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trigger point injections

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24 papers 0 to 25 followers Trigger point injections
Daniel White, Thomas Staff
No abstract text is available yet for this article.
July 2015: Journal of Family Practice
Jan Dommerholt, Rob Grieve, Michelle Layton, Todd Hooks
This article provides an up-to-date review of the most recent publications about myofascial pain, trigger points (TrPs) and other related topics. We have added some commentaries where indicated with supporting references. In the Basic Research section, we reviewed the work by Danish researchers about the influence of latent TrPs and a second study of the presence and distribution of both active and latent TrPs in whiplash-associated disorders. The section on Soft Tissue Approaches considered multiple studies and case reports of the efficacy of myofascial release (MFR), classic and deep muscle massage, fascial techniques, and connective tissue massage...
January 2015: Journal of Bodywork and Movement Therapies
Daniel Pecos-Martín, F Javier Montañez-Aguilera, Tomás Gallego-Izquierdo, Alicia Urraca-Gesto, Antonia Gómez-Conesa, Natalia Romero-Franco, Gustavo Plaza-Manzano
OBJECTIVE: To evaluate the effect of dry needling into a myofascial trigger point (MTrP) in the lower trapezius muscle of patients with mechanical idiopathic neck pain. DESIGN: A single-center, randomized, double-blinded controlled study. SETTING: Patients were recruited from the student population of a local hospital by advertisement in the university clinic from January 2010 to December 2011. PARTICIPANTS: Patients (N=72) with unilateral neck pain, neck pain for ≥3 months, and active trigger points in the lower trapezius muscle were randomly assigned to 1 of 2 treatment groups...
May 2015: Archives of Physical Medicine and Rehabilitation
Lin Liu, Qiang-Min Huang, Qing-Guang Liu, Gang Ye, Cheng-Zhi Bo, Meng-Jin Chen, Ping Li
OBJECTIVE: To evaluate current evidence of the effectiveness of dry needling of myofascial trigger points (MTrPs) associated with neck and shoulder pain. DATA SOURCES: PubMed, EBSCO, Physiotherapy Evidence Database, ScienceDirect, The Cochrane Library, ClinicalKey, Wanfang Data Chinese database, China Knowledge Resource Integrated Database, Chinese Chongqing VIP Information, and SpringerLink databases were searched from database inception to January 2014. STUDY SELECTION: Randomized controlled trials were performed to determine whether dry needling was used as the main treatment and whether pain intensity was included as an outcome...
May 2015: Archives of Physical Medicine and Rehabilitation
Matthew S Robbins, Deena Kuruvilla, Andrew Blumenfeld, Larry Charleston, Michael Sorrell, Carrie E Robertson, Brian M Grosberg, Steven D Bender, Uri Napchan, Avi Ashkenazi
OBJECTIVE/BACKGROUND: To review the existing literature and describe a standardized methodology by expert consensus for the performance of trigger point injections (TPIs) in the treatment of headache disorders. Despite their widespread use, the efficacy, safety, and methodology of TPIs have not been reviewed specifically for headache disorders by expert consensus. METHODS: The Peripheral Nerve Blocks and Other Interventional Procedures Special Interest Section of the American Headache Society over a series of meetings reached a consensus for nomenclature, indications, contraindications, precautions, procedural details, outcomes, and adverse effects for the use of TPIs for headache disorders...
October 2014: Headache
Joshua Ong, Leica S Claydon
BACKGROUND: and purpose: The aim of this systematic review with meta-analysis is to determine the effect of dry needling in the treatment of MTrPs. METHODS: Searches were performed using the electronic databases AMED, EBM reviews, Embase, and Ovid MEDLINE (all from database inception-February 2012). STUDY SELECTION: Randomized controlled trials (RCTs) were included if they compared dry needling with another form of treatment or placebo and included pain intensity as an outcome...
