Nichtmedikament�se Therapie myofaszialer Schmerzen

Gröbli, Christian; Dejung, Beat

doi:10.1007/s00482-003-0265-3

Cited by 5 publications

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Triggerpunkte – Diagnose und Behandlungskonzepte unter besonderer Berücksichtigung extrakorporaler Stoßwellen

Gleitz¹,

Hornig

2012

Orthopäde

View full text Add to dashboard Cite

The 70-year-old trigger point theory has experienced a growing scientific confirmation and clinical significance as a consequence of recent muscle pain research. The trigger point pain formation is caused by high levels of vasoneuroactive substances. Depending on intensity and duration of the muscle stimulus the central pain processing is modified and leads to characteristic referred pain patterns. The most effective conventional forms of treatment are aimed at a direct mechanical manipulation of the trigger point as are new forms of therapy with focused and radial shockwaves. By using high pressures the focused shockwaves in particular are suitable to provoke local and referred pain and thus simplify the trigger point diagnosis. The empirically found therapeutic effect of shockwaves on muscles is hypothetical and can be explained in analogy with validated reactions of shockwaves in non-muscle tissues. Overall, the shockwave therapy on muscles represents a confirmation and extension of the existing trigger point therapy. It seems to be suitable for treating functional muscular disorders and myofascial pain syndromes within the locomotor system.

show abstract