Ultrasound-Guided Trigger Point Dry Needling: A New Approach for Myofascial Pain Syndrome Management

2011 ◽  
Vol 37 (8) ◽  
pp. S74 ◽  
Author(s):  
R.V. Bubnov
Keyword(s):  
Myofascial Pain ◽  
Trigger Point ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Dry Needling ◽  
Ultrasound Guided ◽  
New Approach

Dry Needling Versus Sham Needling for Myofascial Pain Syndrome: A Critically Appraised Topic

2020 ◽  
Vol 25 (6) ◽  
pp. 289-293
Author(s):  
Melissa Jack ◽  
Ryan Tierney ◽  
Jamie Mansell ◽  
Anne Russ
Keyword(s):  
Myofascial Pain ◽  
Trigger Point ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Clinical Question ◽  
Myofascial Trigger Point ◽  
Dry Needling ◽  
Bottom Line

Focused Clinical Question: In patients with myofascial trigger point pain, does dry needling result in greater decreases in pain compared to sham needling? Clinical Bottom Line: The evidence supporting dry needling as more effective than sham needling in reducing patients’ pain is mixed.

Ultrasound Guided Trigger Point Injections in Myofascial Pain Syndrome

2015 ◽  
Vol 26 (3) ◽  
pp. 82-84
Author(s):  
Shiva Prasad ◽  
Vijay LNU ◽  
Gururaj Bangari ◽  
Priyanka Patil ◽  
Spurti N Sagar
Keyword(s):  
Skeletal Muscles ◽  
Ultrasound Guidance ◽  
Myofascial Pain ◽  
Trigger Point ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Trigger Points ◽  
Dry Needling ◽  
Deep Tissue ◽  
Repetitive Trauma

Abstract Trigger points as a cause of musculoskeletal or myofascial pain syndrome is well documented. Trigger points (Tr Ps) are tender and hypersensitive nodules seen in skeletal muscles which develop as a result of sudden or repetitive trauma to the muscles. They cause contractile state of a muscle with local or radiating pain. Active trigger points cause intense pain with limitation of movements of the muscles. The treatment involves deactivating the trigger points, usually done by various methods. Most common practice is myotherapy which involves deep tissue massage which is painful and time consuming. Dry needling and needling with anaesthetic injaection have been successfully used by many. Recently, ultrasound guidance is used to locate the trigger points and to accurately place the needle in to them to deactivate, thus preventing complications of blind procedures.

scholarly journals Ultrasound-guided Transmuscular Quadratus Lumborum Block with Depot Steroids in the Management of Abdominal Myofascial Pain Syndrome

2018 ◽  
pp. 103-110
Author(s):  
Gopinarth Niraj
Keyword(s):  
Abdominal Wall ◽  
Myofascial Pain ◽  
Trigger Point ◽  
Case Series ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Ultrasound Guided ◽  
Quadratus Lumborum Block ◽  
Quadratus Lumborum ◽  
Prospective Longitudinal

Background: Trigger point injection is the current standard in the management of abdominal myofascial pain syndrome (AMPS). However, multiple trigger point injections can cause significant discomfort and there is a possibility of missing trigger points resulting in a reduced efficacy of trigger point treatment. Recently, abdominal wall blocks have been reported in the management of chronic abdominal wall pain. Transmuscular quadratus lumborum block (TQLB) is a novel abdominal wall block. Objective: The report describes the role of the ultrasound-guided TQLB with depot steroids in the management of AMPS. Study Design: Prospective case series. Setting: Tertiary pain medicine clinic in a University Hospital. Methods: Adult patients with AMPS under the care of a single physician were offered TQLBs with a mixture of local anaesthetic and depot methylprednisolone instead of multiple trigger point injections as a part of an on-going prospective longitudinal audit into the management of AMPS. Patients completed brief pain inventory questionnaire at baseline and at 12 weeks postprocedure. Results: Thirty patients underwent TQLB. All patients reported complete absence of pain within 15 minutes of the block and sensory testing revealed extensive hypoaesthesia extending from thoracic T6 to T12 anteriorly. Clinically significant benefit at 12 weeks was reported by 36% of patients, with 60% (18/30) of the patients preferring to receive the novel intervention instead of multiple trigger point injections. None of the patients reported post-procedural flare up. Limitations: Open label case series in a small cohort. Conclusion: The prospective series in a limited cohort suggests that TQLB with depot steroids could play a role in the management of AMPS. Key words: Abdominal myofascial pain syndrome, transmuscular quadratus lumborum block, trigger point treatment, nonspecific abdominal pain, viscerosomatic convergence

scholarly journals Dry needling versus ultrasonic in treating cervical myofascial pain syndrome

