Possibilities of general manual lymphatic drainage correction as a part of complex therapy of myofascial pain syndrome in athletes

The article describes the general principles of manual lymphatic drainage correction. The authors evaluated the effectiveness of its application in the complex therapy of recreational rehabilitation of athletes with myofascial pain syndrome (MPS).Objective: to evaluate the effectiveness of general manual lymphatic drainage correction in the treatment of athletes with MPS.Materials and Methods: a total of 30 rugby players were examined. All athletes from the main group received physiotherapy, general lymphatic drainage massage. Patients from the control group underwent the same procedures and general massage without lymphatic drainage correction. The course of therapy included 6 procedures.Results: tensoalgometric parameter values in athletes from the main group increased by more than 5 times after lymphatic drainage correction. In sportsmen from the control group, these parameter values decreased.Conclusion: the application of manual lymphatic drainage contributes to the active restoration of myotatic reflex of physical muscles and regress of pain syndrome in athletes.

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Ultrasound-Guided Inactivation of Trigger Points Combined with Muscle Fascia Stripping by Liquid Knife in Treatment of Postherpetic Neuralgia Complicated with Abdominal Myofascial Pain Syndrome: A Prospective and Controlled Clinical Study

Pain Research and Management ◽

10.1155/2020/4298509 ◽

2020 ◽

Vol 2020 ◽

pp. 1-9

Author(s):

Xiang-Hong Lu ◽

Xiao-Lan Chang ◽

Si-Lan Liu ◽

Jing-Ya Xu ◽

Xiao-Jun Gou

Keyword(s):

Myofascial Pain ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Effective Rate ◽

Primary Treatment ◽

Control Group ◽

Ultrasound Guided ◽

Vas Score ◽

Significant Difference ◽

Muscle Fascia

Objective. To evaluate ultrasound-guided inactivation of myofascial trigger points (MTrPs) combined with abdominal muscle fascia stripping by liquid knife in the treatment of postherpetic neuralgia (PHN) complicated with abdominal myofascial pain syndrome (AMPS). Methods. From January 2015 to July 2018, non-head-and-neck PHN patients in the Pain Department, The First Affiliated Hospital of Soochow University, were treated with routine oral drugs and weekly paraspinal nerve block for two weeks. Patients with 2 < VAS (visual analogue scale) score < 6 were subjects of the study. They were assigned into control group 1 (C1, n = 33) including those with PHN and without myofascial pain syndrome (MPS) and control group 2 (C2, n = 33) including those with PHN complicated with MPS and observation group 1 (PL, n = 33) including those with PHN complicated with limb myofascial pain syndrome (LMPS) and observation group 2 (PA, n = 33) including those with PHN complicated with AMPS. All groups received zero-grade treatment: routine oral drugs and weekly paraspinal nerve block. PL and PA groups were also treated step by step once a week: primary ultrasound-guided inactivation of MTrPs with dry needling, secondary ultrasound-guided inactivation of MTrPs with dry and wet needling, and tertiary ultrasound-guided dry and wet needling combined with muscle fascia stripping by liquid knife. At one week after primary treatment, patients with a VAS score > 2 proceeded to secondary treatment. If the VAS score was <2, the treatment was maintained, and so on, until the end of the four treatment cycles. Pain assessment was performed by specialized nurses at one week after each treatment, including VAS score, McGill pain questionnaire (MPQ) score, pressure pain sensory threshold (PPST), and pressure pain tolerance threshold (PPTT). VAS score was used as the main index and VAS <2 indicated effective treatment. At 3 months after treatment, outpatient and/or telephone follow-up was performed. The recurrence rate was observed and VAS > 2 was regarded as recurrence. Results. At one week after primary treatment, the effective rate was 66.7% in PL group, significantly higher than that in PA group (15.2%, P<0.05). At one week after secondary treatment, the effective rate was 100% and 37.5% in PL and PA groups, respectively, with significant difference between the groups (P<0.05). The effective rate increased to 90.6% in PA group at one week after tertiary treatment. At one week after the end of treatment cycles, the scores of VAS and MPQ were significantly lower in C1, PL, and PA groups than in C2 group (P<0.05), while PPST and PPTT were significantly higher than in C2 group (P<0.05). There was no significant difference between C1 group and PL group (P>0.05). At follow-up at 3 months after treatment, the recurrence rate was low in each group, with no significant difference between the groups (P>0.05). Conclusion. About 57% of PHN patients with mild to moderate pain are complicated with MPS, and ultrasound-guided inactivation of MTrPs with dry and wet needling can effectively treat PHN patients complicated with LMPS. However, patients with PHN complicated with AMPS need to be treated with ultrasound-guided MTrPs inactivation combined with muscle fascia stripping by liquid knife as soon as possible.

