Effect of lidocaine patches on upper trapezius EMG activity and pain intensity in patients with myofascial trigger points: A randomized clinical study

Firmani, Mónica; Miralles, Rodolfo; Casassus, Rodrigo

doi:10.3109/00016357.2014.982704

Cited by 12 publications

(3 citation statements)

References 31 publications

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“…The most commonly used drugs include nonsteroidal anti-inflammatory drugs (NSAIDs), corticoids, analgesics, muscle relaxants, anxiolytics, opiates, tricyclic antidepressants (TCAs), gabapentin, and lidocaine patches. 57 – 60 Some of these medications are used to treat the joint pain of the TMD, and others are more effective for treating muscle pain.…”

Section: Oral and Topical Pharmacotherapymentioning

confidence: 99%

Management of pain in patients with temporomandibular disorder (TMD): challenges and solutions

Gil-Martínez¹,

Paris‐Alemany²,

López‐de‐Uralde‐Villanueva³

et al. 2018

JPR

219

175

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Thanks to advances in neuroscience, biopsychosocial models for diagnostics and treatment (including physical, psychological, and pharmacological therapies) currently have more clinical support and scientific growth. At present, a conservative treatment approach prevails over surgery, given it is less aggressive and usually results in satisfactory clinical outcomes in mild–moderate temporomandibular disorder (TMD). The aim of this review is to evaluate the recent evidence, identify challenges, and propose solutions from a clinical point of view for patients with craniofacial pain and TMD. The treatment we propose is structured in a multi-modal approach based on a biobehavioral approach that includes medical, physiotherapeutic, psychological, and dental treatments. We also propose a new biobehavioral model regarding pain perception and motor behavior for the diagnosis and treatment of patients with painful TMD.

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Section: Oral and Topical Pharmacotherapymentioning

confidence: 99%

Management of pain in patients with temporomandibular disorder (TMD): challenges and solutions

Gil-Martínez¹,

Paris‐Alemany²,

López‐de‐Uralde‐Villanueva³

et al. 2018

JPR

219

175

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show abstract

“…Bouchard et al [28] and Vos et al [29] reported a lack of evidence to support arthrocentesis as a better ther-apeutic intervention than nonsurgical interventions. Furthermore, they underlined the prominent role of conservative treatments such as physical therapy and oral/topical and injected pharmacotherapies and suggested their superiority over surgery, since they are less invasive and usually produce satisfying clinical results in mild-moderate TMD [30][31][32][33][34][35][36][37][38][39][40][41][42][43][44].…”

Section: Discussionmentioning

confidence: 99%

Effects of an Interdisciplinary Approach in the Management of Temporomandibular Disorders: A Scoping Review

Brighenti

Battaglino

Sinatti

et al. 2023

IJERPH

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Temporomandibular disorders (TMD) is an umbrella term that encompasses many musculoskeletal problems that include the masticatory muscles, the temporomandibular joint, and other associated structures. TMD can be divided into two large groups: those that affect the musculature and those that affect the joint. The treatment of TMD requires the combined skills of physiotherapists and dentists, as well as sometimes psychologists and other medical specialists. This study aims to examine the effectiveness of the interdisciplinary approach using physiotherapy and dental techniques on pain in patients with temporomandibular disorders (TMDs). This is a Scoping Review of studies investigating the effects of combined therapy on patients with TMD. PRISMA guidelines were followed during this review’s design, search, and reporting stages. The search was carried out in the MEDLINE, CINHAL, and EMBASE databases. A total of 1031 studies were detected and analyzed by performing the proposed searches in the detailed databases. After removing duplicates and analyzing the titles and abstracts of the remaining articles, six studies were ultimately selected for this review. All the included studies showed a positive effect on pain decreasing after a combined intervention. The interdisciplinary approach characterized by the combination of manual therapy and splint or electrotherapy can positively influence the perceived symptoms; positively decrease pain; and reduce disability, occlusal impairments, and perception of change.

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“…Indeed, several studies on treatment efficacy have been conducted that measure the PPT at the TrP site before and after an intervention. Among these are dry needling [ 22 , 23 ], botulinum toxin [ 24 ], ischemic compression therapy [ 25 , 26 ], Kinesio taping [ 27 ], as well as lidocaine patches [ 28 ], exercises, and massage [ 29 ]. Although any of these treatments may be claimed to be effective in managing TrPs, a normative value of a clinically meaningful amount of pre-post difference in the PPT following whatever intervention has not been established yet.…”

Section: Introductionmentioning

confidence: 99%

Pressure Pain Threshold of the Upper Trapezius Trigger Point: A Systematic Review with Meta-Analysis of Baseline Values and Their Modification after Physical Therapy

Geri¹,

Botticchio

Rossettini

et al. 2022

JCM

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Background: Myofascial trigger points (TrP) are diagnosed upon the presence of clinical signs among which hypersensitivity is considered one of the most important. The detection of the pressure pain threshold (PPT) is used to quantify the degree of hypersensitivity. However, there is a lack of normative data about how hypersensitive a TrP is. Therefore, the objective was to quantify the PPT for myofascial TrP in the upper trapezius muscle and its modification after manual or instrumental physical therapy interventions. Methods: A systematic review and meta-analysis were conducted among three databases (MEDLINE, Cochrane Library, and PEDro). Two independent reviewers conducted the electronic search and assessed the methodological quality of the included studies. Results: Eleven studies with a high-risk bias indicated that the PPT at TrP sites was 105.11 kPa lower (95% CI: −148.93; −61.28) at active TrP sites (Chi-squared = 1.07, df = 1 (p = 0.30), I2 = 7%) compared to the PPT of the upper trapezius muscles of healthy subjects. In addition, the PPT of TrP was also lower than the reference values coming from the pain-free population. Moreover, the PPT increased after both manual and instrumental treatment by 28.36 kPa (95% CI: 10.75; 45.96) and 75.49 kPa (95% CI: 18.02; 132.95), respectively. Conclusions: The results of the present study show that TrP has a decreased PPT when compared to healthy muscles and that physical therapy may increase the PPT. However, the clinical relevance of this decreased PPT needs to be further elucidated. Further, the high risk of bias in all the retrieved studies undermines the validity of the results.

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Effect of lidocaine patches on upper trapezius EMG activity and pain intensity in patients with myofascial trigger points: A randomized clinical study

Abstract: These clinical and EMG results support the use of 5% lidocaine patches for treating patients with MTrP of the upper trapezius muscle.

Cited by 12 publications

References 31 publications

Management of pain in patients with temporomandibular disorder (TMD): challenges and solutions

Management of pain in patients with temporomandibular disorder (TMD): challenges and solutions

Effects of an Interdisciplinary Approach in the Management of Temporomandibular Disorders: A Scoping Review

Pressure Pain Threshold of the Upper Trapezius Trigger Point: A Systematic Review with Meta-Analysis of Baseline Values and Their Modification after Physical Therapy

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