The effectiveness of myofascial trigger point therapy on myofascial pain syndrome trigger points

Trigger Points ◽

Trigger Point Therapy ◽

Single Blind

The efficacy of myofascial trigger point therapy in treatment of myofasciitis was evaluated in a single blind, randomised, placebo controlled trial. The patient population consisted of twenty individuals who presented with one of the following: upper-back pain, shoulder pain, and neck-pain and or headaches and who were diagnosed as having myofasciitis.

Myofascial Pain Syndrome: Looked through the Lens of 11 Cases Managed by Myofascial Trigger Point Massage Therapy, Riyadh, Saudi Arabia

International Journal of Medical and Pharmaceutical Case Reports ◽

10.9734/ijmpcr/2019/v12i130098 ◽

2019 ◽

pp. 1-12

Author(s):

Naseem Akhtar Qureshi ◽

Hamoud Abdullah Alsubai ◽

Mohammed Khulaif Alharbi

Keyword(s):

Saudi Arabia ◽

Myofascial Pain ◽

Trigger Point ◽

Massage Therapy ◽

Pain Syndrome ◽

Trigger Points ◽

Myofascial Trigger Points ◽

Trigger Point Therapy

Background: Myofascial pain syndrome is a common pain condition characterized by a key symptoms and signs, determined by multiple etiologies, comorbid with a variety of systemic diseases and regional pain syndromes and managed by diverse therapies with variable outcomes. Objective: This study aimed to concisely report 11 cases of myofascial pain syndrome managed by myofascial trigger point therapy. Methods: The relevant information about 11 cases was collected prospectively using a semistructured proforma. All patients were diagnosed mainly by detailed history and gold standard palpation method that helps identify taut muscles, tender myofascial trigger points, local twitch response and autonomic manifestations. Results: Most of the patients with variable age and profession presented in emergency room with acute pain, limited motion, weakness, referred pain of specific pattern and associated autonomic signs and symptoms. Myofascial trigger point therapy alone with a timeline of about 30-60 minutes of 1-3sessions brought about good results in all 11 patients (100%) who remained stable at two to three months followup. Conclusion: Myofascial pain syndrome linked with latent or active myofascial trigger points developed due to repeated strains and injuries needs to be diagnosed by history and palpation method, systemic evaluation and laboratory investigations. Though several interventions are used in myofascial pain syndrome, myofascial trigger point massage therapy alone is found to be reasonably effective with excellent results. This clinical case series is calling for double-blind randomized controlled trials among patients with myofascial pain syndrome not only in Saudi Arabia but also in other Middle East countries in future.

Concomitant Sympathetically Mediated Pain and Myofascial Trigger Point Pain

Acupuncture in Medicine ◽

10.1136/aim.12.1.29 ◽

1994 ◽

Vol 12 (1) ◽

pp. 29-33 ◽

Cited By ~ 1

Author(s):

Peter Baldry

Keyword(s):