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Acute Effects of Tecar Therapy on Skin Temperature, Ankle Mobility and Hyperalgesia in Myofascial Pain Syndrome in Professional Basketball Players: A Pilot Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18168756 ◽

2021 ◽

Vol 18 (16) ◽

pp. 8756

Author(s):

Mireia Yeste-Fabregat ◽

Luis Baraja-Vegas ◽

Juan Vicente-Mampel ◽

Marcelino Pérez-Bermejo ◽

Iker J. Bautista González ◽

...

Keyword(s):

Myofascial Pain ◽

Intervention Group ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Absolute Temperature ◽

Medial Gastrocnemius ◽

Control Group ◽

Basketball Players ◽

Myofascial Trigger Points ◽

Professional Basketball

(1) Background: Myofascial pain syndrome (MPS) is a clinical condition characterized by localized non-inflammatory musculoskeletal pain caused by myofascial trigger points. Diathermy or Tecar therapy (TT) is a form of noninvasive electro-thermal therapy classified as deep thermotherapy based on the application of electric currents. This technique is characterized by immediate effects, and its being used by high performance athletes. (2) Methods: A total of thirty-two participants were included in the study who were professional basketball players. There was a 15-person Control Group and a 17-person Intervention Group. TT was applied in the Intervention Group, while TT with the device switched off (SHAM) was applied in the Control Group. The effects were evaluated through the Lunge test, infrared thermography, and pressure threshold algometry at baseline, 15, and 30 min after the intervention. (3) Results: the Intervention Group exhibited a greater increase in absolute temperature (F[1,62] = 4.60, p = 0.040, η2p = 0.13) compared to the Control Group. There were no differences between the groups in the Lunge Test (F[1.68,53.64] = 2.91, p = 0.072, η2p = 0.08) or in pressure algometry (visual analog scale, VAS) (F[3.90] = 0.73, p = 0.539, η2p = 0.02). No significant short-term significant differences were found in the rest of the variables. (4) Conclusions: Diathermy can induce changes in the absolute temperature of the medial gastrocnemius muscle.

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The efficacy of intramuscular electrical stimulation in the management of patients with myofascial pain syndrome: a systematic review

Chiropractic & Manual Therapies ◽

10.1186/s12998-021-00396-z ◽

2021 ◽

Vol 29 (1) ◽

Author(s):

Monavar Hadizadeh ◽

Abbas Rahimi ◽

Mohammad Javaherian ◽

Meysam Velayati ◽

Jan Dommerholt

Keyword(s):

Systematic Review ◽

Electrical Stimulation ◽

Myofascial Pain ◽

Pressure Pain Threshold ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Preliminary Evidence ◽

Control Group ◽

Chronic Muscle Pain ◽

Analgesic Use

Abstract Introduction Myofascial pain syndrome (MPS) is one of the most common disorders causing chronic muscle pain. Almost one-third of patients with musculoskeletal complaints meet the MPS criteria. The aim of this study is to evaluate the effectiveness of intramuscular electrical stimulation (IMES) in patients with MPS through a systematic review method. Methods PubMed, Scopus, Embase, ProQuest, PEDro, Web of Science, and CINAHL were systematically searched to find out the eligible articles without language limitations from 1990 to December 30, 2020. All relevant randomized controlled trials that compared the effectiveness of IMES with sham-IMES, dry needling, or exercise therapy in patients with MPS were included. Full texts of the selected studies were critically appraised using Revised Cochrane risk-of-bias tool for randomized trials (RoB2). Results Six studies (out of 397) had met our inclusion criteria (involving 158 patients) and were entered to the systematic review. Outcome measures examined in these studies included pain, range of motion, pressure pain threshold, biochemical factors, disability, and amount of analgesic use. In the most studies, it has been shown that IMES is more effective than the control group in improving some outcome measurements such as pain. Conclusion There is preliminary evidence from a few small trials suggesting the efficacy of IMES for the care of myofascial pain syndrome. The data support the conduct of larger trials investigating the efficacy of IMES.

