Myofascial pain associated to trigger points: A literature review. Part 2: Differential diagnosis and treatment

Vázquez-Delgado, Eduardo; Cascos-Romero, Jordi; Gay‐Escoda, Cosme

doi:10.4317/medoral.15.e639

Cited by 25 publications

(20 citation statements)

References 21 publications

(43 reference statements)

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“…Un año más tarde, Majlesi y Unalan 28 proponen como modalidades terapéuticas eficaces el calor local y frío, ejercicios de estiramiento, espray y estiramiento, punción, inyección local, y US. Ese mismo año, Vázquez-Delgado y col 29 exponen que la técnica de espray y estiramiento y la inyección en el PGM son las opciones más eficaces; además se destaca que en casos crónicos, se requiere de intervención psicosocial por los trastornos de ansiedad observados.…”

Section: Síndrome De Dolor Miofascial Cervical Y Su Abordaje Fisioterunclassified

“…Según muestra una revisión reciente la terapia manual se ha considerado como el conjunto de técnicas más eficaces en la inactivación de PGM 33 . Diversos estudios y revisiones previamente citados 19,[25][26][27][28][29][30] defienden el beneficio que aportan dichas técnicas, aunque ciertamente, la terapia manual es difícil de valorar debido a la variabilidad de aplicación por el fisioterapeuta y por la propia reacción e idiosincrasia de cada paciente.…”

Section: Terapia Manualunclassified

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Síndrome de dolor miofascial cervical: revisión narrativa del tratamiento fisioterápico

Capó-Juan¹

2015

Anales Sis San Navarra

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resUMenEl dolor es un fenómeno complejo y multifactorial que depende de la interacción de factores biopsicosociales. Entre el 15-25% de los adultos sufren dolor cró-nico en algún momento de su vida. A nivel cervical el dolor crónico es considerado un problema de salud pú-blica y afectó a un 9,6% de hombres y a un 21,9% de mujeres según la última Encuesta Nacional de Salud 2011-12. Un porcentaje muy elevado de consultas por dolor muscular en atención primaria resulta ser por síndrome de dolor miofascial. Su existencia implica la presencia de puntos gatillo miofasciales que pueden encontrarse latentes o activos en toda la población. El objetivo de esta revisión es exponer los métodos terapéuticos más utilizados aplicados por el fisioterapeuta en el tratamiento de este síndrome a nivel cervical. Algunas de las técnicas más utilizadas que pueden resultar útiles a corto o medio plazo son: la compresión isquémica y/o liberación por barrera, y la punción seca. Asimismo, para tratar este síndrome también son utilizadas distintas combinaciones de modalidades terapéuticas teniendo en cuenta otros aspectos como el educativo.Palabras clave. Cervicalgia. Punto gatillo miofascial. Síndrome de dolor miofascial. Fisioterapia. Diagnóstico.

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Section: Síndrome De Dolor Miofascial Cervical Y Su Abordaje Fisioterunclassified

Section: Terapia Manualunclassified

Síndrome de dolor miofascial cervical: revisión narrativa del tratamiento fisioterápico

Capó-Juan¹

2015

Anales Sis San Navarra

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“…18) A review suggested 0.5% as the ideal concentration of local anesthetics after considering the therapeutic advantages. 24) Other studies have reported that the most effective concentration for local anesthetics ranged between 0.2% and 0.25% rather than 1%. 34,35) Regarding additive use with local anesthetics, any additives including vasoconstrictors and bisulfite should not be included because they cause post-injection sensitivity and pain.…”

Section: Clinical Proceduresmentioning

confidence: 99%

“…34,35) Regarding additive use with local anesthetics, any additives including vasoconstrictors and bisulfite should not be included because they cause post-injection sensitivity and pain. 24) Regarding the additional effects of injectates, many studies have shown no significant differences among groups of dry needling and wet needling using steroid, procaine or lidocaine, and botulinum toxin. 23,36,37) These findings implied that the main mechanism of the analgesic action of dry needling and even injection might be the disruption of comfort.…”

Section: Clinical Proceduresmentioning

confidence: 99%

Clinical Consideration of Trigger Point Injection/Dry Needling Therapy: A Narrative Review

Jung¹,

Byun²,

Choi³

2017

Journal of Oral Medicine and Pain

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Myogenous temporomandibular disorder is a collective term for pathologic conditions of the masticatory muscles, mainly characterized by pain and dysfunction associated with various pathophysiological processes. Among the subtypes of myogenous temporomandibular disorder, myofascial pain is one of the most common muscle disorders, characterized by the presence of trigger points (TrPs). Various modalities, such as ultrasound, manipulative therapy, sprayand-stretch technique, transcutaneous electrical nerve stimulation, injection/dry needling, and low-level laser therapy are used to inactivate TrPs. Needling/injection on the TrPs is one of the most common treatments for myofascial pain. Despite the evidence, there is continued controversy over defining the biological and clinical characteristics of TrPs and the efficacy of injection/dry needling. This review discusses the current concept of injection/needling to relieve TrPs.

