Trigger Point Injections Followed by Immediate Myofascial Release in the Treatment of Pelvic Floor Tension Myalgia

2021 ◽  
Vol 28 (11) ◽  
pp. S70
Author(s):  
GK Lewis ◽  
AH Chen ◽  
MG Leon ◽  
AR Carrubba
Keyword(s):  
Pelvic Floor ◽  
Trigger Point ◽  
Myofascial Release

scholarly journals Trigger Point Injections for Pelvic Floor Myofascial Spasm Refractive to Primary Therapy

2017 ◽  
Vol 9 (2) ◽  
pp. 125-130 ◽  
Author(s):  
Lina S. Fouad ◽  
Paul D. Pettit ◽  
Marcus Threadcraft ◽  
Ali Wells ◽  
Audrey Micallef ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Trigger Point ◽  
Retrospective Chart Review ◽  
Primary Therapy ◽  
Post Injection ◽  
Vas Score ◽  
Pain Scores ◽  
Before And After ◽  
Vas Scores ◽  
The Difference

Introduction A retrospective chart review was conducted of visual analog scale (VAS) scores completed before and after trigger point injections (TPIs) for pelvic floor myofascial spasm to evaluate response. Methods Sixty-eight female patients who underwent TPIs from October 9, 2007 to March 12, 2015 were included. The primary end point was the difference between scores. Secondary analyses were conducted for patients who needed repeat TPIs. Descriptive and paired t test analyses were used. Results The key result was an improvement in VAS scores for 65% (44/68) of patients (p<0.0001). The median pre-injection VAS score was 7 (1 to 10), (mean 6.3). The median post-injection VAS score was 4 (0 to 9), (mean 4.3). The median difference between scores in patients who improved was 3 (1 to 8), (mean 3.6). Seventeen of 68 (25%) patients needed repeat TPI, and the median time between injections was 1.5 months (1 to 7 months), (mean 2.2 months). When analyzing pre-injection VAS scores in patients who underwent subsequent repeat injection when compared to patients who did not require repeat injection, there was no difference (p = 0.32). In addition, the differences between pre- and post-injection VAS scores in the patients who underwent repeat injection and those who did not was not significant (p = 0.26). Conclusions We report on 68 women who underwent TPIs, with an improvement in VAS pain scores in 65%. It appears that TPIs for pelvic floor myofascial spasm are successful in reducing pain scores for patients who are refractory to primary therapy.

scholarly journals Efficacy of Self Myofascial Release Technique to Reduce Frequency and Severity of Noctural Leg Cramp in Older Adults

2021 ◽  
pp. 193-197
Author(s):  
Samiksha V. Sonone ◽  
Deepali Patil ◽  
Om C. Wadhokar
Keyword(s):  
Older Persons ◽  
Trigger Point ◽  
Low Cost ◽  
Night Time ◽  
Prolonged Standing ◽  
Myofascial Release ◽  
Release Technique ◽  
Wide Range ◽  
Proprioceptive Neuromuscular Facilitation

Background: Nocturnal leg cramps (NLC) are involuntary muscle contractions of the calf muscles, hamstrings, or foot muscles that occur unexpectedly, episodically, and are unpleasant. Night time cramping affects about one-third of adults. Leg cramps can strike anyone at any age, although they are more widespread and often more severe as grow older. The majority of cramps are idiopathic, and the physiological cause behind them is unknown. Muscle cramps appear to be triggered by neuromuscular structures in muscle, tendons, and nerve fibres, according to some writers. Musculoskeletal issues linked to a sedentary lifestyle, as well as job postures, prolonged standing, and the western habit of sitting rather than squatting, have been implicated of generating cramps, particularly NLC. Patients with cramps have a higher risk of peripheral vascular disease than individuals without cramps. Stretching before bedtime can help older persons lessen the frequency and severity of nocturnal leg cramps. Stretching treatments, like as Myofacial Release, can help relieve NLC. Self-Myofacial release (SMFR) is a sort of Myofacial release (MFR) that is accomplished by the person rather than a therapist, and it is usually done with the help of a tool. Self-MFR is a low-cost, easily accessible approach for people to relieve muscle and fascia pain while also maintaining flexibility. Foam rollers and roller massage are two of the most used devices for self-MFR. MFR is used to treat a wide range of musculoskeletal disorders; it is used to treat a wide range of problems, and many types of treatment, such as trigger-point therapy and proprioceptive neuromuscular facilitation, fall under the myofascial umbrella. Aim and Objectives: To study the main impact of Self Myofascial Release (SMFR) to decreasing the duration of pain and improving Quality of Life in patients with NLC. Methodology: In this study total 30 patient with nocturnal leg cramps will receive Self Myofascial Release technique (SMFR), it will be including exercise which will be performed for 4 weeks twice a day and each for 5-10 mins. Discussion: This study is done to find out the effectiveness of Self Myofacial release in individual with nocturnal leg cramps (NLC). Conclusion: Conclusion of the study can be made based on the effect of Self Myofascial Release technique on patient with nocturnal leg cramps. 