July 2014: Journal of Bodywork and Movement Therapies
Steven B Graff-Radford, Jennifer P Bassiur
Headache and temporomandibular disorders should be treated together but separately. If there is marked limitation of opening, imaging of the joint may be necessary. The treatment should then include education regarding limiting jaw function, appliance therapy, instruction in jaw posture, and stretching exercises, as well as medications to reduce inflammation and relax the muscles. The use of physical therapies, such as spray and stretch and trigger point injections, is helpful if there is myofascial pain. Tricyclic antidepressants and the new-generation antiepileptic drugs are effective in muscle pain conditions...
May 2014: Neurologic Clinics
Jon Y Zhou, Dajie Wang
Myofascial pain syndrome (MPS) is a common chronic pain condition that is characterized by distinct "trigger points." Despite current treatments with physical therapy, analgesics, anti-depressants and trigger-point injections, myofascial pain remains a challenging chronic pain condition in clinical practice. Botulinum toxin A (BTX-A) can cause prolonged muscle relaxation through inhibition of acetylcholine release. It may offer some advantages over the current treatments for MPS by providing a longer sustained period of pain relief...
January 2014: Current Pain and Headache Reports
Dong Suk Kim, Tae Yoong Jeong, Yong-Kyun Kim, Won Hyuk Chang, Jeong-Gyu Yoon, Sang Chul Lee
OBJECTIVE: To investigate the therapeutic effectiveness of trigger point injection into the muscles around the groin in patients with clinically diagnosed chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). DESIGN: Prospective, unicenter trial. SETTING: University rehabilitation hospital. PARTICIPANTS: Patients (N=21) with clinically diagnosed CP/CPPS who are suspected of having myofascial pain syndrome. INTERVENTION: Ultrasound-guided trigger point injection...
May 2013: Archives of Physical Medicine and Rehabilitation
Clara S M Wong, Steven H S Wong
Trigger point injections are commonly practised pain interventional techniques. However, there is still lack of objective diagnostic criteria for trigger points. The mechanisms of action of trigger point injection remain obscure and its efficacy remains heterogeneous. The advent of ultrasound technology in the noninvasive real-time imaging of soft tissues sheds new light on visualization of trigger points, explaining the effect of trigger point injection by blockade of peripheral nerves, and minimizing the complications of blind injection...
2012: Anesthesiology Research and Practice
Reiner Benecke, Axel Heinze, Gerhard Reichel, Harald Hefter, Hartmut Göbel
OBJECTIVE: This was a prospective, randomized, double-blind, placebo-controlled, 12-week, multicenter study to evaluate the efficacy and tolerability of fixed location injections of botulinum type A toxin (BoNT-A, Dysport) in predetermined injection sites in patients with myofascial pain syndrome of the upper back. DESIGN: Patients with moderate-to-severe myofascial pain syndrome affecting cervical and/or shoulder muscles (10 trigger points, disease duration 6-24 months) and moderate-to-severe pain intensity were randomized to BoNT-A (N = 81) or saline (N = 72)...
November 2011: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Halil Unalan, Javid Majlesi, Filiz Yildiz Aydin, Deniz Palamar
OBJECTIVE: To compare the effects of high-power pain threshold ultrasound (HPPTUS) therapy and local anesthetic injection on pain and active cervical lateral bending in patients with active myofascial trigger points (MTrPs) of the upper trapezius muscle. DESIGN: Randomized single-blinded controlled trial. SETTING: Physical medicine and rehabilitation department of university hospital. PARTICIPANTS: Subjects (N=49) who had active MTrPs of the upper trapezius muscle...
April 2011: Archives of Physical Medicine and Rehabilitation
Miriam C B Gazi, Adriana M Issy, Ilíada P Avila, Rioko K Sakata
OBJECTIVES: Many treatments have been proposed for myofascial pain syndrome. The objective of this study was to compare the analgesic effect of acupuncture to trigger point injection combined with cyclobenzaprine chlorhydrate and sodium dipyrone. METHODS: A randomized study was performed in 30 patients divided into 2 groups: G1 received trigger point injection with 0.25% bupivacaine twice weekly, and both cyclobenzaprine chlorhydrate 10 mg/day and sodium dipyrone 500 mg every 8 hours; G2 received classical and trigger point acupuncture twice weekly...
