Myofascial pain syndromes and their evaluation

Giamberardino, Maria Adele; Affaitati, Giannapia; Fabrizio, Alessandra; Costantini, Raffaele

doi:10.1016/j.berh.2011.01.002

Cited by 182 publications

(191 citation statements)

References 42 publications

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“…Latent trigger points are often found in pain-free muscles and can become active trigger points by continuous harmful stimuli, but also by prolonged or non habitual exercise and acute trauma [4] increasing the relevance of appropriate diagnosis and management in the clinical setting. There are several interventions currently adopted to treat trigger points [5] and dry needling is one of the most popular. It is a minimally invasive technique with documented benefits within the physiopathology of trigger points [6].…”

Section: Introductionmentioning

confidence: 99%

Using thermal imaging to monitor the treatment of latent myofascial trigger points in the upper trapezius

Seixas¹,

Soares²,

Vardasca³

et al. 2016

Proceedings of the 2016 International Conference on Quantitative InfraRed Thermography

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Clinically, latent myofascial trigger points are characterized as hyperirritable points located within taut bands of skeletal muscles or fascia. These points may cause referred pain, local tenderness and autonomic changes when manually stimulated. Dry needling is one of the treatment options but evidence of its results is scarce. This paper experimentally investigates the potential use of thermal imaging to assess the effect of dry needling on the skin temperature in patients with latent myofascial trigger points. No significant differences were found between the mean skin temperature and pain before and after the treatment, evidencing the agreement between the outcome measures.

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Section: Introductionmentioning

confidence: 99%

Using thermal imaging to monitor the treatment of latent myofascial trigger points in the upper trapezius

Seixas¹,

Soares²,

Vardasca³

et al. 2016

Proceedings of the 2016 International Conference on Quantitative InfraRed Thermography

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“…5 MPS originates from MTrPs within muscles and surrounding tissue, such as ligaments and tendons. 6 A MTrP is the clinical finding in patients with MPS and has been described by Simons et al 5 as a well-defined hyperirritable and painful area in a taut band of skeletal muscle. Active MTrPs are associated with a spontaneous pain complaint and digital compression of the trigger point elicits a pattern of non-dermatomal pain referral, which mostly coincides with the patient's pain symptoms.…”

Section: Introductionmentioning

confidence: 94%

“…Clinicians should simultaneously identify and address perpetuating factors such as abnormal posture, stress, mood disorders and poor sleep, which may contribute to MPS and MTrPs. 6 Appropriate identification and management of MTrPs should contribute significantly to the multimodal management of this common and chronic headache disorder.…”

Section: Conclusion and Recommendationsmentioning

confidence: 99%

“…24 This contribution of active MTrPs to CTTH pain is supported by several other researchers in this field. 6,16 It has also been suggested that early identification and interventions to address MTrPs in patients presenting with tension type headache may prevent progression to a more chronic headache disorder. 5 It should, however, also be noted that the presence of MTrPs in patients with CTTH does not rule out the importance of other factors, such as psychological stress or anxiety and abnormal head posture, which may also exert their respective effects through the activation of MTrPs.…”

Section: Conflict Of Interest -No Conflict Of Interest To Declarementioning

confidence: 99%

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Active myofascial trigger points in head and neck muscles of patients with chronic tension-type headache in two primary health care units in Tshwane

Joseph

Hitchcock

Meyer

et al. 2016

South African Family Practice

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Background:The management of patients presenting with chronic tension-type headache (CTTH) can be challenging for primary health care practitioners. As with most chronic pain disorders, a multimodal management approach is frequently required. It has been postulated that myofascial pain syndrome (MPS) and its hallmark myofascial trigger points (MTrPs) found in specific muscle tissues may play a role in the chronic pain experienced by patients with CTTH. Little is known about the prevalence of MTrPs in patients with CTTH, in primary health care settings on the African continent. This study therefore aimed to investigate the prevalence of active MTrP's in specific head and neck muscles/muscle groups in patients with CTTH. Methods: A prospective, cross-sectional and descriptive study was done in two primary health care facilities situated in Tshwane, South Africa. The sample included 97 adult patients with CTTH. Five head and neck muscles/muscle groups were examined bilaterally for active MTrPs. Outcome measures were the prevalence and distribution of active MTrPs in these patients. Results: Active MTrPs were found in 95.9% of the patients, the majority (74.2%) having four or more active MTrPs. The temporalis muscles and suboccipital muscle group exhibited the highest number of active MTrPs (prevalence 87.6% and 80.4% respectively). Conclusion: Our study suggests a strong association between MPS and CTTH in patients, presenting in the primary health care setting. This indicates the importance of a musculoskeletal assessment of neck and pericranial muscles in patients with CTTH. This can assist in determining the most appropriate treatment strategy in these patients.

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“…Furthermore, most of the evidence, which supports the idea that MPS is based on trigger points, relates to low-quality studies or ones conducted using only small groups, which may not allow us to 2838 generalize the results. Nevertheless, some recent studies have investigated other causes of MPS, such as central sensitization (Giamberardino et al, 2011;Quintner, 2014).…”

Section: Diagnosis:-mentioning

confidence: 99%

A Brief Overview of Myofascial Trigger Points.

Alshehri.¹

2017

IJAR

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Myofascial pain syndromes and their evaluation

Cited by 182 publications

References 42 publications

Using thermal imaging to monitor the treatment of latent myofascial trigger points in the upper trapezius

Using thermal imaging to monitor the treatment of latent myofascial trigger points in the upper trapezius

Active myofascial trigger points in head and neck muscles of patients with chronic tension-type headache in two primary health care units in Tshwane

A Brief Overview of Myofascial Trigger Points.

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