Pain Relief at Trigger Points: A Comparison of Moist Heat and Shortwave Diathermy

Objective: Tele-health care service of alternative practice for chronic pain disease is worthwhile of developing, especially in the period of COVID-19 pandemic. Targeting on myofascial trigger points, this study was performed to assess the possible short-term pain relief and functional improvement in patients by applying the device of BIOCERAMIC material enhanced by frequencies of tempo sound and visible light spectrum (BioS&L). Methods: Fourteen patients who participated in the procedure for the selection of trigger points for the BioS&L treatment, assessment of pain levels using a visual analog scale (VAS) analysis, and detection of abnormal resonance of 12 harmonic frequencies using a quantum resonance spectrometer (QRS). Results: Comparing the pre-and post-treatment of BioS&L on pain score of 12 HFs(V1-V12) as measured by VAS estimated by mixed model showed 91.7% (11/12) improvement with statistically significant results. The distribution of differences in the QRS score estimated by the mixed model among participants with pre-test QRS level ≥ 2 showed 83.3% (15/16) of HFs with statistically significant results. Conclusion: Treatment of BioS&L at trigger points providing pain relief is explained by the hypothesis of microvascular physiology and physics of wave propagation. This study provides a workshop with a concept of digitalization of complementarity and traditional medical service and tele-health care, which fulfils distant data connection and remote practice. In the period of epidemic spread, it helps to decrease close contact on both health care providers and patients.

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The Effectiveness of Simultaneous Thermotherapy with Ultrasound and Electrotherapy with Combined AC and DC Current on the Immediate Pain Relief of Myofascial Trigger Points

Journal of Musculoskeletal Pain ◽

10.1300/j094v05n01_06 ◽

1997 ◽

Vol 5 (1) ◽

pp. 81-90 ◽

Cited By ~ 51

Author(s):

Jason C. Lee ◽

Doris T. Lin ◽

Chang-Zern Hong

Keyword(s):

Pain Relief ◽

Trigger Points ◽

Myofascial Trigger Points ◽

Dc Current

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The Use of Laser Therapy for Patients with Fibromyalgia: A Critical Literary Review

Journal of lasers in medical sciences ◽

10.15171/jlms.2019.02 ◽

2018 ◽

Vol 10 (1) ◽

pp. 12-20 ◽

Cited By ~ 2

Author(s):

Serguei Borisovich Kisselev ◽

Sergey Vladimirovich Moskvin

Keyword(s):

Pain Relief ◽

Laser Therapy ◽

Operating Mode ◽

Trigger Points ◽

Comprehensive Approach ◽

Low Level Laser Therapy ◽

Laser Exposure ◽

Level Laser ◽

Urgent Task ◽

Optimal Values

The management of pain – despite many anaesthetic drugs – remains to be an urgent task. If the goal is to achieve permanent pain relief – and not to temporarily mask the pain (masking pathology) – then this goal can only be achieved by treating pain with physiotherapeutic methods, the most universal and effective of which, is low level laser therapy (LLLT). The treatment methods vary fundamentally in the case of neuropathic (nonspecific, primary) pain, which includes pain with the localization of the trigger points (TP) and nociceptive (specific, secondary), which includes all types of pain resulting from trauma, inflammation, etc. When treating patients with fibromyalgia (FM), a comprehensive approach is required, using different methods of laser therapy and guided by well-known rules. These rules include setting all the correct parameters of the laser exposure (wavelength, operating mode, power, exposure, etc), limiting exposure and power to optimal values and limiting the total time of the procedure and the number of procedures per course.

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Pulsed Shortwave Diathermy and Moist Heat Pack Application on Musculotendinous Stiffness and Hysteresis During Passive Ankle Motion

Athletic Training & Sports Health Care ◽

10.3928/19425864-20170906-01 ◽

2018 ◽

Vol 10 (1) ◽

pp. 31-40

Author(s):

Kazuma Akehi ◽

Blaine C. Long ◽

Carla Goad ◽

Ashley Cody

Keyword(s):

Ankle Motion ◽

Moist Heat ◽

Musculotendinous Stiffness ◽

Shortwave Diathermy

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Dry Needling for the Treatment of Musculoskeletal Ailments With Trigger Points

Video Journal of Sports Medicine ◽

10.1177/26350254211023776 ◽

2021 ◽

Vol 1 (5) ◽

pp. 263502542110237

Author(s):

Simon J. Padanilam ◽

Steven R. Dayton ◽

Ryan Jarema ◽

Michael J. Boctor ◽

Vehniah K. Tjong

Keyword(s):