March 2011: Pain Practice: the Official Journal of World Institute of Pain
Javid Majlesi, Halil Unalan
Patients with muscle pain complaints commonly are seen by clinicians treating pain, especially pain of musculoskeletal origin. Myofascial trigger points merit special attention because its diagnosis requires examinations skills and its treatment requires specific techniques. If undiagnosed, the patients tend to be overinvestigated and undertreated, leading to chronic pain syndrome. Patients with myofascial pain syndrome present primarily with painful muscle(s) and restricted range of motion of the relevant joint...
October 2010: Current Pain and Headache Reports
Avi Ashkenazi, Andrew Blumenfeld, Uri Napchan, Samer Narouze, Brian Grosberg, Robert Nett, Traci DePalma, Barbara Rosenthal, Stewart Tepper, Richard B Lipton
Interventional procedures such as peripheral nerve blocks (PNBs) and trigger point injections (TPIs) have long been used in the treatment of various headache disorders. There are, however, little data on their efficacy for the treatment of specific headache syndromes. Moreover, there is no widely accepted agreement among headache specialists as to the optimal technique of injection, type, and doses of the local anesthetics used, and injection regimens. The role of corticosteroids in this setting is also debated...
June 2010: Headache
Seung-Hyun Yoon, Ueon Woo Rah, Seung Soo Sheen, Kye Hee Cho
OBJECTIVES: To investigate (1) the relation between needle diameter and treatment efficacy of myofascial pain syndrome and (2) the relation between needle diameter and pain intensity during injection. DESIGN: Randomized controlled trial. SETTING: University-affiliated tertiary-care hospital. PARTICIPANTS: Volunteers (N=77) with myofascial pain syndrome affecting upper- and middle-trapezius muscles with at least 3 months' duration of pain...
August 2009: Archives of Physical Medicine and Rehabilitation
N Ann Scott, Bing Guo, Pamela M Barton, Robert D Gerwin
OBJECTIVE: This systematic review assessed the available published evidence on the efficacy and safety of using trigger point injection (TPI) to treat patients with chronic non-malignant musculoskeletal pain that had persisted for at least 3 months. METHODS: All published systematic reviews or randomized controlled trials detailing the use of TPI in patients with chronic, non-malignant musculoskeletal pain (persisting for >3 months) were identified by systematically searching literature databases and the Websites of various health technology assessment agencies, research registers, and guidelines sites up to July 2006...
January 2009: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Gerard Malanga, Erin Wolff
The management of chronic low back pain (CLBP) has proven very challenging in North America, as evidenced by its mounting socioeconomic burden. Choosing amongst available nonsurgical therapies can be overwhelming for many stakeholders, including patients, health providers, policy makers, and third-party payers. Although all parties share a common goal and wish to use limited health-care resources to support interventions most likely to result in clinically meaningful improvements, there is often uncertainty about the most appropriate intervention for a particular patient...
January 2008: Spine Journal: Official Journal of the North American Spine Society
Robert Minty, Len Kelly, Alana Minty
No abstract text is available yet for this article.
2007: Canadian Journal of Rural Medicine
Hyuk Ga, Hee-Jeong Koh, Ji-Ho Choi, Chang-Hwan Kim
OBJECTIVES: To compare the efficacies of an intramuscular stimulation technique and 0.5% lidocaine injection to trigger points in myofascial pain syndrome. PARTICIPANTS: Forty-three people with myofascial pain syndrome of the upper trapezius muscle. INTERVENTIONS: Twenty-two subjects were treated with intramuscular stimulation and another 21 with 0.5% lidocaine injection at all the trigger points on days 0, 7 and 14. RESULTS: Intramuscular stimulation resulted in a significant reduction in Wong-Baker FACES pain scale scores at all visits and was more effective than trigger point injection...
May 2007: Journal of Rehabilitation Medicine
2016-04-12 19:24:19
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