scholarly journals A cadaveric study: the morphometric differences in the levator scapulae muscle

2019 ◽  
Vol 8 (2) ◽  
pp. 1504-1514
Author(s):  
Jan H.T. Smit ◽  
Matthew R.H. Todd
Keyword(s):  
Shoulder Pain ◽  
Myofascial Pain ◽  
Cervical Vertebra ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Anatomical Variations ◽  
First Report ◽  
Levator Scapulae ◽  
Neck And Shoulder Pain ◽  
Levator Scapulae Muscle

Although the levator scapulae are surrounded in the deep cervical fascia, it can be separated into a number of muscle slips at the proximal attachment. Originally the muscle was described as having 3 muscle slips at its origin. More recent texts have now adopted 4 slips of origin. Each slip coming from a different cervical vertebra. Levator scapulae is important with myofascial pain syndrome which is one of the leading causes of neck and shoulder pain. Surgically it can also be used to overcome trapezius paralysis. Anatomical variations of the levator scapulae are important and therefore clinically relevant. In this dissection study, we have investigated the morphometric differences in 46 levator scapulae muscles from 23 cadavers. Measurements of the proximal- and distal attachments and the total length of the muscles were taken. Between 3 and 6 muscle slips were reported at the proximal attachment. Differences were also observed between sides. The first report of a levator scapula muscle with 6 muscle slips at the proximal attachment, is described in this study.Keywords: Origin (proximal attachment); insertion (distal attachment); muscle slips

An atypical path of the lingual nerve in the retromolar region: Incidence in oral surgery

2021 ◽  
Author(s):  
Bruno Ella ◽  
Kissi Lamia ◽  
Sofia HAÏTAMI ◽  
Simohamed BOUZOUBAA
Keyword(s):  
Temporomandibular Joint ◽  
Myofascial Pain ◽  
Oral Surgery ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Anatomical Variations ◽  
Lingual Nerve ◽  
Lateral Margin ◽  
Temporomandibular Joint Syndrome ◽  
Retromolar Region

The Lingual nerve is frequently anesthetized during oral, maxillofacial or otorhinolaryngology surgery. It originates below the oval hole in the infratemporal region, follows its path down and forward, and moves away from the medial surface of the ramus and goes just above the mylohyoid line. It approaches the lateral margin of the tongue and crosses the Wharton's canal, and divides into numerous branches. As described in the literature, some cases of temporomandibular joint syndrome or myofascial pain syndrome could be a result of its anatomical variations. Also, the jurisprudence has always tried to condemn the practitioner if he did not demonstrate that the path of the injured nerve presents an anomaly which makes his involvement inevitable. The purpose is to present one of the multiple atypical paths of the lingual nerve not described in the retromandibular trigone demonstrating that its damage constitutes a risk that cannot be controlled.

Interventions for myofascial pain syndrome in cancer pain

2019 ◽  
Vol 13 (3) ◽  
pp. 262-269 ◽  
Author(s):  
Athmaja Thottungal ◽  
Pranab Kumar ◽  
Arun Bhaskar
Keyword(s):  
Cancer Pain ◽  
Myofascial Pain ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome

scholarly journals Temporomandibular Myofascial Pain Syndrome—Aetiology and Biopsychosocial Modulation. A Narrative Review

2021 ◽  
Vol 18 (15) ◽  
pp. 7807
Author(s):  
Paulina Golanska ◽  
Klara Saczuk ◽  
Monika Domarecka ◽  
Joanna Kuć ◽  
Monika Lukomska-Szymanska
Keyword(s):  
Myofascial Pain ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Considerable Part ◽  
Promising Alternative ◽  
Immune Systems ◽  
Complex Disorder ◽  
Craniosacral Therapy ◽  
Combined Action ◽  
Sympathetic Arousal

This review elaborates on the aetiology, diagnosis, and treatment of temporomandibular (TMD) myofascial pain syndrome (MPS) regulated by psychosocial factors. MPS impairs functioning in society due to the accompanying pain. Directed and self-directed biopsychosocial profile modulation may be beneficial in the treatment of MPS. Moreover, nutrition is also a considerable part of musculoskeletal system health. A fruit and vegetable diet contributes to a reduction in chronic pain intensity because of its anti-inflammatory influence. Cannabidiol (CBD) oils may also be used in the treatment as they reduce stress and anxiety. A promising alternative treatment may be craniosacral therapy which uses gentle fascia palpation techniques to decrease sympathetic arousal by regulating body rhythms and release fascial restrictions between the cranium and sacrum. MPS is affected by the combined action of the limbic, autonomic, endocrine, somatic, nociceptive, and immune systems. Therefore, the treatment of MPS should be deliberated holistically as it is a complex disorder.

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