Myofascial Pain ◽

Trigger Point ◽

Pain Syndrome ◽

Trigger Points ◽

Sympathetically Maintained Pain ◽

Myofascial Trigger Points ◽

Release Of Noradrenaline ◽

Genetically Determined

It is not sufficiently well recognised that the reflex sympathetic dystrophy syndrome (RSDS) and the myofascial pain syndrome (MPS) may develop concomitantly. This happens because they have similar aetiological factors, with trauma being by far the commonest. Everyone is liable to develop nociceptor pain as a result of trauma-induced activation and sensitisation of C afferent skin and Group IV muscle nociceptors; also A-β mediated pain as a result of the sensory afferent barrage produced by these nociceptors giving rise to sensitisation of dorsal horn transmission neurones. With most people these neural changes lead only to the development of MPS. In a minority of people, possibly those with a genetically determined predisposition, this sensory afferent barrage also causes changes to take place in the sympathetic nervous system, with the development of a characteristic burning type of sympathetically mediated pain. This may develop alone or in association with myofascial trigger point pain. There is much controversy concerning the mechanisms for development of RSDS pain. One theory is that the pain develops as a result of the nociceptor-induced sensory afferent barrage setting up aberrant sympathetic efferent activity. This results in the release of noradrenaline which binds to α-1 adrenoreceptors in the walls of the nociceptors, exciting them further. Much research, however, still has to be done before the development of sympathetically maintained pain can be adequately explained. It is stressed that for the successful treatment of RSDS early diagnosis is essential. Treatment involves sympathetic blockade either by the injection of local anaesthetic into a sympathetic ganglion, or by the regional infusion of a catecholamine depleting drug. Sympathetically maintained pain is morphine resistant and is therefore unlikely to be relieved by acupuncture, the analgesic effect of which is mediated by opioid peptides. The main place for acupuncture is in the treatment of concomitant myofascial trigger point pain. It is emphasised that in all cases of RSDS it is essential to search for myofascial trigger points and, when present, to deactivate these by means of acupuncture stimulation of A-δ nerve fibres present in the skin and subcutaneous tissues at the trigger point sites.

A Comparison of the Effects of Physiologic Saline Interfascial and Lidocaine Trigger Point Injections in Treatment of Myofascial Pain Syndrome: A Double-Blind Randomized Controlled Trial

Archives of Rehabilitation Research and Clinical Translation ◽

10.1016/j.arrct.2021.100119 ◽

2021 ◽

pp. 100119

Author(s):

Anuphan Tantanatip ◽

Wasa Patisumpitawong ◽

Saridpong Lee

Keyword(s):

Randomized Controlled Trial ◽

Myofascial Pain ◽

Trigger Point ◽

Controlled Trial ◽

Pain Syndrome ◽

Double Blind ◽

Randomized Controlled ◽

Physiologic Saline

The Therapeutic Effects of Acupuncture on Patients with Chronic Neck Myofascial Pain Syndrome: A Single-Blind Randomized Controlled Trial

The American Journal of Chinese Medicine ◽

10.1142/s0192415x10008299 ◽

2010 ◽

Vol 38 (05) ◽

pp. 849-859 ◽

Cited By ~ 29

Author(s):

Mei-Yuan Sun ◽

Ching-Liang Hsieh ◽

Yung-Yen Cheng ◽

Hung-Chang Hung ◽

Tsai-Chung Li ◽

...

Keyword(s):

Quality Of Life ◽

Randomized Controlled Trial ◽

Myofascial Pain ◽

Short Form ◽

Controlled Trial ◽

Pain Syndrome ◽

Randomized Controlled ◽

Single Blind

Chronic neck myofascial pain syndrome (MPS) is a common disorder seen in clinics. There is no gold standard method to treat myofascial pain. We investigated the effects of acupuncture on patients with chronic neck MPS by a single-blind randomized controlled trial. A total of 35 patients were randomly allocated to an acupuncture group (AG) or a sham acupuncture group (SG). Each subject received acupuncture treatment twice per week for three consecutive weeks. The primary outcome measure was quality of life as assessed with Short Form-36, and secondary outcome measures were neck range of motion (ROM), motion-related pain, and Short-Form McGill Pain Questionnaire (SF-MPQ), as determined by a blinded investigator. The clinical assessments were made before treatment (BT) and after six acupuncture treatments (AT), as well as four weeks (F1) and 12 weeks (F2) after the end of the treatment. A total of 34 patients completed the trial. The results indicated that there is no significant difference in the ROM, motion-related pain, and SF-MPQ scores between AG and SG at AT, F1 and F2 (all p > 0.05). However, AG has greater improvement in physical functioning and role emotional of Short Form-36 quality of life at F2. The results indicate that acupuncture may be used to improve the quality of life in patients with chronic neck MPS.

LOW BACK PAIN;

The Professional Medical Journal ◽

10.29309/tpmj/2019.26.05.3483 ◽

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 ◽

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.

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

International Journal of Athletic Therapy & Training ◽

10.1123/ijatt.2019-0109 ◽

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 ◽

Clinical Question ◽

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.