Expert consensus on the diagnosis and treatment of myofascial pain syndrome

Cao, Qi-Wang; Peng, Baogan; Wang, Lin; Huang, Youqing; Jia, Donglin; Jiang, Hao; Lv, Yan; Liu, Xianguo; Liu, Rongguo; Liu, Ying; Song, Tao; Shen, Wen; Yu, Ling-Zhi; Zheng, Yongjun; Liu, Yanqing; Huang, Dong

doi:10.12998/wjcc.v9.i9.2077

Cited by 45 publications

(36 citation statements)

References 55 publications

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“…An appropriate diagnosis and rehabilitation of the neuropathic pain component plays an important role in the treatment of MPS. Therefore, it is important to consider the neuropathic component in the management of MPS (2,(22)(23)(24). In this study, we aimed to evaluate the neuropathic pain component in patients with myofascial pain syndrome by using DN4 scale, and to examine the effects of neuropathic pain on emotional status, sleep and quality of life.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Neuropathic Pain Component in Myofascial Pain Syndrome; Its Effect on Emosyonel State, Sleep and Quality of Life

et al. 2022

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Objective: The aim of this study was to evaluate the neuropathic pain component in patients with myofascial pain syndrome, and to examine the effects of neuropathic pain on emotional status, sleep and quality of life. Material and Methods: 73 patients with MPS in their neck or upper back region admitted to the tertiary university hospital were included. Questionnaires were administrated to the patients via face-to-face interviews, and included sociodemographic variables. The patients were evaluated for neuropathic component by DN4 questionnaires, and pain by visual analog scale (VAS). Validated questionnaires measuring emosyonel status, sleep quality and quality of life were used. Results: Of the 73 patients, 48 (65.8%) were female and 25 (34.2%) were male. The mean age of all recruited patients was 38.2±10.6 years. According to the DN4 scale 56.2% of the patients had neuropathic pain. MPS patients were divided into two groups as those with and without neuropathic pain. VAS, BDI, and PSQI scores were significantly higher among MPS patients with neuropathic pain than among MPS patients without neuropathic pain (p<0.01).The patients with neuropathic pain had lower scores for all the parameters of the SF-36. Morever vitality, social function, mental health, and emotional role dimensions scores were significantly lower in MPS patients with neuropathic pain than MPS patients without neuropathic pain (p<0.01). Conclusion: An appropriate diagnosis and treatment of the neuropathic pain plays an important role and can reduce the pain, improve the quality of life and sleep qulity, and decrease the level of depression in treatment of MPS.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Neuropathic Pain Component in Myofascial Pain Syndrome; Its Effect on Emosyonel State, Sleep and Quality of Life

et al. 2022

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“…Variation in the method of cupping technique may have played a role in the difference in effectiveness in the studies. However, the guidelines revealed a good level of evidence for therapeutic exercises in rehabilitation treatment (36,37). Several studies showed the influence of manual therapy on trapezius, neck, and shoulder myofascial pain reduction (38)(39)(40).…”

Section: Discussionmentioning

confidence: 99%

The Comparative Effects of Cupping Massage and Exercise Training in Patients with Trapezius Myofascial Syndrome on Pain, Disability, and Fatigue. A Randomized Controlled Trial

Saeidi

Yavari

Fateh

2021

Muscle Ligaments and Tendons J

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Background. Cupping therapy is one of the treatments for myofascial pain that has not been sufficiently studied. This study aimed to compare the effects of cupping massage and exercise training on pain, disability and Fatigue severity in patients with trapezius myofascial syndrome. Patients and methods. Forty-four patients were randomly divided into two groups of cupping massage and conventional exercise training. The outcome measure included pain intensity, disability, and fatigue. The duration of intervention was 4 weeks (3 times a week) for both groups. The intervention included moving cup with negative pressure on the trapezius muscle for 5 minutes in each session in the cupping group and strengthening and stretching exercises for trapezius muscle in the exercise group. Questionnaires were completed and analyzed immediately after the last intervention session and three months later. Results. Immediately after the intervention and three months later, in both groups, pain, disability and fatigue severity were significantly reduced (P value < 0.01). These changes were significantly greater in the cupping group than in the exercise group (P value < 0.01). Conclusions. Massage cupping should be considered as a feasible, safe, fast, and effective method for patients with trapezius pain syndrome, also, can be combined with other rehabilitation programs in the treatment of myofascial pain and muscle strain.

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“…Myofascial pain syndrome (MPS) is the most commonly diagnosed musculoskeletal condition (1). Poor posture is the primary cause of MPS (1).…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-guided 3-in-1 trigger point injection for treating myofascial pain syndrome in muscles of the lateral scapular area: a case report

Kim¹,

Choo²,

Chang³

2022

Ann Palliat Med

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Background: Myofascial pain syndrome (MPS) is a common cause of musculoskeletal pain.MPS in the muscles of the lateral scapula frequently develops due to poor sitting posture (rounded shoulders and cervical kyphosis) in the office as well as long working hours. Herein, we introduce the use of the trigger point injection (TPI) technique in three muscles (i.e., the deltoid, infraspinatus, and teres major muscles) with the same sonographic view for the purpose of treating MPS in the lateral scapular area.Case Description: A 48-year-old woman presented to our hospital complaining of dull pain in the right lateral scapular area that had persisted for 4 months. The numeric rating scale (NRS) pain score was 5.After confirming taut bands and tenderness in the muscles of the right lateral scapular area, we diagnosed the patient with MPS within the deltoid, infraspinatus, and teres major muscles. Under ultrasound (US) guidance, a mixed solution of 1 mL of 2% lidocaine and 2 mL of normal saline was injected layer by layer into the three muscles within the same sonographic view. At the 1-month follow-up (F/U) visit, the patient reported only slight initial pain (NRS score, 1).Conclusions: Thus, we recommend our US-guided 3-in-1 technique for performing TPI to treat MPS in the muscles of the lateral scapular area.

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Expert consensus on the diagnosis and treatment of myofascial pain syndrome

Cited by 45 publications

References 55 publications

Evaluation of Neuropathic Pain Component in Myofascial Pain Syndrome; Its Effect on Emosyonel State, Sleep and Quality of Life

Evaluation of Neuropathic Pain Component in Myofascial Pain Syndrome; Its Effect on Emosyonel State, Sleep and Quality of Life

The Comparative Effects of Cupping Massage and Exercise Training in Patients with Trapezius Myofascial Syndrome on Pain, Disability, and Fatigue. A Randomized Controlled Trial

Ultrasound-guided 3-in-1 trigger point injection for treating myofascial pain syndrome in muscles of the lateral scapular area: a case report

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