Myofascial Trigger Points

Lavelle, Elizabeth Demers; Lavelle, William F.; Smith, Howard S.

doi:10.1016/j.anclin.2007.07.003

Cited by 185 publications

(131 citation statements)

References 16 publications

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“…Myofascial pain syndrome is a painful musculoskeletal disease that is characterized by taut bands and trigger points. Its major symptoms include the formation of taut bands, muscle weakness, referred pain, and limitation of the joints 4,5) . Its current treatment methods encompass injection of topical anesthetics, cryotherapy, thermotherapy, stretching therapy, exercise treatment, pressure pain relaxation therapy, transcutaneous electrical nerve stimulation, and ultrasound treatment 6) .…”

Section: Introductionmentioning

confidence: 99%

Effects of the Combined Treatment of Extracorporeal Shock Wave Therapy (ESWT) and Stabilization Exercises on Pain and Functions of Patients with Myofascial Pain Syndrome

et al. 2012

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Abstract. [Purpose] In order to develop a more effective treatment method for pain and function in myofascial pain syndrome, we examined the effects of ESWT, stability exercises, and combined treatment.[Subjects] The subjects were randomly divided into a stabilization exercise group (n=12), an ESWT (Extracorporeal Shock Wave Therapy) group (n=12), and a combined treatment group (n=12).[Methods] The stabilization exercise group performed shoulder joint stabilization exercises. The ESWT group received ESWT for the upper trapezius. The combined treatment group received a combined treatment of shoulder joint stabilization exercises and ESWT. Pain and function were measured using the visual analog scale (VAS), pressure pain threshold (PPT), neck disability index (NDI), and the Constant Murley Scale (CMS).[Results] The VAS Score showed statistically significant improvements in all of the groups. All of the CMS evaluation items except muscle strength in the stabilization exercise group, and all of the CMS items in the ESWT group and the combined treatment group, exhibited statistically significant improvements. The combined treatment group of ESWT and stabilization exercises showed statistically significant improvements in all VAS of CMS evaluation items, and the NDI test after the four-week intervention.[Conclusion] The combined treatment was more effective at reducing pain than ESWT, and stabilization exercise would be useful for physical therapists treating myofascial pain syndrome in a clinical setting.

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Section: Introductionmentioning

confidence: 99%

Effects of the Combined Treatment of Extracorporeal Shock Wave Therapy (ESWT) and Stabilization Exercises on Pain and Functions of Patients with Myofascial Pain Syndrome

et al. 2012

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“…In addition, there is also a minimal risk of infection and pneumothorax with this procedure. [24] Lidocaine injection is more expensive than DN, and it carries a risk of anaphylaxis along with skeletal muscle toxicity, a rare adverse effect associated with local anesthetics. Furthermore, intramuscular injection of these agents can lead to reversible myonecrosis.…”

Section: Discussionmentioning

confidence: 99%

A Comparison of the Efficacy of Dry Needling, Lidocaine Injection, and Oral Flurbiprofen Treatments in Patients with Myofascial Pain Syndrome: A Double-Blind (For Injection, Groups Only), Randomized Clinical Trial

