Identifying and Treating Myofascial Pain Syndrome

Fomby, Elizabeth W.; Mellion, Morris B.

doi:10.3810/psm.1997.02.1674

Cited by 27 publications

(6 citation statements)

References 11 publications

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“…Despite their widespread use, there are no randomized, controlled trials (RCTs) specifically evaluating oral NSAIDs in the treatment of MPS. Therefore, there is a lack of strong evidence for the role of an anti-inflammatory in MPS [ 4 ]. Multiple studies exist that demonstrate strong evidence in support of NSAIDs in treating acute MSK disorders, particularly low-back pain (LBP) [ 5 – 7 ].…”

Section: Pharmacologic Treatment Of Myofascial Painmentioning

confidence: 99%

Myofascial Pain Syndrome: A Treatment Review

2013

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Myofascial pain syndrome (MPS) is defined as pain that originates from myofascial trigger points in skeletal muscle. It is prevalent in regional musculoskeletal pain syndromes, either alone or in combination with other pain generators. The appropriate evaluation and management of myofascial pain is an important part of musculoskeletal rehabilitation, and regional axial and limb pain syndromes. This article reviews the current hypotheses regarding the treatment modalities for myofascial trigger points and muscle pain. Through a critical evidence-based review of the pharmacologic and nonpharmacologic treatments, the authors aim to provide clinicians with a more comprehensive knowledge of the interventions for myofascial pain.

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Section: Pharmacologic Treatment Of Myofascial Painmentioning

confidence: 99%

Myofascial Pain Syndrome: A Treatment Review

2013

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“…2,3 Differential diagnosis of MFPS include tension headaches, migraine and cluster headaches, low back syndromes, pelvic pain, intermittent claudication, bursitis, arthritis, and tendinosis. 4 Essential diagnostic criteria for TrPs include a tender point within a taut band of skeletal muscle, patient's recognition of current pain complaint by pressure on the tender nodule (identifies active TrP), painful limit to full passive stretch range of motion, visual, or tactile identification of local twitch response, observation of a local twitch response induced by needle penetration of a tender nodule, and pain or altered sensation (in the distribution expected from a TrP in that muscle) on compression of a tender nodule. 5,6 Treating the underlying etiology is currently the most widely accepted strategy.…”

Section: Introductionmentioning

confidence: 99%

Management of Myofascial Pain Syndrome: A Randomized Control Trial

Srivastava¹

2022

Indian Journal of Physical Medicine and Rehabilitation

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Background: Myofascial pain syndrome is collection of sensory, motor, and autonomic symptoms that include local and referred pain, decreased range of motion, and weakness. Objective: To compare outcome of physical therapy alone and physical therapy with trigger point injection in the management of myofascial pain syndrome. Materials and methods: This prospective randomized control study was performed in a tertiary-care teaching institution of North India. Ageand sex-matched subjects with myofascial pain syndrome were enrolled in this study. Subjects were assessed by cervical ROM parameters, numerical pain rating scale, and pressure pain threshold at third day, 1 week, and fourth week. Results: Sixty patients were included in this study with mean age-group of 25.93 + 4.65 years and 26.60 + 4.99 years, respectively, and median of 22 years and 23 years in control and intervention groups, respectively.

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“…Various treatments are applied for MTrPs, as the exact etiology and healing mechanism are currently unknown [13]. Of these, ischemic compression is the most common treatment for MTrPs.…”

Section: Introductionmentioning

confidence: 99%

Treatment of Myofascial Trigger Points of the Infraspinatus is Effective in Relieving Shoulder Pain and Improving Shoulder Functions

Park

Cho²,

Lee

2022

Phys Ther Rehabil Sci

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Objective: This study aimed to investigate the effects of ischemic compression treatment (ICT) or low-level laser therapy (LLLT) applied to the trigger points of the infraspinatus muscle on shoulder pain and function in patients with shoulder pain. Design: A randomized clinical trial Methods: Thirty patients with shoulder pain were randomly allocated into the ICT group (n＝15) or LLLT groups (n＝15). ICT was performed on three myofascial trigger points (MTrPs) of the infraspinatus muscle twice a week for 4 weeks (eight sessions), with 5 minutes of treatment per trigger point. LLLT was performed similarly. Shoulder pain was assessed using the visual analogue scale (VAS) and pain pressure threshold (PPT), and shoulder function was assessed using the Korean Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, rotator cuff strength, and range of motion (ROM) of shoulder flexion and abduction. Results: Significant changes in VAS score and PPT were found after the intervention in both groups (p＜0.05). Significant changes were observed in the Korean DASH score, rotator cuff strength, and ROM of shoulder flexion (p＜0.05) but not in the ROM of shoulder abduction (p＜0.05). There were no significant differences between the two groups. Conclusions: This study showed that both ICT and LLLT applied on the MTrPs of the infraspinatus muscle were effective for relieving shoulder pain and improving shoulder functions in patients with shoulder pain.

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Identifying and Treating Myofascial Pain Syndrome

Cited by 27 publications

References 11 publications

Myofascial Pain Syndrome: A Treatment Review

Myofascial Pain Syndrome: A Treatment Review

Management of Myofascial Pain Syndrome: A Randomized Control Trial

Treatment of Myofascial Trigger Points of the Infraspinatus is Effective in Relieving Shoulder Pain and Improving Shoulder Functions

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