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“…Invasive techniques include acupuncture and botulin injections, whereas non-invasive ones include joint manipulation, tension/relaxation, ischemic compression, transverse friction massage, post-isometric relaxation [14], spray and stretch [17,18], kinesio taping [19], transcutaneous electrical nerve stimulation, ultrasound, and lasers. Despite the abundance of MTP treatment techniques, manual therapy remains one of the main approaches, and the role of physical therapist in the treatment of MTP should not be underestimated [14].…”

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confidence: 99%

The Effectiveness of Different Physical Therapy Techniques for Relieving Pain and Increasing Neck Range of Motion in Patients with Diagnosed Latent Myofascial Trigger Points

Lendraitienė¹,

Bagdonaitė²,

Petruševičienė³

et al. 2017

Orthop Muscular Syst

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Aim:Researchers are demonstrating increasing interest in latent myofascial trigger points (LMTP) because of their significantly higher prevalence, compared to active myofascial trigger points (AMTP). Even though LMTP are quite prevalent and are important for muscle function, their effect is essentially under-researched due the lack of studies in the area. The aim is to compare the effectiveness of different physical therapy techniques for relieving pain and increasing neck range of motion in patients with diagnosed latent myofascial trigger points. Population:The study included 27 volunteers (group I -15 subjects, and group II -12 subjects) with at least one LMTP in the upper part of the trapezius muscle and without any health problems that could affect the results of the study. Methods:Prior to the physical therapy, immediately after it, and one week after its completion, algometric measurements were performed in order to determine which pressure force provoked pain. Also, a 10-point visual analogue pain scale (VAS) was applied in order to determine the severity of pain that could be caused by 4 kg/cm 2 pressure. Goniometric measurements were performed to evaluate changes in the range of motion when performing neck flexion, extension, and lateral flexion. Results:In subjects who underwent ischemic compression procedures (group I), the pain threshold increased significantly from 2.27 ± 0.28 kg/cm 2 at baseline to 3.01 ± 0.33 kg/cm 2 immediately after physical therapy, and to 2.63 ± 0.3 kg/cm 2 at one week after physical therapy (p<0.05). Meanwhile, pain intensity statistically significantly decreased from 5.20 ± 0.56 points at baseline to 3.20 ± 0.78 points immediately after physical therapy, and to 4.53 ± 0.74 points at one week after physical therapy (p<0.05). The range of flexion in the neck statistically significantly increased both immediately and at one week after physical therapy, whereas no changes in the range of motion were observed during extension or lateral flexion. In subjects who underwent taping procedures (group II), the pain threshold increased significantly from 2.13 ± 0.43 kg/cm 2 at baseline to 2.30 ± 0.36 kg/cm 2 immediately after physical therapy, and to 2.33 ± 0.46 kg/cm 2 at one week after physical therapy (p<0.05). Meanwhile, pain intensity statistically significantly decreased only immediately after physical therapy -from 5.33 ± 0.78 points to 5 ± 0.74 points (p<0.05). No changes in the range of motion during neck flexion, extension, or lateral flexion were observed. The comparison of the groups showed that pain intensity in group I subjects (i.e., in those who underwent ischemic compression procedures) was statistically significantly lower immediately after physical therapy and at one-week follow-up. There were no statistically significant differences in the range of motion during neck flexion, extension, or lateral flexion between the groups. Conclusion:Ischemic compression proved to be a more effective physical therapy technique than taping in reducing pain in latent myofasc...

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Myofascial pain associated to trigger points: A literature review. Part 2: Differential diagnosis and treatment

Cited by 25 publications

References 21 publications

Síndrome de dolor miofascial cervical: revisión narrativa del tratamiento fisioterápico

Síndrome de dolor miofascial cervical: revisión narrativa del tratamiento fisioterápico

Clinical Consideration of Trigger Point Injection/Dry Needling Therapy: A Narrative Review

The Effectiveness of Different Physical Therapy Techniques for Relieving Pain and Increasing Neck Range of Motion in Patients with Diagnosed Latent Myofascial Trigger Points

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