Widespread Pressure Pain Hypersensitivity in Musculoskeletal and Nerve Trunk Areas as a Sign of Altered Nociceptive Processing in Unilateral Plantar Heel Pain

Plaza-Manzano, Gustavo; Ríos-León, Marta; Martín‐Casas, Patricia; Arendt-Nielsen, Lars; Fernández‐de‐las‐Peñas, César; Ortega‐Santiago, Ricardo

doi:10.1016/j.jpain.2018.08.001

Cited by 20 publications

(33 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our study, due to ineffective results showed in a previous treatment, exercise have not been included. However, in other studies [15,36], therapeutic exercise showed improvements in pain in patients with jumper's knee. Besides, therapeutic exercise -such as concentric and eccentric exercises -have been clearly proved to have an evidence for treatment of tendinopathies [1].…”

Section: Discussionmentioning

confidence: 89%

See 1 more Smart Citation

Ultrasound-guided Dry Needling in Jumper’s Knee: A Case Report

Cuñado-González

Ríos-León

2020

Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin

Self Cite

View full text Add to dashboard Cite

Background Jumper’s knee is a highly prevalent tendon condition in volleyball players population. Research on clinical effects of tendon dry needling in jumper’s knee is scarce. Therefore, the aim of this study was to present clinical effects of ultrasound-guided dry needling of quadricipital tendon in a patient with jumper’s knee. Methods A 23-years-old volleyball player, who experienced pain in quadricipital tendon for 5 months, was presented and treated by ultrasound-guided dry needling of quadricipital tendon with one session. Slightly limited knee flexion range of motion, high scores in Visual Analogue Scale (VAS) at rest and during Single-Leg decline Squat test (SLDS) related to high pain intensity, low scores in Victorian Institute of Sport Assessment (VISA-P) scale and Lower Extremity Functional Scale (LEFS) were found. Further examination revealed sensitization of the quadricipital tendon (low pressure pain threshold). Results We found important improvements in VISA-P, LEFS and VAS. Besides, pressure pain threshold and knee flexion during SLDS also showed improvements. Results which were obtained were better in all the variables studied and these recoveries were stable for 6 months. Conclusions Our findings showed improvements in pain and function in medium term and could provide preliminary evidence of beneficial effects of quadricipital tendon dry needling in patients with jumper’s knee. Future studies are needed to clarify our results and compare dry needling with conservative treatments.

show abstract

Section: Discussionmentioning

confidence: 89%

“…The mean of 3 tests on the most painful quadricipital tendon point was calculated and used for the analysis. Thirty seconds, similarly to other studies [15,16], was used between each test. A 30 s resting period was allowed between tests for avoiding temporal summation [17].…”

Section: Physical Examinationmentioning

confidence: 99%

Ultrasound-guided Dry Needling in Jumper’s Knee: A Case Report

Cuñado-González

Ríos-León

2020

Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin

Self Cite

View full text Add to dashboard Cite

show abstract

“…Neutral ankle dorsiflexion and supine decubitus position were applied. The mean of three repeated measurements, at 30–60 s intervals, was used for the analysis data based on earlier studies [17,18,19,20,21,22,23].…”

Section: Methodsmentioning

confidence: 99%

“…PPTs of the foot bones and soft tissues have shown the presence of central sensitization in patients with other medical conditions such as migraine [13], low back pain [14], knee osteoarthritis [15], and irritable bowel syndrome [16]. Considering the bone and soft tissue structures of the foot, the lateral malleolus for assessing bone PPT [17] and the tarsal tunnel (including plantar flexor tendons, blood vessels, and tibial nerve trunk) for evaluation of soft tissue PPT [18,19,20,21,22,23] may be considered as one of the most useful sites to assess PPT by means of algometry.…”

Section: Introductionmentioning

confidence: 99%

Tarsal Tunnel Mechanosensitivity Is Increased in Patients with Asthma: A Case-Control Study

