Experimental neck muscle pain increase pressure pain threshold over cervical facet joints

2017 ◽  
Vol 16 (1) ◽  
pp. 182-183
Author(s):  
Ning Qu ◽  
René Lindstrøm ◽  
Rogerio Pessoto Hirata ◽  
Thomas Graven-Nielsen
Keyword(s):  
Injection Site ◽  
Muscle Pain ◽  
Pain Threshold ◽  
Facet Joint ◽  
Pressure Pain Threshold ◽  
Trapezius Muscle ◽  
Facet Joints ◽  
Multifidus Muscle ◽  
The Right ◽  
Cervical Facet

AbstractAimsEvaluate pressure pain threshold (PPT) over cervical facet joints before and after injection of experimental pain in the trapezius and multifidus muscles.MethodsFourteen healthy subjects (6 women) received randomized ultrasound-guided injections of hypertonic saline (5.8%), in the right multifidus muscle medial to C4/C5 facet joint and in the right trapezius muscle at the midpoint between C7 spinous process and acromion. The saline-induced pain intensity was assessed on a VAS scale. Before and during saline-induced pain PPTs were assessed by pressure algometry bilaterally over C2/C3 and C5/C6 facet joints. Three-way repeated-measures ANOVA with factors PPT location, injection site, and time was used for analysis. Post-hoc analysis was done by Bonferroni.ResultsSaline-induced trapezius muscle pain increased PPTs over all facet joints (P < 0.05) compared with before pain. Saline-induced multifidus muscle pain increased PPTs bilaterally over C2/C3 facet joints and over the left C5/C6 facet joint (P < 0.05) compared with before pain.ConclusionsTrapezius muscle pain increased PPT over assessed facet joints. Similar results were found for multifidus muscle pain except for the right C5/C6 facet joint, which was close to the injection site. Such findings may reflect descending inhibitory control acting on structures furthest away from the painful structure.

scholarly journals The influence of the sensitivity of the trapezius muscle on the changes within the bioelectric tensions of the masticatory muscles

2019 ◽  
Vol 129 (2) ◽  
pp. 52-54
Author(s):  
Grzegorz Zieliński ◽  
Michał Baszczowski ◽  
Michał Ginszt ◽  
Aleksandra Byś ◽  
Piotr Gawda
Keyword(s):  
Pain Threshold ◽  
Muscle Tone ◽  
Statistical Significance ◽  
Pressure Pain Threshold ◽  
Trapezius Muscle ◽  
Masticatory Muscles ◽  
Facial Skeleton ◽  
Pressure Pain ◽  
Level Of Significance ◽  
The Right

Abstract Introduction. Pathological muscle tone can cause changes in the facial skeleton, including tension headaches, tinnitus, temporomandibular joint dysfunctions. The complexity of pathologies and their spectrum may also indicate changes beyond the facial skeleton. The aim of the study was to determine the possible correlation between the pressure pain threshold of the trapezius muscle and the bioelectrical tension on the masticatory muscles. Aim. The aim of the study was to determine the possible correlation between the pressure pain threshold of the trapezius muscle and the bioelectric tension on the masticatory muscles. Material and methods. The number of 36 women applied for the study. They were all examined using an algometer within a trapezius muscle to determine the pressure pain threshold. The electromyographic study was carried out in accordance with the SENIAM guidelines. The resting activity of selected masticatory muscles (temporal and masseter) was recorded for 10 sec. The study involved an 8-channel BioEMG IIITM surface electromyography apparatus with BioPak Measurement System (BioResearch Associates, Inc. Milwaukee, WI, USA). Statistical analysis was carried out using the r-Pearson test. The level of significance was set at 5%. Results. After comparing the bioelectric tension of the masticatory muscles and the pressure pain threshold, left-sided correlation was observed (p<0.05). Both in the right-hand and general comparison, the results did not reach the required level of statistical significance (p>0.05). Conclusions. The pressure pain threshold seems to be linked to the bioelectrical muscle tone of the masticatory muscles. To confirm this observation, further research into a larger and more diverse group of participants is recommended.

scholarly journals Surgical treatment of traumatic cervical facet dislocation: anterior, posterior or combined approaches?

