interventions within the same session on the pain pressure sensitivity of neurosegmentally linked myofascial tissues. METHODS: 26 participants were recruited and assessed for the presence of a clinically identifiable myofascial trigger point in the right infraspinatus muscle. Participants were randomly assigned to test or control group. Test group received two consecutive real cervical SMT interventions to C5-C6 segment while controls received one real SMT followed by one validated sham SMT intervention to C5-C6 segment...
June 2016: Journal of the Canadian Chiropractic Association
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