Ultrasound Guided Trigger Point Injections in Myofascial Pain Syndrome

2015 ◽  
Vol 26 (3) ◽  
pp. 82-84
Author(s):  
Shiva Prasad ◽  
Vijay LNU ◽  
Gururaj Bangari ◽  
Priyanka Patil ◽  
Spurti N Sagar
Keyword(s):  
Skeletal Muscles ◽  
Ultrasound Guidance ◽  
Myofascial Pain ◽  
Trigger Point ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Trigger Points ◽  
Dry Needling ◽  
Deep Tissue ◽  
Repetitive Trauma

Abstract Trigger points as a cause of musculoskeletal or myofascial pain syndrome is well documented. Trigger points (Tr Ps) are tender and hypersensitive nodules seen in skeletal muscles which develop as a result of sudden or repetitive trauma to the muscles. They cause contractile state of a muscle with local or radiating pain. Active trigger points cause intense pain with limitation of movements of the muscles. The treatment involves deactivating the trigger points, usually done by various methods. Most common practice is myotherapy which involves deep tissue massage which is painful and time consuming. Dry needling and needling with anaesthetic injaection have been successfully used by many. Recently, ultrasound guidance is used to locate the trigger points and to accurately place the needle in to them to deactivate, thus preventing complications of blind procedures.

scholarly journals Dry needling versus ultrasonic in treating cervical myofascial pain syndrome

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
H A Ali ◽  
A K Elzohiery ◽  
M M Arafa ◽  
N A Elkadery
Keyword(s):  
Skeletal Muscles ◽  
Myofascial Pain ◽  
Trigger Point ◽  
Trapezius Muscle ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Trigger Points ◽  
Ultrasonic Waves ◽  
Dry Needling ◽  
Myofascial Trigger Points

Abstract Background Myofascial pain syndrome (MPS) is a complex pain syndrome characterized by myofascial trigger points (MTrPs) in skeletal muscles. Ultrasound (US) therapy is one of the main devices used in physical therapy, for the treatment of MTrPs in MPS. Dry needling is skilled technique also used in the treatment of MTrPs in MPS. Purpose This study aimed to compare the effect of dry needling with the effect of ultrasonic waves in the treatment of cervical myofascial pain. Subjects a sample of 30 patients with myofascial trigger points in trapezius muscle was randomly chosen and divided into 2 groups each contains 15 patients. Methods the first group was treated by ultrasonic waves in a pulsed mode (1MHz, 1W/cm², 1:1 ratio) 5 min to each trigger point and the second group was treated with deep dry needling (peppering technique) to each trigger point with a rate of 3 times per week for 3 weeks. Results All patients shows significant improvement (P > 0.001) immediately after treatment period with disappearance of trigger points, increasing in cervical ROM and decreasing in VAS ; but 3 weeks later trigger points reappeared, ROM decreased and VAS increased again. Conclusion both modalities of treatment were considered effective in treating myofascial pain syndrome.

Dry Needling Versus Sham Needling for Myofascial Pain Syndrome: A Critically Appraised Topic

2020 ◽  
Vol 25 (6) ◽  
pp. 289-293
Author(s):  
Melissa Jack ◽  
Ryan Tierney ◽  
Jamie Mansell ◽  
Anne Russ
Keyword(s):  
Myofascial Pain ◽  
Trigger Point ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Clinical Question ◽  
Myofascial Trigger Point ◽  
Dry Needling ◽  
Bottom Line

Focused Clinical Question: In patients with myofascial trigger point pain, does dry needling result in greater decreases in pain compared to sham needling? Clinical Bottom Line: The evidence supporting dry needling as more effective than sham needling in reducing patients’ pain is mixed.

scholarly journals Probable Mechanisms of Needling Therapies for Myofascial Pain Control

2012 ◽  
Vol 2012 ◽  
pp. 1-11 ◽  
Author(s):  
Li-Wei Chou ◽  
Mu-Jung Kao ◽  
Jaung-Geng Lin
Keyword(s):  
Animal Studies ◽  
Myofascial Pain ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Trigger Points ◽  
Dry Needling ◽  
Myofascial Trigger Points ◽  
Appropriate Treatment ◽  
Clinical Pain ◽  
Hormonal System

