Soft Tissue: A Possible Source of Pain Pre and Post Minimally Invasive Spine Surgery

Abstract

Study Design: Case studies. Objectives: To demonstrate that muscle generated pain (MGP) may be a cause of pain in patients who have undergone minimally invasive spine surgery (MISS). Methods: A physical examination including electrical stimulation of putative pain generating muscles to identify the presence of lowered thresholds for depolarization of muscle nociceptors, and an examination of strength and flexibility of key muscles in the upper and lower body, may identify multiple etiologies of MGP. Treatment of identified muscles consisted of muscle/tendon injections to identified sensitized muscles followed by exercises incorporating relaxation limbering and stretching. Results: Postsurgical pain was eliminated and mobility restored in both presented cases replicating success in prior published studies. Conclusions: Understanding the pathophysiological mechanisms of muscle pain may facilitate the evaluation and treatment of MGP in MISS patients diagnosed with failed back surgery syndrome.

Variações baseadas em gênero no movimento e na força isométrica do tronco em jovens adultos com dor lombar: Um estudo de caso-controle prospectivo

“…Trunk muscle dysfunction and weakness is an important risk factor for developing low back pain (LBP). [1][2][3] Trunk muscle strength compensates for dysfunction due to LBP, and reduced trunk range of motion (RoM) and muscle strength can lead to functional limitations and disability in subjects with LBP. 2,4 Hence, restoring trunk muscle strength and RoM using exercises helps reduce pain and disability, improve function, and prevent recurrence in patients with LBP.…”

“…A disfunção e a fraqueza dos músculos do tronco são fatores de risco importantes para o desenvolvimento da dor lombar (DL). 1 2 3 A força do músculo do tronco compensa a disfunção causada pela DL, e a redução da amplitude de movimento (ADM) do tronco e da força muscular pode levar a limitações funcionais e incapacidade em indivíduos com DL. 2 4 Portanto, restaurar a força muscular e a ADM do tronco utilizando exercícios ajuda a reduzir a dor e a incapacidade, assim como a melhorar a função e prevenir a recorrência em pacientes com DL.…”