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Feasibility of Ultrasound-Guided Trigger Point Injection in Patients with Myofascial Pain Syndrome

Healthcare ◽

10.3390/healthcare7040118 ◽

2019 ◽

Vol 7 (4) ◽

pp. 118 ◽

Cited By ~ 2

Author(s):

Jung Kang ◽

Jungin Kim ◽

Seunghun Park ◽

Sungwoo Paek ◽

Tae Kim ◽

...

Keyword(s):

Myofascial Pain ◽

Trigger Point ◽

Statistical Significance ◽

Neck Disability Index ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Control Group ◽

Injection Technique ◽

Flexion Extension ◽

Vas Scores

We compared the feasibility of ultrasound (US)-guided myofascial trigger point (MTrP) injection with that of a blind injection technique following the use of shear wave elastography (SWE) for the measurement of stiffness at the MTrPs in patients with trapezius myofascial pain syndrome (MPS). A total of 41 patients (n = 41) were randomized to either the trial group (n = 21, SWE combined with US-guided injection) or the control group (n = 20, SWE combined with blind injection). At baseline and four weeks, they were evaluated for the manual muscle test (MMT), the range of motion (ROM), pain visual analogue scale (VAS) scores, Shoulder Pain and Disability Index (SPADI) scores and Neck Disability Index (NDI) scores during the abduction, adduction, flexion, extension, external rotation and internal rotation of the shoulder joint. Differences in changes in pain VAS scores, NDI scores and SPADI scores at four weeks from baseline between the two groups reached statistical significance (p = 0.003, 0.012, and 0.018, respectively). US-guided MTrP injection is a more useful modality as compared with a blind injection in patients with MPS.

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Clinical and Neurophysiological Criteria for Evaluation of Effectiveness of Osteopatic Treatment of Myofascial Pain

Russian Osteopathic Journal ◽

10.32885/2220-0975-2017-3-4-31-39 ◽

2017 ◽

pp. 31-39

Author(s):

A. A. Safiullina ◽

A. A. Zainullina ◽

A. R. Gajnutdinov

Keyword(s):

Myofascial Pain ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Control Group ◽

Psychological Study ◽

Before And After ◽

Osteopathic Treatment ◽

Working Age ◽

Criteria For Diagnosis ◽

Criteria For Evaluation

Goal of research - the study aims to examine the clinical and neurophysiological criteria for evaluating the effectiveness of osteopathic treatment for patients with myofascial pain.Materials and methods. The authors conducted a complex clinical and instrumental examination of 40 people of working age with myofascial pain syndrome of the humeroscapular region. The control group included 20 presumably healthy volunteers of the same age and sex as the main group of subjects of the study. Each patient was subjected to clinical and neurological examinations, neuro-orthopedic and osteopathic examinations, and psychological testing. The electro-neurophysiological part of the work consisted in the study of somatosensory evoked potentials, and polysynaptic reﬂ ex excitability.Results. The authors determined a correlation between the data of the psychological study, the parameters of the blinking reﬂ ex and somatosensory evoked potentials.Conclusion. The data obtained from the complex clinical and neurophysiological examination allow substantiating the pain syndrome before and after treatment. The data can be used as one of the criteria for diagnosis and effectiveness of the treatment of myofascial, in particular, humeroscapular, pain syndrome.

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Optimization of complex therapy of inflammatory diseases of women pelvic organs

GYNECOLOGY ◽

10.26442/20795696.2019.3.190465 ◽

2019 ◽

Vol 21 (3) ◽

pp. 30-34

Author(s):

Aydar M Ziganshin ◽

Viktor A Mudrov

Keyword(s):