Myofascial pain syndrome (MPS) has been defined as a regional pain syndrome characterized by muscle pain caused by myofascial trigger points (MTrPs) clinically. MTrP is defined as the hyperirritable spot in a palpable taut band of skeletal muscle fibers. Appropriate treatment to MTrPs can effectively relieve the clinical pain of MPS. Needling therapies, such as MTrP injection, dry needling, or acupuncture (AcP) can effectively eliminate pain immediately. AcP is probably the first reported technique in treating MPS patients with dry needling based on the Traditional Chinese Medicine (TCM) theory. The possible mechanism of AcP analgesia were studied and published in recent decades. The analgesic effect of AcP is hypothesized to be related to immune, hormonal, and nervous systems. Compared to slow-acting hormonal system, nervous system acts in a faster manner. Given these complexities, AcP analgesia cannot be explained by any single mechanism. There are several principles for selection of acupoints based on the TCM principles: “Ah-Shi” point, proximal or remote acupoints on the meridian, and extra-meridian acupoints. Correlations between acupoints and MTrPs are discussed. Some clinical and animal studies of remote AcP for MTrPs and the possible mechanisms of remote effectiveness are reviewed and discussed.

scholarly journals Myofascial Pain Syndrome: A Concise Update on Clinical, Diagnostic and Integrative and Alternative Therapeutic Perspectives

2019 ◽  
pp. 1-14 ◽  
Author(s):  
Naseem A. Qureshi ◽  
Hamoud A. Alsubaie ◽  
Gazzaffi I. M. Ali
Keyword(s):  
Myofascial Pain ◽  
Trigger Point ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Trigger Points ◽  
Muscle Twitch ◽  
Myofascial Trigger Points ◽  
Pain Syndromes ◽  
Clinical Diagnostic ◽  
Regional Pain Syndromes

Background: Myofascial pain syndrome is a common multifactorial condition that presents with key manifestations and comorbid with many systemic diseases and regional pain syndromes. Objective: This study aims to concisely review clinical, diagnostic and integrative therapeutic aspects of myofascial pain syndrome. Methods: E-searches (2000-2019) using keywords and Boolean operators were made and using exclusion and inclusion criteria, 50 full articles that focused on myofascial pain syndrome were retained for this review. Results: Myofascial pain syndrome is a multidimensional musculoskeletal disorder with ill-understood etiopathogenesis and pathophysiology and characterized by tender taut muscle with myofascial trigger points, muscle twitch response, specific pattern of referred pain and autonomic symptoms. A variety of pharmacological and nonpharmacological therapies with variable efficacy are used in myofascial pain syndrome, the latter modalities such as education, stretching and exercises, moist hot and cold packs, dry needling and myofascial massage or myofascial trigger point massage are used as first line options. Conclusion: Myofascial pain syndrome and trigger points initiated by repeated strains and injuries co-occur with diverse physical diseases and regional pain syndromes, which need comprehensive diagnostic evaluation using multiple methods. Several interventions are used in patients with myofascial pain syndrome who effectively respond to myofascial massage. This study calls for exploring etiopathogenesis and basic pathophysiological mechanisms underlying myofascial pain syndrome in future.

scholarly journals Clinical criteria for the application of dry needling in myofascial pain Syndrome: An expert consensus document and a cross-sectional study among physical therapists

2019 ◽  
Vol 02 (02) ◽  
pp. 050-054
Author(s):  
Nicolas Secorro ◽  
Rafael Guerra ◽  
Xavi Labraca ◽  
Marc Lari ◽  
Daniel Pecos ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Myofascial Pain ◽  
Panel Discussion ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Trigger Points ◽  
Dry Needling ◽  
Cross Sectional ◽  
Myofascial Trigger Points ◽  
Clinical Criteria

AbstractPresently, there is no clear consensus on the essential and confirmatory criteria which should govern the application of dry needling (DN) in the treatment of myofascial trigger points. The aim of this study was to generate a consensus on these criteria, via a panel discussion with DN experts which took place at the International Conference of Invasive Physical Therapy held in 2018, including the opinion of the attendees who participated in a live survey on the subject at the conference via an app. The results obtained reveal discrepancies regarding confirmatory criteria such as the elicitation of referred pain; nonetheless, consensus exists on the suitability of the application of individualized and personalized DN treatment and the combination of treatment with other intervention approaches in physical therapy, with the use of ultrasound when required to support a safer clinical practice.

