The Effects of Myofascial Trigger Point Injections on Nocturnal Calf Cramps

Kim, Do Hyeong; Yoon, Duck Mi; Yoon, Kyung Bong

doi:10.3122/jabfm.2015.01.140151

Cited by 19 publications

(13 citation statements)

References 28 publications

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“…Even during the present study, in addition to symptoms such as “back pain” and “frequent urination,” which were believed to be due to geriatric syndrome, symptoms of general malaise such as “cramps”, “numbness in the legs”, and “swelling” and “easy to get foot cramps” appeared frequently. A relationship between diabetes mellitus/hypoglycemia and symptoms such as “cramps” has been reported [ 23 , 24 ]; therefore when asking about hypoglycemia during routine examination, physicians should inquire patients regarding not only the known conventional symptoms of hypoglycemia but also the various symptoms of general malaise shown that many patients have in this study.…”

Section: Discussionmentioning

confidence: 97%

Survey of Hypoglycemia in Elderly People With Type 2 Diabetes Mellitus in Japan

et al. 2015

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BackgroundThe number of elderly type 2 diabetes mellitus (T2DM) patients in Japan is increasing continuously. Hypoglycemia is a significant issue in their treatment. However, the actual situation and related details of their hypoglycemia remain unclear. In order to elucidate them, the Japan Physicians Association conducted a large-scale questionnaire survey for physicians and their outpatients all over Japan.MethodsTargeted elderly T2DM outpatients were 65 years old or older in 2011. Specialized questionnaire survey forms were distributed to both of physicians and patients. The forms for physicians included questions whether patient had hypoglycemia in the last 1 month or 1 year; those for patients included whether they experienced it in the same durations and any of the 28 symptoms that are suggestive of hypoglycemia or pertaining to geriatric syndrome in the last 1 month, as well as questions about knowledge regarding hypoglycemia. We analyzed associations between hypoglycemia and the symptoms, and between hypoglycemia and medications.ResultsOf 15,892 T2DM patients (age, 74.2 ± 6.3 years; diabetes duration, 12.8 ± 8.9 years; HbA1c, 7.0±1.0%), dipeptidyl peptidase-4 inhibitor (DPP-4i) was the most prescribed medication among all oral hypoglycemic agents (OHAs). The frequencies of hypoglycemia in the last 1 month recognized by physicians and experienced by patients were 7.8% and 10.4% (P < 0.0001), and in the last 1 year were 15.5% and 21.1% respectively (P < 0.0001). The most common symptom was “weakness, fatigue/feeling languid” and the majority of all patients reported neuroglycopenic or autonomic symptoms. Regarding monotherapy, hypoglycemia was observed in 32.7% of the patients with insulin, 4% in sulfonylurea (SU), 3.8% in glinide, and 3.5% in pioglitazone. The questions asking knowledge about hypoglycemia revealed that SU or insulin users had significantly more knowledge of hypoglycemia than others (P < 0.001); however, 63% of patients using insulin, and 31% of patients using SU always carried glucose or a similar medication with them.ConclusionsThe present study suggested two types of “hidden hypoglycemia”, one is that physicians did not detect and the other one is that patients were not aware. It is vital that physicians strive to prevent hypoglycemia by paying closer attention to symptoms of “hidden hypoglycemia” in their elderly patients.

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Section: Discussionmentioning

confidence: 97%

Survey of Hypoglycemia in Elderly People With Type 2 Diabetes Mellitus in Japan

et al. 2015

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“…(12,13,14,15) Massage has increasingly been used in health care over the past 10 years. Research studies using massage in cancer patients have shown a decrease in pain, increase in energy, decreased inflammation and decreased feelings of anxiety when done appropriately.…”

Section: Intervention Groupmentioning

confidence: 99%

Intradialytic Massage for Leg Cramps Among Hemodialysis Patients: a Pilot Randomized Controlled Trial

Mastnardo

Lewis

Hall

et al. 2016

IJTMB

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Background: Patients on hemodialysis often experience muscle cramps that result in discomfort, shortened treatment times, and inadequate dialysis dose. Cramps have been associated with adversely affecting sleep and health-related quality of life, depression and anxiety. There is limited evidence available about massage in dialysis; however, massage in cancer patients has demonstrated decreases in pain, inflammation, and feelings of anxiety. These correlations indicate massage may be an effective treatment modality for hemodialysis-related lower extremity cramping.Purpose: To determine the effectiveness of intradialytic massage on the frequency of cramping among hemodialysis patients prone to lower extremity cramping.Participants: 26 maintenance hemodialysis patients with frequent lower extremity cramps.Setting: three outpatient hemodialysis centers in Northeast Ohio.Research Design: randomized controlled trial. Intervention: The intervention group received a 20-minute massage of the lower extremities during each treatment (three times per week) for two weeks. The control group received usual care by dialysis center staff.Main Outcome Measure: change in frequency of lower leg cramping.Results: Patient reported cramping at home decreased by 1.3 episodes per week in the intervention group compared to 0.2 episodes per week in the control group (p=.005). Patient reported cramping during dialysis decreased by 0.8 episodes in the intervention group compared to 0.4 episodes in the control group (p=0.44).Conclusion: Intradialytic massage appears to be an effective way to address muscle cramping. Larger studies with longer duration should be conducted to further examine this approach.

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“…In another report, video capability of new phones has led to a practical way to learn and use the particle repositioning maneuver for benign paroxysmal positional vertigo, which is common in family medicine offices. 11 In a brief report Kim et al 12 present the outcomes of myofascial trigger point injections for nocturnal calf cramps among 12 patients; positive results indicate the need for larger randomized trials with appropriate placebo controls.…”

Section: Interventions For the Individual Providermentioning

confidence: 99%

Practical, Office-based Interventions That Improve Care Today

Bowman¹,

Neale²,

Seehusen³

2015

The Journal of the American Board of Family Medicine

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This issue is devoted to practical information and interventions to enhance patient care. Fully explaining the richness of the articles to our readers in a short Editors' Note is sometimes difficult. This month we were struck by the large number of specific interventions that could be used directly in practice today, or in the near future, because they do not require much additional time or much additional cost. These interventions do require some learning-and perhaps some unlearning-but readers can use this issue to make changes tomorrow! We would love to hear from any readers who use this information and implement one or another of the actions; send your stories to jabfm@med.wayne.edu. (J Am Board Fam Med 2015;28:1-4.)

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The Effects of Myofascial Trigger Point Injections on Nocturnal Calf Cramps

Cited by 19 publications

References 28 publications

Survey of Hypoglycemia in Elderly People With Type 2 Diabetes Mellitus in Japan

Survey of Hypoglycemia in Elderly People With Type 2 Diabetes Mellitus in Japan

Intradialytic Massage for Leg Cramps Among Hemodialysis Patients: a Pilot Randomized Controlled Trial

Practical, Office-based Interventions That Improve Care Today

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