2016 ◽  
Vol 74 (9) ◽  
pp. 745-749 ◽  
Author(s):  
Catarina C. Lins ◽  
Diego T. Prado ◽  
Andrei F. Joaquim
Keyword(s):  
Surgical Treatment ◽  
Facet Joint ◽  
Direct Reduction ◽  
Point Of View ◽  
Facet Joints ◽  
Spine Trauma ◽  
Joint Dislocations ◽  
Cervical Facet ◽  
Cervical Facet Joint ◽  
Anterior Posterior

ABSTRACT Surgical treatment is well accepted for patients with traumatic cervical facet joint dislocations (CFD), but there is uncertainty over which approach is better: anterior, posterior or combined. We performed a systematic literature review to evaluate the indications for anterior and posterior approaches in the management of CFD. Anterior approaches can restore cervical lordosis, and cause less postoperative pain and less wound problems. Posterior approaches are useful for direct reduction of locked facet joints and provide stronger fixation from a biomechanical point of view. Combined approaches can be used in more complex cases. Although both anterior and posterior approaches can be used interchangeably, there are some patients who may benefit from one of them over the other, as discussed in this review. Surgeons who treat cervical spine trauma should be able to perform both procedures as well as combined approaches to adequately manage CFD and improve patients’ final outcomes.

Influence of scapular position on the pressure pain threshold of the upper trapezius muscle region

2008 ◽  
Vol 12 (2) ◽  
pp. 226-232 ◽  
Author(s):  
Daniel Camara Azevedo ◽  
Tatiana Lima Pires ◽  
Fernanda Souza Andrade ◽  
Mary Kate McDonnell
Keyword(s):  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Trapezius Muscle ◽  
Pressure Pain ◽  
Upper Trapezius ◽  
Muscle Region ◽  
Upper Trapezius Muscle

scholarly journals Effect of multiple cervical facet joint intra-articular steroid injection for early mobilization of cervical spine in early cervical predominant ankylosing spondylitis

KYAMC Journal ◽  
2018 ◽  
Vol 9 (1) ◽  
pp. 39-40
Author(s):  
Mohammad Moniruzzaman ◽  
Md Shahadat Hossain ◽  
Muhammad Alamgir Mandal ◽  
Md Zakir Hossain ◽  
Md Ahsan Ullah ◽  
...  
Keyword(s):  
Ankylosing Spondylitis ◽  
Inflammatory Reaction ◽  
Local Anesthetic ◽  
Facet Joint ◽  
Steroid Injection ◽  
Facet Joints ◽  
Vicious Cycle ◽  
Image Guided ◽  
Cervical Facet ◽  
Cervical Facet Joint

Background: Ankylosing spondylitis (AS) have also been described as causes of facet joint pain. Image-guided injection of local anesthetic and steroid into the facet joint aims to break this vicious cycle and stop the inflammatory reaction involving facet joints in AS.Objectives: Image-guided injection of local anesthetic and steroid into the facet joint aims to break this vicious cycle and stop the inflammatory reaction involving facet joints in AS.Materials & Methods: Obtaining an informed consent, the procedure was performed with strict aseptic precautions and intra-procedural vital parameters were monitored.Results: After 7 days of extensive rehabilitation program, the ROM in all direction was dramatically improved with significant improvement of pain. Regarding VAS, during 1st visit it was 8, after 30 min of injection the score became 6 (25% improvement) and after one week, the score became 2 (75% improvement).Conclusion: Multiple intra-articular cervical facet joint steroid injection is very much effective in acute facet joint synovitis in cervical predominant early AS for starting early rehabilitation program.KYAMC Journal Vol. 9, No.-1, April 2018, Page 39-40

scholarly journals Preventative Taping in Futsal: An Exploratory Analysis of Low-Dye Taping on Planter Force Distribution and Pain Sensitivity

2020 ◽  
Vol 10 (2) ◽  
pp. 540
Author(s):  
Sebastian Klich ◽  
Biye Wang ◽  
Aiguo Chen ◽  
Jun Yan ◽  
Adam Kawczyński
Keyword(s):  
Plantar Pressure ◽  
Pain Sensitivity ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Force Distribution ◽  
Pressure Pain ◽  
Lower Extremity Injuries ◽  
Foot Force ◽  
Extremity Injuries ◽  
The Right

The purpose of the present study was to investigate the changes in plantar foot force distribution (i.e., the percentage of force and force distribution under the rearfoot and forefoot) and plantar pressure pain sensitivity maps in professional futsal players after long-term low-dye taping (LDT). The subjects (n = 25) were male futsal players (age 23.03 ± 1.15 years). During the experiment, a nonelastic tape was applied on the plantar foot surface according to the standards of LDP. The experimental protocol consisted of a 3-day cycle during which the plantar foot force distribution (FFD) and plantar pressure pain threshold (PPT) were measured: (1) before the tape was applied, (2) 24 h after application, and (3) 72 h after application. The results revealed a significant decrease in the force distribution under the rearfoot (p ≤ 0.001) and forefoot (p ≤ 0.001) on the right and left sides. Moreover, the results showed an increase in the plantar pressure pain threshold in all regions of the foot (p ≤ 0.001). The results of this study suggest that plantar fascial taping can be an effective method for normalizing the force distribution on the foot and reducing the plantar pain threshold. The findings provide useful information regarding the prevention of and physical therapy of lower extremity injuries in soccer and futsal.

