Upper Quarter Myofascial Pain Syndrome in Singapore: Characteristics and Treatment

Tay, Alan; Chua, Karen Sui Geok; Chan, Kay-Fei

doi:10.1300/j094v08n04_07

Cited by 7 publications

(3 citation statements)

References 5 publications

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“…Despite this there is evidence that TrPs causing musculoskeletal pain often go undiagnosed by both doctors and physiotherapists, leading to chronic conditions. [6][7][8][9][10] TrPs commonly arise from muscle overload, either as a result of acute strain/trauma, or of a more prolonged nature due to habitual postures or repetitive activities placing abnormal stresses on specific muscle groups. 4 It is thought that if normal healing does not occur, sensitisation of peripheral nociceptors by endogenous substances becomes prolonged, leading to increased local tenderness and referred pain.…”

Section: Introductionmentioning

confidence: 99%

Superficial Dry Needling and Active Stretching in the Treatment of Myofascial Pain – a Randomised Controlled Trial

2003

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A pragmatic, single blind, randomised, controlled trial was conducted to test the hypothesis that superficial dry needling (SDN) together with active stretching is more effective than stretching alone, or no treatment, in deactivating trigger points (TrPs) and reducing myofascial pain. Forty patients with musculoskeletal pain, referred by GPs for physiotherapy, fulfilled inclusion / exclusion criteria for active TrPs. Subjects were randomised into three groups: group 1 (n=14) received superficial dry needling (SDN) and active stretching exercises (G1); group 2 (n=13) received stretching exercises alone (G2); and group 3 (n=13) were no treatment controls (G3). During the three-week intervention period for G1 and G2, the number of treatments varied according to the severity of the condition and subject/clinician availability. Assessment was carried out pre-intervention (M1), post-intervention (M2), and at a three-week follow up (M3). Outcome measures were the Short Form McGill Pain Questionnaire (SFMPQ) and Pressure Pain Threshold (PPT) of the primary TrP, using a Fischer algometer. Ninety-one per cent of assessments were blind to grouping. At M2 there were no significant inter-group differences, but at M3, G1 demonstrated significantly improved SFMPQ versus G3 (p=0.043) and significantly improved PPT versus G2 (p=0.011). There were no differences between G2 and G3. The mean PPT and SFMPQ scores correlated significantly in G1 only, though no significant inter-group differences were demonstrated. Numbers of patients requiring further treatment following the trial were: 6 (G1); 12 (G2); 9 (G3). Conclusion: SDN followed by active stretching is more effective than stretching alone in deactivating TrPs (reducing their sensitivity to pressure), and more effective than no treatment in reducing subjective pain. Stretching without prior deactivation may increase TrP sensitivity.

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Section: Introductionmentioning

confidence: 99%

Superficial Dry Needling and Active Stretching in the Treatment of Myofascial Pain – a Randomised Controlled Trial

2003

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“…Despite its prevalence, reported musculoskeletal pain is often under-diagnosed in adolescents [153,154]. Healthcare providers may be unfamiliar or not trained to diagnose chronic pain, muscle trigger points, palpable pain points, and fascia in tension [155][156][157][158]. Presenting symptoms such as neck pain, shoulder pain, abdominal pain and headaches do not immediately direct a physician to look for a myofascial component to pain.…”

Section: Case Based Discussion Of Important Pointsmentioning

confidence: 99%

Clinical Insights into the Importance of Scars and Scar Release in Paediatric Chronic Myofascial Pain

Lauder¹,

West²

2021

Pain Management - Practices, Novel Therapies and Bioactives

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Humans exhibit biotensegrity, whereby the whole body is a three-dimensional visco-elastic vehicle whatever position it adopts: bones form non-contact compression struts embedded in a networked and tensioned myofascial matrix; each part of the organism combines with the mechanical system to create an integrated functional movement unit and contributes to the stability of the whole system. When tissue at/below the dermis is breached by surgery/injury, healing leads to scar tissue formation. Scars can cause local and distant effects that are not purely cutaneous. Restriction of normal movement of underlying tissues from defective fascial sliding generates anomalous tension that affects the fascial continuum leading to distorted biomechanics, altered biotensegrity and chronic pain. Scars are common in children and significant contributors to chronic pain presentations. Scars can be released (soft tissue mobilization and/or needling) to sustainably improve pain, flexibility and range of motion. This chapter outlines the importance of skin and fascia in the biotensegrity model. Emphasis is placed on the fundamental need to assess scar history and scar characteristics to determine if scars should be treated as a component of multidisciplinary chronic pain management. Case studies outline some key clinical observations. Appropriately controlled research studies are required to fully demonstrate the highlighted benefits.

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“…Clinicians who have become skilled in the diagnosis of MPS rarely have the time or interest to write research papers, much less case reports, that describe their clinical experience. Even a valuable recent article, "Upper myofascial pain syndrome in Singapore" (15), that described TrPs in a high percentage of muscles, did not identify the total number of patients referred with upper quadrant pain from which the TrP study group was selected.…”

Section: Why the Neglect?mentioning

confidence: 99%

Orphan Organ

Simons¹

2007

Journal of Musculoskeletal Pain

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Upper Quarter Myofascial Pain Syndrome in Singapore: Characteristics and Treatment

Cited by 7 publications

References 5 publications

Superficial Dry Needling and Active Stretching in the Treatment of Myofascial Pain – a Randomised Controlled Trial

Superficial Dry Needling and Active Stretching in the Treatment of Myofascial Pain – a Randomised Controlled Trial

Clinical Insights into the Importance of Scars and Scar Release in Paediatric Chronic Myofascial Pain

Orphan Organ

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