Treatment of Attachment Trigger Points in the Gluteal Muscles to Cure Chronic Gluteal Pain: A Case Report

Lin, Ming-Ta; Chen, Hsin-Shui; Chou, Li‐Wei; Hong, Chang‐Zern

doi:10.3109/10582452.2010.538823

Cited by 3 publications

(3 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…L-MTrPs are only painful with compression or palpation (Bron et al, 2011), however, they may predispose patients to altered movement patterns (Ge et al, 2012Ibarra et al, 2011;Lucas et al, 2010;Sergienko and Kalichman, 2015) and/or be converted to A-MTrPs when perpetuating factors are present . Importantly, MTrPs are prevalent in patients with musculoskeletal pain (Alburquerque-García et al, 2015;Arendt-Nielsen, 2015;Bron et al, 2011;Castaldo et al, 2014;Fernandez-Carnero et al, 2007;Fern andez-de-las-Peñas et al, 2005;Sergienko and Kalichman, 2015) and a multitude of causes for MTrP development have been suggested (Campa-Moran et al, 2015;Huang et al, 2014;Itoh et al, 2004;Lin et al, 2011;Ruiz-Saez et al, 2007;Treaster et al, 2006;Tsai et al, 2009). MTrP injection and trigger point dry needling (TrPDN) are commonly applied interventions for MTrP pain (Kuan, 2009).…”

Section: Introductionmentioning

confidence: 99%

The local twitch response during trigger point dry needling: Is it necessary for successful outcomes?

Perreault¹,

Dunning

Butts³

2017

Journal of Bodywork and Movement Therapies

View full text Add to dashboard Cite

and Discussion: Several studies show that eliciting a LTR does not correlate with changes in pain and disability, and multiple systematic reviews have failed to conclude whether the LTR is relevant to the outcome of TrPDN. Post needling soreness is consistently reported in studies using repeated in and out needling to elicit LTRs and increases in proportion to the number of needle insertions. In contrast, needle winding without LTRs to MTrPs and connective tissue is well supported in the literature, as it is linked to anti-nociception and factors related to tissue repair and remodeling. Additionally, the positive biochemical changes in the MTrP after needling may simply be a wash out effect related to local vasodilation. While the LTR during TrPDN appears unnecessary for managing myofascial pain and unrelated to many of the positive effects of TrPDN, further investigation is required.

show abstract

Section: Introductionmentioning

confidence: 99%

The local twitch response during trigger point dry needling: Is it necessary for successful outcomes?

Perreault¹,

Dunning

Butts³

2017

Journal of Bodywork and Movement Therapies

View full text Add to dashboard Cite

show abstract

“…Another vicious cycle may be established by the possible formation of the attachment trigger point near the tendon that can be caused by the chronic tension produced by the taut band of that MTrP. 24 It is also very likely to cause adhesion in the attachment trigger point region and further activate the MTrP of gluteus medius muscle via central sensitization. This condition can elicit another vicious cycle or enhance the whole vicious cycle (Fig.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Fascia Release for Treating Chronic Recurrent Gluteal Myofascial Pain—A Pilot Study of a New Technique

Chen

Lin

Hong³

et al. 2015

Rehabilitation Process and Outcome

Self Cite

View full text Add to dashboard Cite

OBJECTIVE:To investigate the therapeutic effectiveness of percutaneous fascia release to treat chronic recurrent gluteal myofascial pain related to recurrent tendonitis or bursitis at the attachment sites. METHODS: Five patients (three males, two females; aged 48.6 ± 8.9 years) with myofascial trigger points in the gluteus medius muscle were treated. Outcome measures, including pain intensity, pressure pain threshold, and the relative strength of hip abduction, were assessed before, immediately after, and six months after the treatment. The data measured before and after treatment (different times) on visual analog scale, pressure pain threshold, and relative hip abduction strength were analyzed by Wilcoxon signed-rank test and paired t-test, respectively, for the comparisons between time points. RESULTS: Reduction in pain intensity and increase in the pressure pain threshold and the relative hip abduction strength were found in all five patients after treatment when compared with those of before treatment (P , 0.05). Moreover, all of these improvements existed for at least six months (P . 0.05). CONCLUSIONS: Percutaneous fascia release of gluteal muscle insertion sites can be used to treat chronic gluteal pain related to subtrochanteric bursitis to avoid recurrence, if other treatment cannot control the recurrence, although this was demonstrated only on a small sample size without control and blind assessment in the pilot study.

show abstract

“…Academic investigators from Taichung, Taiwan submitted a case report to describe the management of chronic MPS in the gluteal region secondary to a lumbar facet joint lesion (9). The patient was found to have attachment trigger points in the origin and insertion sites of the gluteus medius and the gluteus minimus muscles that responded to injection therapy with complete and lasting relief of the pain symptoms.…”

Section: Ethnic Differences In Responses To Pain Managementmentioning

confidence: 99%

Ethnic Differences in Responses to Pain Management

Russell¹

2011

Journal of Musculoskeletal Pain

View full text Add to dashboard Cite

Treatment of Attachment Trigger Points in the Gluteal Muscles to Cure Chronic Gluteal Pain: A Case Report

Cited by 3 publications

References 24 publications

The local twitch response during trigger point dry needling: Is it necessary for successful outcomes?

The local twitch response during trigger point dry needling: Is it necessary for successful outcomes?

Percutaneous Fascia Release for Treating Chronic Recurrent Gluteal Myofascial Pain—A Pilot Study of a New Technique

Ethnic Differences in Responses to Pain Management

Contact Info

Product

Resources

About