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
H A Ali ◽  
A K Elzohiery ◽  
M M Arafa ◽  
N A Elkadery
Keyword(s):  
Skeletal Muscles ◽  
Myofascial Pain ◽  
Trigger Point ◽  
Trapezius Muscle ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Trigger Points ◽  
Ultrasonic Waves ◽  
Dry Needling ◽  
Myofascial Trigger Points

Abstract Background Myofascial pain syndrome (MPS) is a complex pain syndrome characterized by myofascial trigger points (MTrPs) in skeletal muscles. Ultrasound (US) therapy is one of the main devices used in physical therapy, for the treatment of MTrPs in MPS. Dry needling is skilled technique also used in the treatment of MTrPs in MPS. Purpose This study aimed to compare the effect of dry needling with the effect of ultrasonic waves in the treatment of cervical myofascial pain. Subjects a sample of 30 patients with myofascial trigger points in trapezius muscle was randomly chosen and divided into 2 groups each contains 15 patients. Methods the first group was treated by ultrasonic waves in a pulsed mode (1MHz, 1W/cm², 1:1 ratio) 5 min to each trigger point and the second group was treated with deep dry needling (peppering technique) to each trigger point with a rate of 3 times per week for 3 weeks. Results All patients shows significant improvement (P > 0.001) immediately after treatment period with disappearance of trigger points, increasing in cervical ROM and decreasing in VAS ; but 3 weeks later trigger points reappeared, ROM decreased and VAS increased again. Conclusion both modalities of treatment were considered effective in treating myofascial pain syndrome.

scholarly journals The Effects of Ultrasound-guided Dry Needling on Patients With Myofascial Pain Syndrome

2020 ◽  
Vol 18 (4) ◽  
pp. 369-376
Author(s):  
Ismail Ebrahimi Takamjani ◽  
◽  
Kamran Ezzati ◽  
Saemeh Khani ◽  
Javad Sarrafzadeh ◽  
...  
Keyword(s):  
Myofascial Pain ◽  
Tissue Injury ◽  
Insertion Site ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Trigger Points ◽  
Needle Insertion ◽  
Dry Needling ◽  
Ultrasound Guided ◽  
Muscle Involvement

Objectives: Dry Needling (DN) is a novel and effective intervention for patients with Myofascial Pain Syndrome (MPS). Some characteristics, such as needle penetration depth, needle insertion into the target muscle, and trigger points must be identified in this intervention. The Ultrasound (US)-guided DN is a technique that involves needle insertion at the site of injury and the simulation of tissue injury and inflammation under US guidance; it indicates the needle insertion site to ensure that it does not penetrate the adjacent tissues. The current study aimed to review previous studies regarding the effects of US-guided DN on MPS. Methods: A search was performed in PubMed, Scopus, Cochrane, Google Scholar, Springer, and Science Direct databases to retrieve studies published from 2010 to March 2020. We included investigations regarding the effects of US-guided DN on the treatment of MPS. The following keywords and MeSH terms were used in the search process: “ultrasound-guided, musculoskeletal ultrasonography, myofascial pain syndrome, trigger points, and dry needling.” Results: A total of 47 relevant articles were retrieved. However, based on the inclusion and exclusion criteria of the review, 11 articles were finally selected. All studies reported significant pain relief following the use of US-guided DN in patients with MPS. Discussion: Considering the precise visualization of the site of muscle involvement, precise needle insertion, and reduction of the risk of further injury in US-guided DN may be a useful approach for MPS management in short-term and long-term studies.

Sign in / Sign up

Export Citation Format

Share Document