scholarly journals Electromyographic Studies on Motor Unit Activity of the Trigger Point in Low Back Pain

1982 ◽  
Vol 31 (3) ◽  
pp. 256-262
Author(s):  
Kazuhiro Goto ◽  
Kazumasa Hiraoka ◽  
Yutaka Kagoshima ◽  
Ryuhei Takeuchi ◽  
Kiyokazu Yoshida ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Motor Unit ◽  
Unit Activity ◽  
Trigger Point ◽  
Low Back ◽  
Motor Unit Activity

scholarly journals The Automatization of a New Thermography Method Using Invasive Nociceptive Stimulation to Confirm an Autonomic Phenomenon within a Trigger Point Referred Pain Zone

2021 ◽  
Vol 11 (7) ◽  
pp. 893
Author(s):  
Elżbieta Skorupska ◽  
Tomasz Dybek ◽  
Michał Rychlik ◽  
Marta Jokiel ◽  
Paweł Dobrakowski
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Trigger Point ◽  
Invasive Procedure ◽  
Trigger Points ◽  
International Classification Of Diseases ◽  
Referred Pain ◽  
Low Back ◽  
Classification Of Diseases ◽  
Software Utility

The trigger points (TrPs) related to chronic low back pain that mimic sciatica have been lately recognized and included in the International Classification of Diseases, 11th Revision. This study examined the MATLAB software utility for the objective stratification of low back pain patients using the Minimally Invasive Procedure (MIP). The two diagnostic MIP parameters were: average temperature (ΔTavr) and autonomic referred pain (AURP). Chronic sciatica patients with TrPs (n = 20) and without TrPs (n = 20) were examined using the MIP. A significant increase in both parameters was confirmed for the thigh ROI of the TrP-positive patients, with ΔTavr being the leading parameter (p = 0.016, Exp(β) = 2.603). A continued significance of both parameters was confirmed from 6′00″ to 15′30″ (p < 0.05). The maximum AURP value was confirmed at 13′30″ (p < 0.05) (TrPs(+) 20.4 ± 19.9% vs. TrPs(-) 3.77 ± 9.14%; p = 0.000; CI (0.347,0.348)).

Comparison of intravenous NSAIDs and trigger point injection for low back pain in ED: A prospective randomized study

2019 ◽  
Vol 37 (10) ◽  
pp. 1927-1931 ◽  
Author(s):  
Abdullah Osman Kocak ◽  
Ali Ahiskalioglu ◽  
Emre Sengun ◽  
Sultan Tuna Akgol Gur ◽  
Ilker Akbas
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Trigger Point ◽  
Randomized Study ◽  
Prospective Randomized Study ◽  
Low Back ◽  
Point Injection

scholarly journals Completion Rates and Clinical Changes of Patients Seeking Non-Invasive Treatment for Low Back Pain in 13 Centres of a Sports Medicine Institute in India

2019 ◽  
Vol 27 (2) ◽  
pp. 89-96
Author(s):  
Priyadarshini Rajamani ◽  
Hemant Deepak Shewade ◽  
Debashish Kundu ◽  
Kishore Kumar Sekaran ◽  
Santhanam Daniel Amalan ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Sports Medicine ◽  
Functional Disability ◽  
Trigger Point ◽  
Visual Analogue Scale Pain ◽  
Low Back ◽  
Completion Rates ◽  
Invasive Treatment ◽  
Non Invasive

Background/Aim: Low back pain (LBP) is the major cause of disability worldwide. The existing treatments are expensive and associated with complications. The present study aimed to determine the proportion of patients completing therapy and rehabilitation phases and describe the changes in self-reported symptoms and functional disability among LBP patients enrolled in a private sports medicine institute. Methods: This is a cohort study involving review of case records. We studied 2 phases out of 3 of non-invasive treatment of LBP: therapy of around 10 days (myofascial trigger point release therapy, cryotherapy, aqua therapy and acupuncture) and rehabilitation of around 3 weeks (muscle strengthening exercises). Results: A total of 443 patients were enrolled; their mean (SD) age was 46 (15) years, 46% were male, and 193 (44%) presented with chronic (>6 months) pain. The numbers of patients who completed the therapy and rehabilitation phases were 327 (74%) and 115 (26%), respectively. The median (IQR) visual analogue scale pain scores were 7 (6–9) at entry, 2 (1–3) at completion of therapy and 1 (0–2) at completion of rehabilitation (p < 0.001). The median (IQR) functional disability scores were 32 (22–53) at entry, 15 (6–26) at completion of therapy and 4 (0–14) at completion of rehabilitation (p < 0.001). Conclusion: Low completion rates were observed. Patients who completed therapy reported reduction in pain and improved functionalities.

Local and Remote Sustained Trigger Point Therapy for Exacerbations of Chronic Low Back Pain

Spine ◽  
1997 ◽  
Vol 22 (7) ◽  
pp. 786-797 ◽  
Author(s):  
Francisco M. Kovacs ◽  
Víctor Abraira ◽  
Francisco Pozo ◽  
David G. Kleinbaum ◽  
Juan Beltrán ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Trigger Point ◽  
Low Back ◽  
Trigger Point Therapy

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.

Trigger Point Acupuncture Treatment of Chronic Low Back Pain in Elderly Patients – a Blinded Rct

2004 ◽  
Vol 22 (4) ◽  
pp. 170-177 ◽  
Author(s):  
Kazunori Itoh ◽  
Yasukazu Katsumi ◽  
Hiroshi Kitakoji
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Chronic Low Back Pain ◽  
Acupuncture Treatment ◽  
Trigger Point ◽  
Trigger Points ◽  
Acupuncture Group ◽  
Low Back ◽  
Superficial Needling

Objective There is some evidence for the efficacy of acupuncture in chronic low back pain, but it remains unclear which acupuncture modes are most effective. Our objective was to evaluate the effects of two different modes of trigger point acupuncture on pain and quality of life in chronic low back pain patients compared to standard acupuncture treatment. Methods Thirty five consecutive out-patients (25 women, 10 men; age range: 65–81 years) from the Department of Orthopaedic Surgery, Meiji University of Oriental Medicine, with non-radiating low back pain for at least six months and normal neurological examination, were randomised to one of three groups over 12 weeks. Each group received two phases of acupuncture treatment with an interval between them. Nine patients dropped out during the course of the study. The standard acupuncture group (n=9) received treatment at traditional acupuncture points for low back pain, while the other acupuncture groups received superficial (n=9) or deep (n=9) treatments on trigger points. Outcome measures were VAS pain intensity and Roland Morris Questionnaire. Results After treatment, the group that received deep needling to trigger points reported less pain intensity and improved quality of life compared to the standard acupuncture group or the group that received superficial needling to trigger points, but the differences were not statistically significant. There was a significant reduction in pain intensity between the treatment and interval in the group that received deep needling to trigger points (P<0.01), but not in the standard acupuncture group or the group that received superficial needling to trigger points. Conclusion These results suggest that deep needling to trigger points may be more effective in the treatment of low back pain in elderly patients than either standard acupuncture therapy, or superficial needling to trigger points.

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