et al. 2013

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Amaç: Bu çalışmada boyun ve sırt bölgesinde miyofasiyal ağrı sendromu (MAS) bulunan hastalarda kuru iğneleme, lidokain enjeksiyonu ve oral flurbiprofen tedavilerinin etkinliği karşılaştırıldı. Hastalar ve yöntemler:Bu prospektif çalışmaya toplam 60 hasta (7 erkek, 53 kadın; ort yaş 33.7 yıl; dağılım 18-50 yıl) dahil edildi. Hastalar blok randomizasyon ile üç gruba ayrıldı. Bir gruba tetik noktalara kuru iğneleme, bir gruba lidokain enjeksiyonu (çift kör) ve diğer gruba yedi gün süresince 200 mg/gün oral flurbiprofen tedavisi verildi. Ayrıca hastaların tümüne tutulan kasın gerilmesini temel alan standart bir ev egzersiz programı da verildi. Tedavi öncesi ve tedaviden sonraki üçüncü ve 14. günlerde ağrı şiddeti, görsel analog ölçeği (GAÖ) ile tetik noktaların duyarlılık derecesi algometre ile boyun ve omuz aktif eklem hareket açıklıkları gonyometre ile ve yaşam kalitesi Nottingham Sağlık Profili ile değerlendirildi. Bulgular: Üç grupta da tedaviden sonraki üçüncü ve 14. günlerde tedavi öncesine göre ağrı şiddeti, tetik nokta hassasiyeti, eklem hareket açıklıkları ve yaşam kalitesi açısından iyileşme saptandı. Tedavilerin etkinlikleri açısından gruplar arasında anlamlı fark bulunmadı.Sonuç: Miyofasiyal ağrı sendromunun tedavisinde, ev egzersizleri ile birlikte kuru iğneleme, lidokain enjeksiyonu ve oral flurbiprofen tedavilerinin tümü etkindir.Anahtar sözcükler: Kuru iğneleme; flurbiprofen; lidokain; miyofasiyal ağrı sendromu. Objectives:The aim of this study was to assess and compare the efficiency of dry needling, lidocaine injection and oral flurbiprofen treatments in patients with myofascial pain syndrome (MPS) involving the neck and back region. Patients and methods:A total of 60 patients (7 males, 53 females; mean age 33.7 years; range 18 to 50 years) were included in this prospective study. The patients were divided into three groups by block randomization. Each group was assigned to dry needling for trigger points, lidocaine injection (double blind) or oral flurbiprofen 200 mg/day over seven days. All patients were also prescribed a standardized home exercise program based on stretching of the affected muscles. Before treatment and on the third and 14 days after treatment, pain severity was assessed by visual analog scale (VAS), degree of tenderness at the trigger points by algometry, active joint range of motion of the neck and shoulders by goniometry, and the quality of life by Nottingham Health Profile.Results: There was a significant improvement in pain severity, trigger point tenderness, joint range of motion, and quality of life in all three groups on the third and 14 th days of treatment. No significant difference was found in treatment efficiency among the groups. Conclusion:Treatments with dry needling, lidocain injection and oral flurbiprofen along with home exercises are all effective in the management of MPS.

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“…Neurol Sci (2013) 34 (Suppl 1):S171-S173 trajectory, can lead to undesirable responses of the craniomandibular joint's components and neuromuscular equilibrium of the patient [9]. Altered muscular activity, such as contracture sustained over time, and muscle spasm, associated with shortening of the muscle fibers, may help explain the phenomena that underlie the onset of trigger points.…”

Section: S172mentioning

confidence: 99%

Positive outcome of occlusal freeway space reestablishment in patients with medication overuse due to chronic migraine

Didier

Marchetti

et al. 2013

Neurol Sci

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Considering the great chapter of migraines, it is important to note the signs and symptoms caused by an alteration of the relationship of the facial musculature and the occlusal freeway space (FWS) that is the distance from maximal intercuspation to the habitual rest position (measurable in 1.4-2.5 mm). To any mandible position changing (detected by periodontal, muscle and joint proprioceptors), there is an influence on the neuromuscular system and then an alteration of the FWS. A group of 60 patients with chronic migraine (CM) underwent a withdrawal of overused medication and were subjected to electromyographic and kinesiographic evaluation. All those who presented an alteration of the FWS at rest position have been subjected to treatment with orthosis device for about 12 months. The aim of our work is to obtain and define a correct mandibular position, physiological, in agreement with the neuromuscular structures of the patient. Clinical results obtained on this pool of patients, in terms of reduction of the VAS, let us understand the importance of the inviolability of the FWS and to eliminate any type of mandibular deviation with respect to the closure trajectory induced by TENS in patients suffering from CM.

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Myofascial Trigger Points

Cited by 185 publications

References 16 publications

Effects of the Combined Treatment of Extracorporeal Shock Wave Therapy (ESWT) and Stabilization Exercises on Pain and Functions of Patients with Myofascial Pain Syndrome

Effects of the Combined Treatment of Extracorporeal Shock Wave Therapy (ESWT) and Stabilization Exercises on Pain and Functions of Patients with Myofascial Pain Syndrome

A Comparison of the Efficacy of Dry Needling, Lidocaine Injection, and Oral Flurbiprofen Treatments in Patients with Myofascial Pain Syndrome: A Double-Blind (For Injection, Groups Only), Randomized Clinical Trial

Positive outcome of occlusal freeway space reestablishment in patients with medication overuse due to chronic migraine

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