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

Sabatke, Svetlana; Scola, Rosana Hermínia; Paiva, Eduardo S.; Kowacs, Pedro André

doi:10.1590/0004-282x20150135

Cited by 22 publications

(18 citation statements)

References 21 publications

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“…The primary goal of managing MPS is to break the vicious cycle of pain through the elimination of trigger points [ 4 ]. There are various treatments for the elimination of myofascial trigger points, including trigger point injection (TPI) [ 5 ], ischemic compression, stretching, massage, and treatment modalities, including ultrasound and transcutaneous electrical nerve stimulation. A variety of treatments exist, but the most effective treatment for MPS is still under debate.…”

Section: Introductionmentioning

confidence: 99%

Extracorporeal Shock Wave Therapy Versus Trigger Point Injection in the Treatment of Myofascial Pain Syndrome in the Quadratus Lumborum

et al. 2017

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ObjectiveTo compare the effectiveness of extracorporeal shock wave therapy (ESWT) and trigger point injection (TPI) for the treatment of myofascial pain syndrome in the quadratus lumborum.MethodsIn a retrospective study at our institute, 30 patients with myofascial pain syndrome in the quadratus lumborum were assigned to ESWT or TPI groups. We assessed ESWT and TPI treatment according to their affects on pain relief and disability improvement. The outcome measures for the pain assessment were a visual analogue scale score and pain pressure threshold. The outcome measures for the disability assessment were Oswestry Disability Index, Roles and Maudsley, and Quebec Back Pain Disability Scale scores.ResultsBoth groups demonstrated statistically significant improvements in pain and disability measures after treatment. However, in comparing the treatments, we found ESWT to be more effective than TPI for pain relief. There were no statistically significant differences between the groups with respect to disability.ConclusionCompared to TPI, ESWT showed superior results for pain relief. Thus, we consider ESWT as an effective treatment for myofascial pain syndrome in the quadratus lumborum.

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Section: Introductionmentioning

confidence: 99%

Extracorporeal Shock Wave Therapy Versus Trigger Point Injection in the Treatment of Myofascial Pain Syndrome in the Quadratus Lumborum

et al. 2017

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“…5 A growing number of evidence-based studies have suggested treatment modalities for MPS including trigger point injection (TPI), dry needling, stretching, ultrasound (US), manual therapies, superficial hot pack (HP) and cold pack, medical treatments, transcutaneous electrical nerve stimulation (TENS), and massage. [6][7][8][9][10][11][12][13][14][15] Extracorporeal shock wave therapy (ESWT) is a novel, non-invasive therapeutic modality for musculoskeletal system diseases such as calcific tendinopathies, plantar fasciitis, and lateral and medial epicondylitis [16][17][18][19] as well as for MPS. [20][21][22][23][24] Although there are some theories proposed, the mechanism of action of ESWT on MPS still remains to be elucidated.…”

mentioning

confidence: 99%

High-Energy Flux Density Extracorporeal Shock Wave Therapy Versus Traditional Physical Therapy Modalities in Myofascial Pain Syndrome: A Randomized-controlled, Single-Blind Trial

Gezgınaslan

2020

Arch Rheumatol

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Objectives: This study aims to investigate the effects of extracorporeal shock wave therapy (ESWT) on pain, sleep, fatigue, disability, depression, and quality of life (QoL) in patients with myofascial pain syndrome (MPS). Patients and methods: Between March 2018 and September 2018, a total of 94 patients (16 males, 78 females; mean age 44.2±11.94 years; range, 19 to 74 years) with the diagnosis of MPS were included in the study. The patients were divided into two groups. The treatment group consisted of 49 patients and a total of seven sessions of high-energy flux density ESWT (H-ESWT) (0.26 mJ/mm 2) were given with three days interval. The control group consisted of 45 patients and the treatment of hot pack, transcutaneous electrical nerve stimulation, and ultrasound was given for five days for two weeks. At baseline and one month after treatment, the visual analog scale (VAS), Short Form-36 (SF-36), Pittsburgh Sleep Quality Index (PSQI), Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale, Neck Disability Index (NDI), and Beck Depression Inventory (BDI) scores were compared between the groups. Results: There were no statistically significant differences in the age, sex, demographic characteristics, and baseline VAS, SF-36, NDI, BDI, FACIT, and PSQI scores between the groups (p>0.05). In the ESWT group, there was a statistically significant decrease in the VAS, SF-36, NDI, BDI, FACIT, and PSQI scores after treatment compared to the baseline scores, while only the SF-36 subscale scores were statistically significantly higher (p<0.05). There was a statistically significant correlation between the VAS and SF-36 scores and the BDI, NDI, FACIT and PSQI scores after the treatment. Conclusion: Our study results suggest that H-ESWT is more effective than traditional physical therapy methods on pain, QoL, sleep, fatigue, depression, and disability in patients with MPS.

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“…However, the mechanism by which TPI reduces referred pain might not be associated with edematous change and muscle tension. Injection of local anesthetics to MTrPs is most effective in inactive MTrPs (17,40,41). However, the analgesic effect of TPI seems to depend on the needling effect, as previous studies found no significant difference between the effect of anesthetic injection and that of dry needling of MTrPs (42,43).…”

Section: Discussionmentioning

confidence: 83%

“…61, No. 1, [36][37][38][39][40][41][42][43][44]2019 Original Change in muscle hardness after trigger point injection and physiotherapy for myofascial pain syndrome controls and decreased after massage treatment. Nevertheless, assessment of muscle hardness in MPS is not well understood.…”

Section: Introductionmentioning

confidence: 99%

Change in muscle hardness after trigger point injection and physiotherapy for myofascial pain syndrome

et al. 2019

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Assessment and treatment of masticatory myofascial pain syndrome (MPS) are not standardized and remain controversial. We examined whether muscle hardness was useful for evaluating masticatory MPS and analyzed the effectiveness of treatments such as stretching and massage (SM) and trigger point injection (TPI). Twenty healthy volunteers and 20 MPS patients were enrolled. MPS patients were divided into TPI and SM treatment groups. Hardness of masticatory muscle with a taut band (TB) and change in hardness were evaluated after SM and TPI treatments. Hardness values were significantly higher in muscle including a TB (TB point) than in the muscle of healthy controls. Visual analogue scale scores were significantly lower after SM and TPI treatments, and hardness of the TB point was significantly lower after SM but not after TPI. These results suggest that measurement of muscle hardness, including the TB, is useful for evaluating masticatory MPS. However, TPI analgesia might not be caused by change in muscle hardness. The mechanisms underlying the effects of SM and TPI on reducing pain in MPS may differ and thus warrant further research.

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

Cited by 22 publications

References 21 publications

Extracorporeal Shock Wave Therapy Versus Trigger Point Injection in the Treatment of Myofascial Pain Syndrome in the Quadratus Lumborum

Extracorporeal Shock Wave Therapy Versus Trigger Point Injection in the Treatment of Myofascial Pain Syndrome in the Quadratus Lumborum

High-Energy Flux Density Extracorporeal Shock Wave Therapy Versus Traditional Physical Therapy Modalities in Myofascial Pain Syndrome: A Randomized-controlled, Single-Blind Trial

Change in muscle hardness after trigger point injection and physiotherapy for myofascial pain syndrome

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