Transvaginal Trigger Point Injections Improve Pain Scores in Women With Pelvic Floor Hypertonicity and Pelvic Pain Conditions

2019 ◽  
Vol 74 (12) ◽  
pp. 713-714
Author(s):  
Jamie Bartley ◽  
Esther Han ◽  
Priyanka Gupta ◽  
Natalie Gaines ◽  
Kim A. Killinger ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pelvic Pain ◽  
Trigger Point ◽  
Pain Scores

scholarly journals A Comparative Study on the Effects of Trigger Point Release vs Myofascial Release for Myofascial Trigger Points of Upper Trapezius in Smartphone Users

2021 ◽  
Vol SP (1) ◽  
Author(s):  
Anjali Suresh ◽  
Rama Chandra L. A. ◽  
Prasanna Mohan
Keyword(s):  
Pain Intensity ◽  
Trigger Point ◽  
Trapezius Muscle ◽  
Trigger Points ◽  
The Body ◽  
Myofascial Trigger Points ◽  
Myofascial Release ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle ◽  
Neck Disability

Background/aim: The increasing use of smartphone in daily life has brought about numerous musculoskeletal problems. Impairments in the neck is the most common when compared to other parts of the body. The aim of this study was to compare the effects of two different manual treatment techniques in two separate groups, i.e., trigger point release and Myofascial release (MFR) on the trigger points (TrPs) in the upper trapezius muscle in smartphone users. Both group received Ultrasound therapy. The smartphone addiction scale -short version was administered to all participants to determine the level of addiction and those who scores were high were included in the study. The set criteria in the study included the pain intensity on the visual analogue scale (VAS) neck disability using the Neck Disability Index and Cervical Range of motion side flexion using cervical goniometer. Subjects and methods: This clinical trial study assessed the outcome measures within and between groups before, after the intervention and a follow up was done after 15 days. The target population were smartphone users between the age group of 18 to 35 years. 106 subjects (48 males, 53 females) participants who had been selected from among the eligible participants of 176 and who had TrPs in their upper trapezius muscle. Results: The effect of Trigger point release and Myofascial release on patients of each groups with TrPs in the upper trapezius muscle resulted in increased cervical lateral flexion (P < 0.001), decreased pain intensity on VAS (P < 0.001) and decreased decrease in Neck disability (P < 0.001) within the groups and between the group there was no significance. Conclusion: Both manual techniques Trigger point release and Myofascial release reduced the symptoms of TrPs in the upper trapezius in both the groups equally, neither technique being superior to the other.

scholarly journals IMMEDIATE EFFECT OF MYOFASCIAL RELEASE V/S POSITIONAL RELEASE TECHNIQUE ON LEVATOR SCAPULAE TRIGGER POINTS IN YOUNG ADULTS

2020 ◽  
pp. 15-17
Author(s):  
Ahmed Noor ◽  
Mansi Sanghvi ◽  
Sarfraj Khan
Keyword(s):  
Young Adults ◽  
Trigger Point ◽  
Trigger Points ◽  
Post Intervention ◽  
Myofascial Release ◽  
Spine Pain ◽  
Levator Scapulae ◽  
Release Technique ◽  
Group B ◽  
Release Method

Context : Myofascial release is the gentle manual application of sustained pressure to release fascial restriction. One of the cervical spine pain healing methods is Trigger point therapy with positional release method. Aim: To compare the efficacy of Immediate Effect of Myofascial Release and Positional Release techniques on levator scapulae trigger points in young adults. Method and material: Study involved 30 subjects that were divided into 2 groups. Group A (n=15) Myofascial Release technique and Group B (n=15)Positional Release technique. Results: The data was analysed using statistical method of paired’t’-test between the pre and post interventional study of pain and range of motion. Result showed statistically significant improvement (p<0.05) and visible difference in the post intervention. Discussion and conclusion: From the present study we conclude that Myofascial release is more efficient in reducing pain whereas Positional Release Technique is more efficient in increasing the cervical ROM , both Active lateral flexion and Cervical rotation.

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