Standard Treatment ◽

Inflammatory Diseases ◽

Reproductive Function ◽

Pain Syndrome ◽

Reproductive Period ◽

Main Group ◽

Control Group ◽

Duration Of Treatment ◽

Pelvic Organs ◽

Complex Therapy

Inflammatory diseases of women pelvic organs in reproductive period reach 60% among outpatients and 30% among inpatient gynecological patients. Aim. The aim of the study was to evaluate therapy effectiveness of women pelvic organs deseases with Galavit as part of combination therapy compared to standard treatment. Materials and methods. The study included 120 patients with diagnosis of inflammatory diseases of pelvic organs, randomized to 2 equal groups (n=60). In the main group, the patient in complex therapy received Galavit, according to the scheme: for 5 days, 100 mg intramuscularly 1 time per day, then 100 mg every 72 hours (No. 20); in the control group - only standard treatment. Results. Improvement of clinical condition (reduction of severity, normalization of body temperature, reduction of pain syndrome) in patients of the main group was observed 2 times faster than in patient of control group. Quickly resolve the signs of inflammation by ultrasound in the main group. The number of leukocytes, ESR, LII in the main group normalized faster than in patient of control group. On the background of treatment complications of inflammatory diseases of women pelvic organs was observed in 6 (5%) patients of the main group and 9 (7.5%) patients of the control group; aftercare of patients of the main group with ineffectiveness of therapy was achieved without tubectomy. The duration of treatment in the study group was 8±2.6 days us 10±3.9 days in the control group. Conclusion. The inclusion of Galavit in the complex therapy of inflammatory diseases of women pelvic organs accelerates relief of inflammation symptoms and reduces frequency of complications, which allows to preserve reproductive function. Galavit can be recommended for treatment inflammatory diseases of women pelvic organs.

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Comparison of the effects of extracorporeal shockwave treatment with kinesiological taping treatments added to exercise treatment in myofascial pain syndrome

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-200234 ◽

2021 ◽

pp. 1-8

Author(s):

Ümit Yalçın

Keyword(s):

Exercise Therapy ◽

Pain Threshold ◽

Myofascial Pain ◽

Neck Disability Index ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Exercise Group ◽

Flexion Angle ◽

Control Group ◽

Extracorporeal Shock Wave

BACKGROUND: Although studies examined kinesiological taping (KT) and extracorporeal shock wave therapy (ESWT) in myofascial pain syndrome (MPS), no study has yet compared these two treatments. OBJECTIVE: This study aimed to compare the efficacy of KT and ESWT on pain, pain threshold, functional level and neck movements in the treatment of MPS, which is an important cause of disability and constitutes 50–80% of chronic painful diseases. METHODS: Two hundred and sixty-two patients diagnosed with MPS in the upper part of the unilateral trapeze muscle were included in the study. The patients were divided into three groups according to the treatment they received: Group 1 (n= 75): ESWT + exercise, Group 2 (n= 82): KT + exercise, Group 3 (n= 105) and the latter receiving only exercise therapy (control group). Visual analog scale (VAS), pain threshold with algometer, Neck Disability Index (NDI), and neck contralateral lateral flexion angle were assessed before and three months after treatment. RESULTS: VAS, pain threshold, NDI and contralateral flexion angle values after treatment improved significantly in the ESWT and KT groups (p< 0.05) compared to the control group. The level of improvement in the ESWT group was higher (p< 0.05) than in the KT group in terms of VAS, pain threshold and NDI scores. CONCLUSION: Exercise, KT and ESWT applications in MPS were effective in all of the parameters examined. However, the ESWT + exercise therapy was more effective in terms of pain, pain threshold and disability.

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Spinal accessory neuropathy in patients with chronic trapezius myofascial pain syndrome

Egyptian Rheumatology and Rehabilitation ◽

10.1186/s43166-020-00031-4 ◽

2020 ◽

Vol 47 (1) ◽

Author(s):

Asmaa Farouk El Sayed El Sharnoby ◽

Hussein Al-Moghazy Sultan ◽

Emmanuel Kamal Aziz Saba

Keyword(s):

Action Potential ◽

Myofascial Pain ◽

Compound Muscle Action Potential ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Control Group ◽