Calvo‐Lobo

Painceira-Villar

López‐López

et al. 2018

JCM

View full text Add to dashboard Cite

Background: Based on changes in lung function and musculoskeletal disorders in patients with asthma, this study aimed to compare the tarsal tunnel and fibular bone pressure pain thresholds (PPTs) of patients with asthma and healthy matched-paired controls. Methods: A case-control study was performed. One hundred participants were recruited: 50 asthma patients and 50 healthy matched-paired controls. Bilaterally, tarsal tunnel and fibula bone PPTs were registered. Results: Statistically significant differences (p < 0.01) were shown bilaterally for tarsal tunnel PPT. With the exception of fibula PPT (p > 0.05), asthma patients presented less tarsal tunnel PPT than healthy participants. Statistically significant differences (p < 0.05) were shown for two linear regression prediction models of the right (R2 = 0.279) and left (R2 = 0.249) tarsal tunnels PPTs as dependent variables, and based on sex, group, contralateral tarsal tunnel PPT and ipsilateral fibula PPT as independent variables. Conclusions: The study findings showed that a bilateral tarsal tunnel mechanosensitivity increase is exhibited in patients diagnosed with asthma. The presence of asthma may bilaterally predict the PPT of tarsal tunnel. These findings may suggest the presence of central sensitization in asthma patients, which could clinically predispose them to musculoskeletal disorders, such as tarsal tunnel syndrome.

show abstract

“…Future studies should also emphasise the importance of returning exercise diaries to monitor adherence [13]. Recently, several psychological and nutritional PHP risk factors have been identified, therefore future studies could investigate psychological and nutritional interventions alongside physiotherapy in a biopsychosocial treatment model [102][103][104][105][106][107][108][109][110]. ⨁⨁⨁⨁ HIGH *The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).…”

Section: Implications and Recommendations For Practice And Researchmentioning

confidence: 99%

The effectiveness of combined extracorporeal shockwave therapy and exercise for plantar heel pain: A systematic review

Burton¹

2020

Preprint

View full text Add to dashboard Cite

Background: Plantar heel pain (PHP) is a common musculoskeletal disorder, with both extracorporeal shockwave therapy (ESWT) and specific exercise such as plantar fascia specific stretching shown to be effective treatments. This review aimed to evaluate the effectiveness of combined ESWT and exercise interventions versus other interventions in treating PHP. Methods: A systematic review of effectiveness was conducted, adhering to the PRISMA guidelines. Five databases were searched for studies published between January 2000 and March 2020, with 12 studies meeting the inclusion criteria. The Grading of Recommendations Assessment Development and Evaluation (GRADE) framework was used to determine quality of recommendations. Results: The 12 included studies (n = 861) compared ESWT and stretching with various other treatments. Due to clinical and methodological heterogeneity, pooling of data was not possible, and a narrative synthesis of findings was provided. There was high quality evidence that combined ESWT and stretching interventions are more effective than those using either alone or botulinum toxin injections, and low-quality evidence of superiority versus ultrasound and stretching. There was moderate quality evidence that combined ESWT and stretching is no more effective than corticosteroid injection (CSI), and high quality evidence that the combination is no more effective than blood-derived injection therapies, custom orthotics or low-level laser therapy (LLLT) combined with stretching. There is high quality evidence that the use of topical corticosteroid or laser therapy in combination with ESWT and stretching increases effectiveness compared to ESWT and stretching alone, and moderate quality evidence for the additive effective of dry needling. Conclusions: Combined ESWT and stretching treatments are effective and may be recommended where they are available and practical to implement. Further high-quality studies with larger sample sizes and longer follow-up durations comparing combined interventions for PHP, including different exercise types such as resistance training are required.

show abstract

Widespread Pressure Pain Hypersensitivity in Musculoskeletal and Nerve Trunk Areas as a Sign of Altered Nociceptive Processing in Unilateral Plantar Heel Pain

Abstract: This study found widespread pressure hypersensitivity over both nerve trunks and musculoskeletal structures in individuals with unilateral chronic plantar heel pain, as a manifestation of a centrally altered central nociceptive pain processing.

Cited by 20 publications

References 28 publications

Ultrasound-guided Dry Needling in Jumper’s Knee: A Case Report

Ultrasound-guided Dry Needling in Jumper’s Knee: A Case Report

Tarsal Tunnel Mechanosensitivity Is Increased in Patients with Asthma: A Case-Control Study

The effectiveness of combined extracorporeal shockwave therapy and exercise for plantar heel pain: A systematic review

Contact Info

Product

Resources

About