Pain Relief ◽

Musculoskeletal Pain ◽

Functional Outcomes ◽

Trigger Points ◽

Invasive Technique ◽

Dry Needling ◽

Short Term ◽

Myofascial Trigger Points ◽

Pain Scores

Background: Dry needling is an increasingly popular technique for relieving musculoskeletal pain, through targeting myofascial trigger points. Existing evidence indicates that dry needling is effective in short-term management of pain, with research showing efficacy in improving functional outcomes when compared to other treatments. Indications: Myofascial trigger points may result in range of motion limitations and muscle weakness. Noninvasive treatments for musculoskeletal pain associated with myofascial trigger points, such as stretching or warm compresses, may not provide significant benefit for patients. Dry needling is a minimally invasive technique that provides significant short-term functional improvement and analgesia for musculoskeletal pain associated with myofascial trigger points, seen with reductions in visual analog scale (VAS) pain scores and decreased need for pharmacologic therapies. Technique Description: This video demonstrates dry needling at the tensor fascia latae, extensor carpi radialis longus, and gastrocnemius muscles. Myofascial trigger points and important anatomical landmarks are identified and labeled. A needle is inserted into the region of the myofascial trigger point to a depth of 10 to 100 mm and remains in situ for about 10 to 20 seconds with the use of a piston technique, although this time varies dependent upon patient response. Results: Dry needling may significantly decrease pain and improve functional outcomes in patients with short-term musculoskeletal ailments. Randomized controlled trials have examined dry needling for fibromyalgia, mechanical neck pain, myofascial pain, and following total knee arthroplasty, with these finding significant reductions in pain scores in short-term follow-up. A randomized single-blind placebo-controlled trial found dry needling with exercise to be more effective than sham dry-needling and exercise. Dry needling may provide improved long-term analgesia but also results in increased pain during the procedure and increased soreness afterwards. Pain relief may not last beyond 6 months, although little research investigating long-term outcomes has been performed. Discussion/Conclusion: The usage of dry needling in clinical settings is increasing, as it has shown strong efficacy in providing short-term pain relief and ability to improve functional outcomes. Dry needling is a simple, minimally invasive technique that is easily and quickly learned by physical therapists and may provide great benefits to patients.

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Evidence against Trigger Point Injection Technique for the Treatment of Cervicothoracic Myofascial Pain with Botulinum Toxin Type A

Anesthesiology ◽

10.1097/00000542-200508000-00021 ◽

2005 ◽

Vol 103 (2) ◽

pp. 377-383 ◽

Cited By ~ 108

Author(s):

F Michael Ferrante ◽

Lisa Bearn ◽

Robert Rothrock ◽

Laurence King

Keyword(s):

Botulinum Toxin ◽

Pain Relief ◽

Myofascial Pain ◽

Direct Injection ◽

Botulinum Toxin Type A ◽

Type A ◽

Botulinum Toxin Type ◽

Trigger Points ◽

Pressure Algometry ◽

Pain Scores

Background Traditional strategies for myofascial pain relief provide transient, incomplete, variable, or unpredictable outcomes. Botulinum toxin is itself an analgesic but can also cause sustained muscular relaxation, thereby possibly affording even greater relief than traditional therapies. Methods The study goal was to determine whether direct injection of botulinum toxin type A (BoNT-A) into trigger points was efficacious for cervicothoracic myofascial pain, and if so, to determine the presence or absence of a dose-response relation. One hundred thirty-two patients with cervical or shoulder myofascial pain or both and active trigger points were enrolled in a 12-week, randomized, double-blind, placebo-controlled trial. After a 2-week washout period for all medications, patients were injected with either saline or 10, 25, or 50 U BoNT-A into up to five active trigger points. The maximum doses in each experimental group were 0, 50, 125, and 250 U per patient, respectively. Patients subsequently received myofascial release physical therapy and amitriptyline, ibuprofen, and propoxyphene-acetaminophen napsylate. Follow-up visits occurred at 1, 2, 4, 6, 8, and 12 weeks. Outcome measures included visual analog pain scores, pain threshold as measured by pressure algometry, and rescue dose use of propoxyphene-acetaminophen napsylate. Results No significant differences occurred between placebo and BoNT-A groups with respect to visual analog pain scores, pressure algometry, and rescue medication. Conclusions Injection of BoNT-A directly into trigger points did not improve cervicothoracic myofascial pain. The role of direct injection of trigger points with BoNT-A is discussed in comparison to other injection methodologies in the potential genesis of pain relief.

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Anaesthetic injection versus ischemic compression for the pain relief of abdominal wall trigger points in women with chronic pelvic pain

BMC Anesthesiology ◽

10.1186/s12871-015-0155-0 ◽

2015 ◽

Vol 15 (1) ◽

Cited By ~ 10

Author(s):

Mary L. L. S. Montenegro ◽

Carolina A. Braz ◽

Julio C. Rosa-e-Silva ◽

Francisco J. Candido-dos-Reis ◽

Antonio A. Nogueira ◽

...

Keyword(s):

Pain Relief ◽

Abdominal Wall ◽

Pelvic Pain ◽

Chronic Pelvic Pain ◽

Trigger Points ◽

Anaesthetic Injection

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Influence of myofascial therapy on painful erection – case study

Ból ◽

10.5604/01.3001.0014.6060 ◽

2020 ◽

Vol 21 (3) ◽

pp. 1-6

Author(s):

Adrian Rogala ◽

Grażyna Brzuszkiewicz-Kuźmicka

Keyword(s):

Pain Relief ◽

Connective Tissue ◽

Muscle Tone ◽

Chronic Pelvic Pain Syndrome ◽

Pain Syndrome ◽

Trigger Points ◽

Pelvic Pain Syndrome ◽

Beneficial Effects ◽

The Many

Pain during sexual intercourse in men is a well-recognized symptom that is considered in the context of sexual dysfunction. Because there is no clear definition, it can be a joint feature of chronic prostatitis, chronic pelvic pain syndrome (CPPS), or come from connective tissue. Because of the many possible causes of genitourinary pain, a multimodal approach is necessary. The aim of this study is to present the effect of myofascial therapy on chronic, unpleasant, dull pain at the level of VAS = 9, occurring during erection and ejaculation, as well as during touch of the testicle in a 35-year-old man. The patient did not have erection problems, which was confirmed by an accurate and reliable tool in the form of the International Index of Erectile Function (IIEF-5). The man received two myofascial therapies, 45 min. each, 7 days apart followed by significant improvement in pain relief (VAS = 0). The manual techniques were used to find and remove changes manifested by increased muscle tone and fascia, lack of displacement of structures relative to each other, maximum painful points, and trigger points. In the follow-up examination performed after 1, 3 and 6 months, the patient confirmed that the effects of therapy were maintained. Connective tissue may play an important role in the occurrence of genitourinary pain. Physiotherapeutic examination and usage of myofascial techniques can bring beneficial effects in the form of pain relief in the relevant region.

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