Action Potential Amplitude ◽

Muscle Action ◽

Spinal Accessory ◽

Muscle Action Potential

Abstract Background Myofascial pain syndrome is a common musculoskeletal problem affecting the trapezius muscle. The aim was to assess the presence of spinal accessory neuropathy in patients with unilateral chronic trapezius myofascial pain syndrome. Results The study included 25 patients with unilateral chronic trapezius myofascial pain syndrome and 20 apparently healthy volunteers as the control group. There was a significantly delayed spinal accessory nerve latency on the symptomatic side in comparison to either asymptomatic side (P = 0.014) and control group (P = 0.001). Compound muscle action potential amplitude did not significantly differ between the symptomatic side versus the asymptomatic side and control group. Delayed spinal accessory nerve latency was present in seven patients (28%) and reduced compound muscle action potential amplitude in one of them (4%). The needle electromyography of the upper trapezius muscle revealed neuropathic motor units and incomplete interference pattern in the patient who showed reduced compound muscle action potential amplitude. Abnormal rest potentials were absent in all patients. Individually, seven patients (28%) had electrophysiological evidence of spinal accessory neuropathy, but only one (4%) of them had clinical evidence of spinal accessory neuropathy. Patients with abnormal electrophysiological findings had longer duration of complaint and more severe pain. Conclusions Spinal accessory neuropathy is common among patients with chronic trapezius myofascial pain syndrome. It could contribute to increased pain severity of myofascial pain syndrome. Electrodiagnosis is a good modality for identifying subclinical spinal accessory neuropathy.

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Injecction of trigger points in the temporal muscles of patients with miofascial syndrome

Arquivos de Neuro-Psiquiatria ◽

10.1590/0004-282x20150135 ◽

2015 ◽

Vol 73 (10) ◽

pp. 861-866 ◽

Cited By ~ 8

Author(s):

Svetlana Sabatke ◽

Rosana Herminia Scola ◽

Eduardo S. Paiva ◽

Pedro André Kowacs

Keyword(s):

Facial Pain ◽

Myofascial Pain ◽

Trigger Point ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Trigger Points ◽

Control Group ◽

Headache Frequency ◽

Headache Intensity

Objective : The aim was to examine the effect of blocking trigger points in the temporal muscles of patients with masticatory myofascial pain syndrome, fibromyalgia and headache.Method : Seventy patients with one trigger point were randomly divided into 3 groups: injection with saline or anesthetic and non-injected (control).Results : Pain was reduced in 87.71% patients injected with saline and 100% injected with anesthetic. Similar results were obtained for headache frequency. With regard to headache intensity, the injection groups differed from the control group, but not between themselves.Conclusion : Treatment with injection at trigger points decreased facial pain and frequency and intensity of headache. Considering the injected substance there was no difference.

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Assessment of Interleukin-6 in Young Swimmers Suffering from Myofascial Pain Syndrome Using LidocainePhonophoresis: A Randomized Controlled Trial

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11i2.2331 ◽

2020 ◽

Vol 11 (2) ◽

Author(s):

Mohamed Abdel-Moneim Abo-EL-Roos ◽

Emam Hassan El-Negmy ◽

SamahAttia El-Shemy ◽

Asser Abdel-Hay Sallam

Keyword(s):

Physical Therapy ◽

Interleukin 6 ◽

Myofascial Pain ◽

Pain Syndrome ◽

Myofascial Pain Syndrome ◽

Study Groups ◽

Control Group ◽

Myofascial Trigger Points ◽

Therapy Program ◽

Physical Therapy Program

To investigate interleukin-6 in athletic children suffering from myofascial pain syndrome (MPS) using lidocaine phonophoresis. Myofascial pain syndrome is considered a major health dilemma affecting both adults and children due to overuse injuries. Moreover, it is one of the most common conditions of chronic musculoskeletal pain of patient’s in general medical practice. The exact cause of MPS is unidentiϑied. However, it could be diagnosed among physicians by the presence of hypersensitive nodules referred to as myofascial trigger points (MTrPs) within a taut bands of skeletal muscle. Forty ϑive young swimmers(boys) with MPS in the upper trapezius muscle (10 - 14 years old) participated in the study. Assessment of serum interleukine-6, functional activities and cervical range of motion were measured before and after treatment. They were randomly assigned to three groups (n=15 in each), ϑirst one kept as a control group (A) and allocated to special designed physical therapy program. The two study groups (B and C) were treated by pulsed ultrasound and lidocaine phonophoresis respectively. Equally, study groups received similar physical therapy program assumed to the control. Treatment submission was assembled as 40 minutes, 3 times / week for three consecutive months. After treatment there was a signiϑicant enhancement within the control and study groups. Group C revealed a higher degree of response to treatment. Both lidocaine phonophoresis and special designed physical therapy program simultaneously could provide very useful and interesting treatment of neck pain in youth athletes using IL-6 as a tool of diagnosis.

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