Trigger Point-Related Sympathetic Nerve Activity in Chronic Sciatic Leg Pain: A Case Study

2014 ◽  
Vol 32 (5) ◽  
pp. 418-422 ◽  
Author(s):  
Elżbieta Skorupska ◽  
Michał Rychlik ◽  
Wiktoria Pawelec ◽  
Agata Bednarek ◽  
Włodzimierz Samborski
Keyword(s):  
Myofascial Pain ◽  
Trigger Point ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Trigger Points ◽  
Referred Pain ◽  
Leg Pain ◽  
Gluteus Minimus ◽  
Vertebral Disc ◽  
History Of

Sciatica has classically been associated with irritation of the sciatic nerve by the vertebral disc and consequent inflammation. Some authors suggest that active trigger points in the gluteus minimus muscle can refer pain in similar way to sciatica. Trigger point diagnosis is based on Travel and Simons criteria, but referred pain and twitch response are significant confirmatory signs of the diagnostic criteria. Although vasoconstriction in the area of a latent trigger point has been demonstrated, the vasomotor reaction of active trigger points has not been examined. We report the case of a 22-year-old Caucasian European man who presented with a 3-year history of chronic sciatic-type leg pain. In the third year of symptoms, coexistent myofascial pain syndrome was diagnosed. Acupuncture needle stimulation of active trigger points under infrared thermovisual camera showed a sudden short-term vasodilatation (an autonomic phenomenon) in the area of referred pain. The vasodilatation spread from 0.2 to 171.9 cm2 and then gradually decreased. After needling, increases in average and maximum skin temperature were seen as follows: for the thigh, changes were +2.6°C (average) and +3.6°C (maximum); for the calf, changes were +0.9°C (average) and +1.4°C (maximum). It is not yet known whether the vasodilatation observed was evoked exclusively by dry needling of active trigger points. The complex condition of the patient suggests that other variables might have influenced the infrared thermovision camera results. We suggest that it is important to check if vasodilatation in the area of referred pain occurs in all patients with active trigger points.

scholarly journals Comparative study between ischemic compression and dry needling in myofascial pain syndrome: possibilities in health

2020 ◽  
pp. 1-6
Author(s):  
Vanessa Renata Molinero de Paula ◽  
Gustavo Melo de Paula ◽  
Jadson Just ◽  
Cláudia F. Soares ◽  
Hugo Machado Sanchez
Keyword(s):  
Emotional Disorders ◽  
Myofascial Pain ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Trigger Points ◽  
Categorical Variables ◽  
Continuous Variables ◽  
Dry Needling ◽  
Regional Dysfunction ◽  
Student’S T

Introduction: Myofascial Pain Syndrome (MPS) is a neuromuscular regional dysfunction characterized by the presence of sensitive regions in strained muscle bands (trigger points), able to cause local and referred pain, functional losses and change the quality of life (QOL) of affected people. It can be triggered by musculoskeletal injuries, postural imbalances, endocrinal factors and psych emotional disorders. The diagnostic is clinical, the intervention is multidisciplinary and the treatment may involve the use of drugs and several invasive and non-invasive techniques. Objective: Compare the effects of ischemic compression associated to physiotherapy and dry needling associated to pain control and the QOL of people with MPS. Methods: 40 subjects took part of the study. They were of both genders, aged from 20 to 60 years old, with MPS, divided into 2 groups with 20 participants each. The first group receives ischemic compression and physiotherapy and the second, dry needling and physiotherapy. The statistical analysis involves proportions for categorical variables, significance and standard deviation for continuous variables. In order to evaluate the change in the pain and QOL perception of subjects, the Student’s t-test (p<0.05). Results: The best results were verified in the dry needling and physiotherapy group. Conclusion: Both ischemic compression and physiotherapy as dry needling and physiotherapy can promote pain relief and better QOL in subjects suffering from MPS.

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