Myofascial Pain in Patients With Postthoracotomy Pain Syndrome

Hamada, Hiroshi; Moriwaki, Katsuyuki; Shiroyama, Kazuhisa; Tanaka, Hiroyuki; Kawamoto, Masashi; Yuge, Osafumi

doi:10.1097/00115550-200005000-00017

Cited by 16 publications

(14 citation statements)

References 5 publications

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“…It is thought to be caused primarily by trauma to intercostal nerves and most patients relate their pain directly to the site of surgery (Karmakar & Ho, 2004;Wildgaard et al, 2009). However, myofascial pain syndromes as a consequence of thoracotomy have also been described (Hamada et al, 2000 Level IV).…”

Section: Post-thoracotomy Pain Syndromementioning

confidence: 99%

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Cohen

Smit

Andrianopoulos³

et al. 2017

Medical Journal of Australia

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Objectives: This study aimed to assess analgesia provided by acupuncture, alone or in combination with pharmacotherapy, to patients presenting to emergency departments with acute low back pain, migraine or ankle sprain. Design: A pragmatic, multicentre, randomised, assessor‐blinded, equivalence and non‐inferiority trial of analgesia, comparing acupuncture alone, acupuncture plus pharmacotherapy, and pharmacotherapy alone for alleviating pain in the emergency department. Setting, participants: Patients presenting to emergency departments in one of four tertiary hospitals in Melbourne with acute low back pain, migraine, or ankle sprain, and with a pain score on a 10‐point verbal numerical rating scale (VNRS) of at least 4. Main outcome measures: The primary outcome measure was pain at one hour (T1). Clinically relevant pain relief was defined as achieving a VNRS score below 4, and statistically relevant pain relief as a reduction in VNRS score of greater than 2 units. Results: 1964 patients were assessed between January 2010 and December 2011; 528 patients with acute low back pain (270 patients), migraine (92) or ankle sprain (166) were randomised to acupuncture alone (177 patients), acupuncture plus pharmacotherapy (178) or pharmacotherapy alone (173). Equivalence and non‐inferiority of treatment groups was found overall and for the low back pain and ankle sprain groups in both intention‐to‐treat and per protocol (PP) analyses, except in the PP equivalence testing of the ankle sprain group. 15.6% of patients had clinically relevant pain relief and 36.9% had statistically relevant pain relief at T1; there were no between‐group differences. Conclusion: The effectiveness of acupuncture in providing acute analgesia for patients with back pain and ankle sprain was comparable with that of pharmacotherapy. Acupuncture is a safe and acceptable form of analgesia, but none of the examined therapies provided optimal acute analgesia. More effective options are needed. Trial registration: Australian New Zealand Clinical Trials Registry, ACTRN12609000989246.

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Section: Post-thoracotomy Pain Syndromementioning

confidence: 99%

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Cohen

Smit

Andrianopoulos³

et al. 2017

Medical Journal of Australia

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“…Further, these authors commented that the existence of muscle TrPs significantly increased the rate of success after treatment. 17 In a cohort of 163 breast cancer patients, Cheville and Tchou 18 showed that 21% also showed myofascial pain. Cummings described a case report in which pectoralis major TrPs were activated as a result of muscle trauma after transaxillary surgery.…”

mentioning

confidence: 99%

Myofascial Trigger Points in Neck and Shoulder Muscles and Widespread Pressure Pain Hypersensitivtiy in Patients With Postmastectomy Pain

Fernández-Lao

Cantarero‐Villanueva

Fernández‐de‐las‐Peñas³

et al. 2010

The Clinical Journal of Pain

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“…Shoulder movement worsens the pain in 24% of postthoracotomy pain syndrome patients, 18 and frozen shoulder can result from disuse. 19 In a study by Hamada et al, 20 trigger points were found adjacent to the wound in 44% of patients with postthoracotomy pain syndrome and within the scapular region in 67% of patients. Future prospective studies should specifically look at the effects of the posterolateral thoracotomy surgery on regional somatic dysfunction and on how OMT can be implemented to improve the function of the musculoskeletal, autonomic, and lymphatic systems.…”

Section: Discussionmentioning

confidence: 95%

The effect of osteopathic manipulative treatment on length of stay in posterolateral postthoracotomy patients: A retrospective case note study

Fleming

Snider

Blanke

et al. 2015

International Journal of Osteopathic Medicine

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Objective: This study retrospectively evaluated the effect of OMT on length of stay (LOS) in hospitalized posterolateral postthoracotomy patients. Methods: Inpatient medical records of patients who received posterolateral thoracotomies with lung resection between 1998 and 2011 were reviewed for demographic data, LOS, thoracotomy surgery data, consultation data excluding osteopathic manipulative medicine, discharge data, and osteopathic manipulative medicine consultation data. Results: Thirty-eight patients received posterolateral thoracotomies with lung resection; 23 patients received OMT and 15 did not. The mean (standard deviation) LOS was 11.0 (6.8) days (range, 5e29 days) for those who received OMT and 10.4 (5.5) days (range, 3e22 days) for those who did not (P ¼ .90). Five patients developed postoperative ileus, and all had received OMT. Patients receiving 2 surgical

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Myofascial Pain in Patients With Postthoracotomy Pain Syndrome

Cited by 16 publications

References 5 publications

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Acupuncture for analgesia in the emergency department: a multicentre, randomised, equivalence and non‐inferiority trial

Myofascial Trigger Points in Neck and Shoulder Muscles and Widespread Pressure Pain Hypersensitivtiy in Patients With Postmastectomy Pain

The effect of osteopathic manipulative treatment on length of stay in posterolateral postthoracotomy patients: A retrospective case note study

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