Myofascial trigger points: New insights in ultrasound imaging

Mayoral, V.; Domingo-Rufes, Tomás; Casals, Miquel Martín; Serrano, A.; Narváez, José Antonio; Sabaté, Antoni

doi:10.1053/j.trap.2014.01.017

Cited by 4 publications

(4 citation statements)

References 24 publications

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Section: Trigger Pointsmentioning

confidence: 99%

“…Trigger points may also trigger any number of other unpleasant symptoms such as fatigue, limited range of motion, and coordination problems. Experienced clinicians can locate trigger points during a physical examination in order to treat them with injections [ 36 ]. The puncture of trigger points to treat myofascial syndrome is most safely performed under ultrasound guidance in order to locate potentially hazardous anatomic structures that could impede the needle and allow for the accurate location of trigger points, even when those points are deep in muscle layers.…”

Section: Reviewmentioning

confidence: 99%

“…The puncture of trigger points to treat myofascial syndrome is most safely performed under ultrasound guidance in order to locate potentially hazardous anatomic structures that could impede the needle and allow for the accurate location of trigger points, even when those points are deep in muscle layers. Interfascial block performed under ultrasound guidance is a technique of regional anesthesia and may today be considered a promising technique for pain control [ 36 ].…”

Section: Reviewmentioning

confidence: 99%

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The Invasive Management of Pain: Diagnosis and New Treatment Options

Mayoral Rojals,

Amescua Garcia,

Denegri

et al. 2023

Cureus

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Both the diagnosis and treatment of pain are evolving, especially in interventional approaches. Diagnosis of low back pain combines old and new methodologies, in particular, it involves an expanded role for ultrasound. While low back pain is a common complaint, there are many etiologies to the condition which must be explored before a final diagnosis can be made and treatment planned. Tumors and infections are rarely involved in low back pain but should be ruled out in the initial phase itself since failing to address them early can have devastating consequences. Some invasive treatments seem promising in the management of low back pain.Treating musculoskeletal pain with regenerative medicine, such as platelet-rich plasma, holds great promise. Autologous blood products are safe and may help stimulate the body's own responses for regeneration. The so-called "orthobiologics" play a role in sports medicine and the treatment of musculoskeletal pain. Neuromodulation, especially spinal cord stimulation, is undergoing a renaissance with new waveforms, devices, and a greater albeit incomplete understanding of its mechanisms of action. Spinal cord stimulation is not a first-line therapy and not all patients or all back problems respond to this treatment. Nevertheless, the therapy can be safe, effective, and cost-effective with appropriate patient selection. Radiofrequency ablation of nerves in the form of neurotomy can be effective in reducing the pain of osteoarthritis. These procedures, including the newer cooled radiofrequency neurotomy, can restore function, reduce pain, and may potentially have an opioid-sparing effect. Technical expertise in nerve and anatomy is needed for the use of this technique. This review article aims to provide updated information on some invasive intervention techniques in pain management.

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Section: Trigger Pointsmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

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The Invasive Management of Pain: Diagnosis and New Treatment Options

Mayoral Rojals,

Amescua Garcia,

Denegri

et al. 2023

Cureus

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“…Niraj et al [39] reported that the injection made the TrP more prominent on ultrasound. Blood flow to the neighboring structures can be assessed using Doppler and a grading scale has been proposed; 0, normal arterial flow in muscle -no visible vessel; 1, elevated diastolic flow, and 2, high resistance flow waveform with retrograde diastolic flow [40]. Ultrasound elastography is another modality that is being investigated where TrP is shown to be stiffer with reduced vibration amplitude [41].…”

Section: Sonoanatomy Of Myofascial Trigger Points [36]mentioning

confidence: 99%

Interventions for myofascial pain syndrome in cancer pain: recent advances: why, when, where and how

Thottungal

Kumar

Bhaskar

2019

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of reviewPain is one of the most feared and most common symptoms of cancer, experienced by 38-85% of patients. Pain in terminally ill cancer patients is a multidimensional experience caused by a diverse array of factors -cancer itself, its treatment or other causes. Studies have shown a high incidence of myofascial pain syndrome (MPS) in patients with cancer and the knowledge of myofascial trigger points (MTrPs) is important to address and manage existing pain, and to prevent the recurrence of pain. This review aims to summarize recent advances in interventions for managing MPS in patients with cancer. Recent findingsDatabase searches were conducted on MEDLINE, CINAHL, and Google Scholar to locate all studies published from inception until April 2019 using the keywords cancer pain, myofascial pain, TrPs with emphasis of any methodological quality that included interventions for MPS. MPS in advanced cancer patients are more commonly observed along with other cancer pains rather than independently with a prevalence of 11.9-48% in those patients diagnosed with cancer of head and neck and breast cancer.

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