scholarly journals Myofascial pain syndrome in female patients with chronic nonspecific back pain: diagnosis and treatment

2020 ◽  
Vol 12 (2) ◽  
pp. 57-63
Author(s):  
D. O. Rozhkov ◽  
O. E. Zinovyeva ◽  
A. N. Barinov ◽  
I. M. Vikhlyantsev ◽  
G. Z. Mikhailova ◽  
...  
Keyword(s):  
Back Pain ◽  
Myofascial Pain ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Diagnosis And Treatment ◽  
Female Patients ◽  
Pain Diagnosis

scholarly journals LOW BACK PAIN;

2019 ◽  
Vol 26 (05) ◽  
Author(s):  
Bilal Khan ◽  
Khalid Khanzada ◽  
Sajjad Ullah ◽  
Usman Haqqani
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Myofascial Pain ◽  
Trigger Point ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Radiological Examination ◽  
Low Back ◽  
Inclusion Criteria ◽  
Female Ratio

Objectives: To know about the efficacy of trigger point injections in low back pain. Study Design: Prospective observational study. Setting: Out-patient Department of Naseer Teaching Hospital, Peshawar, and private clinic of the author. Period: March 2016 to January 2017. Materials and Methods: All patients with low back pain were evaluated. Inclusion criteria was; all patients with low back pain greater than 3 months duration whether operated or not, patients with non-radiating symptoms, patients with acceptable radiology (no listhesis, obvious stenosis/disk, albeit some degree of degeneration was acceptable), further helping points were morning exacerbations and elicitation of tender spot by the patient. The exclusion criteria was Low back pain with less than 3 months duration, obvious pathology on radiological examination, radiating symptoms, generalized low back pain without any point tenderness elicitation. The patients were sent home on medications and asked to avoid strenuous activity for a couple of weeks, they were followed after one month and asked about their pain satisfaction. Results: Approximately 2800 patients were evaluated for low back pain and of them 237 (8.46%) patients were upto the inclusion criteria, only 112 patients had agreed to have a TPI, which showed an acceptance rate of 47.25%. There were 65 males and 58 females, with a male to female ratio approaching almost 1:1. The age range was from 18 to 48 years, and the mean age was 32 years. The minimum duration of pain was 3 months and the maximum duration was 4 years, 4 patients had undergone back surgery. Almost all patients pointed out the pain spot, but a typical trigger point was elicited in 58(51.78%) patients, while morning exacerbation was present in 43(38.38%). Radiological examination was performed on all patients in the form of simple xrays and Magnetic resonance imaging scans, it was acceptable in 67%, as patients with radiating symptoms were already excluded. 10.71% (n=12) patients had some problems. Conclusion: In patients with chronic low back pain due to Myofascial Pain Syndrome (MPS) eliciting the trigger points by either elaboration through history or physical examination and treating them with a TP injection with lignocaine and a steroids has good short term results.

scholarly journals Myofascial Pain Syndrome – Some Aspects of Diagnosis and Treatment

2013 ◽  
Vol 3 (3) ◽  
pp. 52-56 ◽  
Author(s):  
S. Pshyk ◽  
◽  
N. Bozhenko ◽  
R. Pshyk ◽  
I. Bozhenko ◽  
...  
Keyword(s):  
Myofascial Pain ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Diagnosis And Treatment

Postlaminectomy Syndrome

2018 ◽  
Author(s):  
Kenneth D. Candido ◽  
Tatiana Tverdohleb ◽  
Nebojsa Nick Knezevic
Keyword(s):  
Back Pain ◽  
Clinical Judgment ◽  
Myofascial Pain ◽  
Subsequent Development ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Lumbar Spine Surgery ◽  
Low Back ◽  
Back Surgery ◽  
The Right

Postlaminectomy syndrome is persistent or recurrent back pain after otherwise anatomically successful lumbar spine surgery. A dramatic increase in the number of low back surgeries has been observed since 1997, with an increased incidence of pain after low back surgery in the range of 5% to 74.6%. The mechanisms contributing to back pain are muscle damage during surgery, muscle spasm, and inflammation, with subsequent development of myofascial pain syndrome as well as other typical and atypical back pain generators. Diagnosis is based primarily on history and physical examination, as well as results of imaging (preoperative and postoperative). Treating postlaminectomy syndrome is challenging, due to lack of evidence-based clinical guidelines. Pharmacologic treatment in combination with interventional management sometimes is not enough, and choosing the right candidates for revision and reoperation surgery is mainly based on the surgeon’s experience and best clinical judgment. In certain circumstances, spinal cord stimulation can achieve better results than reoperation.

What are the Regional and Localized Forms of Fibromyalgia?

2002 ◽  
Author(s):  
Daniel J. Wallace ◽  
Janice Brock Wallace
Keyword(s):  
Back Pain ◽  
Myofascial Pain ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
The Body ◽  
Physical Medicine ◽  
Tender Points ◽  
Allied Health Professionals ◽  
Injury Rehabilitation ◽  
White House

The definition of fibromyalgia includes widespread pain in all four quadrants (areas) of the body. What happens when you have fibromyalgia-like pain located in only one or two quadrants of the body? Limited forms of the syndrome have distinct features and terms used to describe them. Myofascial pain syndrome encompasses many regional pain conditions ranging from temporomandibular joint dysfunction in the jaw to a low back pain syndrome. The diagnosis of myofascial pain syndrome requires that at least one trigger point be present and that, when it is pressed, pain is referred to another site. This chapter will review regional myofascial pain, relate it to fibromyalgia pain pathways, and discuss its management and prognosis. Our current concepts of tender points, trigger points, and regional pain amplification were developed by two of the best-known physical medicine thinkers, Janet Travell and David Simons. Beginning in the early 1940s, Dr. Travell became well known as John F. Kennedy’s physician, who nursed him back to health in the 1950s when back pain restricted his ability to walk. Later, she became Lyndon Johnson’s White House physician. Travell and Simon’s textbook on myofascial pain remains a classic and was updated by them as recently as 1992. Dr. Travell (who died in 1997 at the age of 95) and Dr. Simons formed close working relationships with rheumatologists, and their influence permeates every fibromyalgia study relating to tender points and regional pain. Neurologists, neurosurgeons, and orthopedists diagnosed and treated localized muscle and nerve pain long before there were rheumatologists. At about the same time that rheumatologists were becoming recognized and organized into a certifiable subspecialty, an equally small group of doctors were organizing themselves into a specialty known as physical medicine and rehabilitation. These doctors (who call themselves physiatrists) do not perform surgery, are not internists or family physicians, and do not manage autoimmune diseases. They concern themselves with areas not addressed by rheumatologists such as stroke, cardiac, and spinal cord injury rehabilitation. Physical medicine doctors usually practice in a hospital or hospital-like environment and work closely on a daily basis with physical therapists, occupational therapists, speech therapists, social workers, psychologists, and other allied health professionals.

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