Evaluation of the Analgesic Effect of Combination Therapy on Chronic Plantar Pain Through the Myofascial Trigger Points Approach

Melero-Suárez, Rocío; Sánchez-Santos, José Antonio; Domínguez-Maldonado, Gabriel

doi:10.7547/16-038

Cited by 6 publications

(4 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In fact, a greater number of muscle TrPs could presume the presence of spatial pain summation related to peripheral and central sensitization, as previously reported in other conditions [ 48 ], since TrPs could be considered as prolonged and relevant peripheral nociceptive inputs triggering sensitization mechanisms related to widespread pain and spatial pain summation [ 50 , 51 ]. Thus, improvements in PPTs related to TrPs treatment for PHP previously found [ 52 , 53 , 54 ] could confirm the role of TrPs in peripheral and central sensitization in PHP, supporting associations between TrPs and PPTs shown in this study. Additionally, previous results also showed improvements in the quality of life related to TrPs treatment [ 55 , 56 ], supporting the association between these variables and suggesting that this approach may be effective for the management of PHP.…”

Section: Discussionsupporting

confidence: 89%

Analyzing the Interaction between Clinical, Neurophysiological and Psychological Outcomes Underlying Chronic Plantar Heel Pain: A Network Analysis Study

Ríos-León

Valera‐Calero

Ortega‐Santiago

et al. 2022

IJERPH

View full text Add to dashboard Cite

Plantar heel pain (PHP) is one of the most common foot pain conditions in adults. Several biological and psychological factors could be involved in chronic PHP in a complex matrix. However, reciprocal interactions between these factors are unknown. The aim of the present study was to use network analysis to quantify potential multivariate relationships between pain-related, function, clinical, mechanosensitivity, psychological, and health-related variables in individuals with PHP. Demographic (age, gender), pain-related (pain intensity), function, clinical (myofascial trigger points [TrPs]), mechanosensitivity (pressure pain thresholds), psychological (Beck Depression Inventory), and health-related variables (EQ-5D-5L) were collected in 81 PHP patients. Network connectivity analysis was conducted to quantify the adjusted correlations between the modeled variables and to assess their centrality indices. The connectivity network showed local associations between pain-related variables, foot function, and mechanosensitivity. Additionally, associations between quality of life, depression, and pain-related variables were found, while TrPs was associated with quality of life and mechanosensitivity. The node with the highest strength centrality was the worst pain intensity, while mechanosensitivity and worst pain intensity showed the highest closeness and betweenness centrality. This is the first study to apply network modeling to understand the connections between pain-related, function, clinical, mechanosensitivity, psychological, and health-related variables in PHP. The role of pain severity and mechanosensitivity is highlighted and supported by the network. Thus, this study reveals potential factors that could be the target in the management of PHP, promoting a comprehensive and effective therapeutic approach.

show abstract

Section: Discussionsupporting

confidence: 89%

Analyzing the Interaction between Clinical, Neurophysiological and Psychological Outcomes Underlying Chronic Plantar Heel Pain: A Network Analysis Study

Ríos-León

Valera‐Calero

Ortega‐Santiago

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…Of these, 475 were excluded, and 55 were exposed to a thorough review of the full article. Twenty-two studies were excluded after the review of the full article because of a lack of randomization, [26][27][28][29][30][31][32][33][34] using different study designs, 35,36 the lack of a control group, 37,38 different study populations (comparing two different treatments with one including ICF), 39,40 lack of the required outcome measures, [41][42][43] different languages, 44,45 inaccessibility of the full article, 46 and a lack of the desired intervention. 47 The final results included 33 trials in addition to two other trials 12,48 that were added after the manual search of the reference list (see Supplemental Digital Content 3, http://links.lww.com/ PHM/B380).…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review and Meta-analysis Investigating the Pain-Relieving Effect of Interferential Current on Musculoskeletal Pain

Hussein

Alshammari

Al-Barak

et al. 2021

Am J Phys Med Rehabil

View full text Add to dashboard Cite

Background: Interferential current is one of the most common electrotherapeutic modalities used in the treatment of painful conditions. Patients seeking medical help to reduce their musculoskeletal pain can be treated using interferential current. Objective: The current review aimed to analyze the recently available information regarding the efficacy of interferential current in alleviating the pain of musculoskeletal origin. Methods: This study used Scopus, CINAHL, Cochrane Library, Web of Science, MEDLINE, Embase, and EBSCOas as data sources. The initial selection of the studies, thorough assessment of the full articles, and extraction of the necessary study characteristics were carried out by two independent reviewers. Another two independent reviewers assessed the methodological quality of each included trial against 39 criteria. These criteria were integrated from several popular scales. Pain intensity-measured using the visual analog scale, numeric pain rating scale, or McGill Pain Questionnaire-was the outcome of interest. Results: This review included 35 trials of variable methodological quality from which 19 trials were selected for the meta-analysis. In general, interferential current alone versus placebo demonstrated a significant pain-relieving effect. On the other hand, interferential current showed no significant difference when added to standard treatment compared with placebo plus standard treatment or standard treatment alone. Similarly, interferential current showed no significant difference when compared with other single interventions (laser, transcutaneous electrical nerve stimulation, cryotherapy). Conclusions: Interferential current alone is better than placebo at discharge. However, the low number of studies raises suspicions about this conclusion. Interferential current alone or added to other interventions is not more effective than comparative treatments in relieving musculoskeletal pain.

