Trigger Points and Pressure Pain Hypersensitivity in People With Postmeniscectomy Pain

Torres-Chica, Bárbara; Núñez-Samper-Pizarroso, César; Ortega‐Santiago, Ricardo; Cleland, Joshua A.; Salom‐Moreno, Jaime; Laguarta-Val, Sofía; Fernández‐de‐las‐Peñas, César

doi:10.1097/ajp.0000000000000109

Cited by 24 publications

(18 citation statements)

References 33 publications

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“…Although subjects with osteoarthritis had significantly greater numbers of LTrPs than did control subjects, noninjured subjects had LTrPs in the gastrocnemius (right, 7.14%; left, 4.3%), PL (right, 7.1%), and PB (left, 14.3%). Torres‐Chica et al [21] compared MTrP prevalence in subjects who had undergone a meniscectomy (n = 33) and control subjects (n = 33) in the medial and lateral gastrocnemius, RF, VM, and VL. These investigators found a similar number of LTrPs in the control subjects (4 ± 1) as in the subjects who had undergone a meniscectomy (4 ± 4).…”

Section: Discussionmentioning

confidence: 99%

“…LTrPs are present in persons with several dysfunctions located in the lower limbs, such as patellofemoral pain syndrome [21], postmeniscectomy pain [20], or knee osteoarthritis [9]. In addition, the treatment of LTrPs and ATrPs is recommended in the management of chronic calf pain [22,36].…”

Section: Discussionmentioning

confidence: 99%

“…LTrPs are prevalent in patients with musculoskeletal pain [13]. Thus LTrPS are prevalent in persons with lateral epicondylalgia [8] and shoulder pain [7], in persons who have had a meniscectomy [21], and in persons with patellofemoral pain [22], triceps surae dysfunction [23], knee osteoarthritis [9], chronic nonspecific low back pain [24], chronic tension‐type headache [25], or neck pain [26]. LTrPs are also prevalent in healthy subjects.…”

Section: Introductionmentioning

confidence: 99%

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The Prevalence of Latent Trigger Points in Lower Limb Muscles in Asymptomatic Subjects

Zuil-Escobar

Cepa

Martín-Urrialde

et al. 2016

PM&R

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Prevalence of Latent Trigger Points in Lower Limb Muscles in Asymptomatic Subjects

Zuil-Escobar

Cepa

Martín-Urrialde

et al. 2016

PM&R

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“…If they are latent, TrPs do not reproduce any symptoms. 38 Torres-Chica et al 39 observed that the referred pain elicited by active TrPs reproduced symptoms in individuals with postmeniscectomy knee pain. Simons et al 38 suggested that active TrPs in the knee muscles, particularly the vastus medialis and lateralis, may contribute to pain experienced by patients with PFP; however, no epidemiological data on the prevalence of TrPs in the knee muscles in patients with PFP are currently available.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of Inclusion of Dry Needling in a Multimodal Therapy Program for Patellofemoral Pain: A Randomized Parallel-Group Trial

Espí-López¹,

Serra-Añó²,

Vicent-Ferrando³

et al. 2017

Journal of Orthopaedic & Sports Physical Therapy

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Study Design Randomized controlled trial. Background Evidence suggests that multimodal interventions that include exercise therapy may be effective for patellofemoral pain (PFP); however, no study has investigated the effects of trigger point (TrP) dry needling (DN) in people with PFP. Objectives To compare the effects of adding TrP DN to a manual therapy and exercise program on pain, function, and disability in individuals with PFP. Methods Individuals with PFP (n = 60) recruited from a public hospital in Valencia, Spain were randomly allocated to manual therapy and exercises (n = 30) or manual therapy and exercise plus TrP DN (n = 30). Both groups received the same manual therapy and strengthening exercise program for 3 sessions (once a week for 3 weeks), and 1 group also received TrP DN to active TrPs within the vastus medialis and vastus lateralis muscles. The pain subscale of the Knee injury and Osteoarthritis Outcome Score (KOOS; 0–100 scale) was used as the primary outcome. Secondary outcomes included other subscales of the KOOS, the Knee Society Score, the International Knee Documentation Committee Subjective Knee Evaluation Form (IKDC), and the numeric pain-rating scale. Patients were assessed at baseline and at 15-day (posttreatment) and 3-month follow-ups. Analysis was conducted with mixed analyses of covariance, adjusted for baseline scores. Results At 3 months, 58 subjects (97%) completed the follow-up. No significant between-group differences (all, P>.391) were observed for any outcome: KOOS pain subscale mean difference, −2.1 (95% confidence interval [CI]: −4.6, 0.4); IKDC mean difference, 2.3 (95% CI: −0.1, 4.7); knee pain intensity mean difference, 0.3 (95% CI: −0.2, 0.8). Both groups experienced similar moderate-to-large within-group improvements in all outcomes (standardized mean differences of 0.6 to 1.1); however, only the KOOS function in sport and recreation subscale surpassed the prespecified minimum important change. Conclusion The current clinical trial suggests that the inclusion of 3 sessions of TrP DN in a manual therapy and exercise program did not result in improved outcomes for pain and disability in individuals with PFP at 3-month follow-up. Level of Evidence Therapy, level 1b. Prospectively registered July 27, 2015 at www.clinicaltrials.gov (NCT02514005). J Orthop Sports Phys Ther 2017;47(6):392–401. doi:10.2519/jospt.2017.7389

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“…The number of trigger points per muscle was collected, and then, an average across the group was calculated. Inter-rater reliability has shown to vary between studies(Torres-Chica et al, 2015).…”

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confidence: 99%

Musculoskeletal neck disorders in thyroid cancer patients after thyroidectomy

et al. 2019

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Thyroid cancer (TC) is the most common type of cancer in the endocrine system, and thyroidectomy is the preferred treatment. Complications associated are still common and 80% of patients complain of posterior neck pain. The aim of this study was to analyse the long‐term musculoskeletal disorders in TC patients who had undergone thyroidectomy. An observational case–control study was carried out. Twenty‐eight patients who had undergone thyroidectomy and 28 healthy control patients were included. Outcomes were collected 6 months after surgery and included: musculoskeletal neck disorders (neck range of movement, trigger points) and functional variables (pain intensity and disability). Significant differences were found between groups in flexion (p = 0.002) and extension (p = 0.005), with lower values in the thyroidectomy group. The number of trigger points was higher in the thyroidectomy group in both scalenes (p < 0.001), both sternocleidomastoids (p < 0.001), both upper trapezius (p = 0.005 and p = 0.008), right levator scapulae (p = 0.002) and both suboccipitalis (p = 0.002). Pain intensity (p < 0.001) and the Neck Outcome Scale subscales (p < 0.05) also presented significant differences. Thyroidectomy patients, 6 months after surgery, show a significant decrease in neck range of movement and an increase in the number of trigger points. They also show greater pain intensity and more disability.

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Trigger Points and Pressure Pain Hypersensitivity in People With Postmeniscectomy Pain

Cited by 24 publications

References 33 publications

The Prevalence of Latent Trigger Points in Lower Limb Muscles in Asymptomatic Subjects

The Prevalence of Latent Trigger Points in Lower Limb Muscles in Asymptomatic Subjects

Effectiveness of Inclusion of Dry Needling in a Multimodal Therapy Program for Patellofemoral Pain: A Randomized Parallel-Group Trial

Musculoskeletal neck disorders in thyroid cancer patients after thyroidectomy

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