Cardiovascular responses to and modulation of pressure pain sensitivity in normotensive, pain-free women

2012 ◽  
Vol 3 (3) ◽  
pp. 165-169 ◽  
Author(s):  
Christine Mohn ◽  
Olav Vassend ◽  
Stein Knardahl
Keyword(s):  
Pain Sensitivity ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Cardiovascular Responses ◽  
Pressure Pain ◽  
Pain Stimulation ◽  
The Right ◽  
The Relationship ◽  
Free Women ◽  
Analogue Scales

AbstractBackground and purposeThe psychophysiological responses to and modulation of pressure pain stimulation are relatively new areas of investigation. The aims of the present study were to characterize subjective and cardiovascular (CV) responses to pressure pain stimulation, and to examine the relationship between CV responding and pain pressure pain sensitivity.MethodsThirty-nine pain-free, normotensive women were included in the study and tested during the follicular phase of their menstrual cycles. Pain threshold and tolerance were recorded at the right masseter muscle and the sternum, and visual analogue scales (VAS) were used to rate both pain intensity (the sensory dimension) and discomfort (the affective dimension). Mean arterial pressure (MAP), heart rate (HR), and facial and digital skin blood flux (SBF) were registered continuously.ResultsThe pain threshold and tolerance were significantly higher at the sternum compared with the masseter, but the level of affective distress was higher at the masseter tolerance point. No associations emerged between pressure pain threshold and tolerance stimulation levels, and the corresponding VAS ratings. Pressure pain stimulation of the masseter induced significant increases in MAP, HR, and a decrease in digital SBF. During sternum pressure stimulation a significant change in HR and digital SBF was observed. There were no significant correlations between CV responding and pressure pain sensitivity.ConclusionHealthy women seem to display higher pressure pain sensitivity at the masseter region relative to the sternum. Pressure pain stimulation was associated with significant changes in MAP, HR, and SBF, but was not modulated by CV responses. The validity of these findings is strengthened by our control for menstrual cycle events, weekend-related changes in physiology, and CV changes during pain stimulation.ImplicationsThis study extends previous reports of SBF sensitivity to electrocutaneous pain into the field of pressure stimulation. Moreover, this study suggests that the often demonstrated association between high BP and low pain sensitivity may not apply to pressure pain specifically. Alternatively, this finding adds to the literature of gender differences in the relationship between CV responding and acute pain sensitivity in general.

scholarly journals Impact of classic massage on the pressure pain threshold- a preliminary study.

2018 ◽  
Vol 12 (4) ◽  
pp. 28-38
Author(s):  
Iwona Wilk ◽  
Tomasz Matuszewski ◽  
Magdalena Tarkowska ◽  
Krzysztof Kassolik ◽  
Waldemar Andrzejewski ◽  
...  
Keyword(s):  
Latissimus Dorsi ◽  
Pain Threshold ◽  
Muscle Tone ◽  
Pressure Pain Threshold ◽  
Pressure Sensitivity ◽  
Healthy Individuals ◽  
Pressure Pain ◽  
Tissue Sensitivity ◽  
The Right ◽  
Back Massage

Background: The pressure pain threshold (PPT) differs by muscle, depends on sex, age, and health status, and alters under the influence of disease. It is interesting to ask how and whether tissue sensitivity changes after the application of therapy. Aim of the study: The purpose of this study was to assess in healthy individuals the pressure sensitivity of muscles in the torso following a classic massage. Material and methods: A measurement of the pressure sensitivity of certain muscles of the back (the latissimus dorsi, the trapezius, and the spinal erector) was performed using an algometer before classic back massage and immediately after the procedure. A classic back massage was given to 60 healthy volunteers aged 20–47 years. The massage lasted 20 minutes and the major techniques were performed on selected superficial and deep muscles of the back. Results: The pressure sensitivity of the muscles decreased after the classic massage. Statistically significant changes were observed in the right (p < 0.001) and left (p = 0.002) spinal erectors; in the transverse part on both sides (p < 0.001), and in the descending part on both sides (p < 0.001) of the trapezius muscle; and in the right (p = 0.008) and left (p = 0.004) of the latissimus dorsi muscle. Conclusions: Classic massage alleviates tissue sensitivity to pressure in healthy individuals. It can be effective in cases of increased resting muscle tone accompanied by increased tissue sensitivity.

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