show abstract

“…Thus, the primary dysmenorrhea is a health problem that deserves attention and seeks non-medicated ways of therapy, such as the use of physical therapy modalities, such as exercises, heat and transcutaneous electrical nerve stimulation of low frequency 18 . But, a widely used analgesic modality in the physiotherapeutic field is the currents of medium frequency, in the CIV stands out, with interesting results not only in cases of pain, but also with functional improvements and quality of life, when used in isolation [19][20][21][22] or associated to ultrasound 23 .…”

Section: Resultsmentioning

confidence: 99%

Effect of Tetrapolar Interferential Current on Primary Dysmenorrhea Associated with Low Back Pain: Randomized Clinical Trial

et al. 2019

View full text Add to dashboard Cite

Dysmenorrhea is described as pain or weight in the hypogastrium and can radiate to the lumbar region or to the thighs. The use of the vector interferential current (CIV) is based on two sinusoidal currents of medium frequency, modulated at low frequency, and can reach deep tissues in a pleasant way. Despite widespread use of this current under various conditions, there are few studies on its use in primary dysmenorrhea associated with low back pain. The aim of this study was to evaluate the analgesic effect of the Tetrapolar Interferential Current on primary dysmenorrhea associated with low back pain. The study consisted of 20 volunteers, divided into 2 groups: Placebo Group (GP) and Group Treatment (GT), with treatment for 3 days in two menstrual cycles. The variables analyzed were the McGill Pain Questionnaire at the beginning of the first intervention and on the last day after the procedure, and the Visual Analog Pain Scale, applied before and after each therapy. It was observed that for the McGill questionnaire there was reduction only for the treated group, for the Pain scale there were differences again between groups and between evaluations, and the size of the effect showed favorable results in the treated group. The interferential current in the quadrilateral form was shown to be effective in reducing pain in young patients with primary dysmenorrhea.Keywords: Visual Analog Scale. Transcutaneous Electric Nerve Stimulation. Medição da Dor. Pain Measurement.ResumoA dismenorreia é descrita como dor ou peso no hipogástrio, podendo irradiar-se para a região lombar ou até as coxas. O uso da corrente interferencial vetorial (CIV) baseia-se em duas correntes sinusoidais de média frequência, moduladas em baixa frequência, podendo atingir tecidos profundos de forma agradável. Apesar de amplo uso desta corrente em várias condições, há poucos estudos sobre seu uso na dismenorreia primária associada à dor lombar. O objetivo do estudo foi avaliar o efeito analgésico da Corrente Interferencial tetrapolar na dismenorreia primária associada à dor lombar. Este estudo foi composto por 20 voluntárias, divididas em 2 grupos: Grupo Placebo (GP) e Grupo Tratamento (GT), com tratamento por 3 dias em dois ciclos menstruais. As variáveis analisadas foram o Questionário de Dor de McGill no início da primeira intervenção e no último dia após o procedimento, e a Escala Analógica Visual de Dor, aplicada antes e após cada terapia. Observou-se que para a o questionário de McGill houve reduç o apenas para o grupo tratado, para a escala de Dor houve diferenças novamente entre grupos e entre avaliações, sendo que o tamanho do efeito mostrou resultados favoráveis ao grupo tratado. A corrente interferencial na forma tetrapolar mostrou-se efetiva na redução do quadro de dor em jovens com dismenorreia primária.Palavras-chave: Escala Visual Analógica. Estimulação Elétrica Nervosa Transcutânea. Medição da Dor.

show abstract

Evaluation of the Analgesic Effect of Combination Therapy on Chronic Plantar Pain Through the Myofascial Trigger Points Approach

Abstract: The suggested combination therapy of ultrasound with ICST is clinically significant for reducing plantar pain after 15 treatment sessions, with a 6.5-point reduction in mean PIP and a 4.6-point increase in PPT.

Cited by 6 publications

References 14 publications

Analyzing the Interaction between Clinical, Neurophysiological and Psychological Outcomes Underlying Chronic Plantar Heel Pain: A Network Analysis Study

Analyzing the Interaction between Clinical, Neurophysiological and Psychological Outcomes Underlying Chronic Plantar Heel Pain: A Network Analysis Study

A Systematic Review and Meta-analysis Investigating the Pain-Relieving Effect of Interferential Current on Musculoskeletal Pain

Effect of Tetrapolar Interferential Current on Primary Dysmenorrhea Associated with Low Back Pain: Randomized Clinical Trial

Contact Info

Product

Resources

About