791 results match your criteria Cervical Myofascial Pain


Low-Intensity Continuous Ultrasound for the Symptomatic Treatment of Upper Shoulder and Neck Pain: A Randomized, Double-Blind Placebo-Controlled Clinical Trial.

J Pain Res 2020 2;13:1277-1287. Epub 2020 Jun 2.

Medical Pain Consultants, Dryden, NY, USA.

Purpose: Low-intensity continuous ultrasound (LICUS) is an emerging high-dosimetry ultrasound-based therapy for accelerated tissue healing and the treatment of myofascial pain. In this study, LICUS treatment is clinically evaluated for chronic upper neck and shoulder pain in a randomized, multi-site, double-blind, placebo-controlled study.

Patients And Methods: CONSORT guidelines were followed in conducting and reporting the clinical trial. Read More

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http://dx.doi.org/10.2147/JPR.S247463DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7287226PMC

Benefits, Safety, and Adjunct Modality Prevalences of Long-Term Botulinum Toxin Injections for Cervical Dystonia and Myofascial Neck Pain: A Retrospective Cohort Study.

J Pain Res 2020 3;13:1297-1304. Epub 2020 Jun 3.

Canadian Centre of Integrative Medicine, Toronto, ON, Canada.

Introduction: There is a paucity of long-term treatment benefit and safety data of botulinum toxin A (BTX-A) for cervical dystonia (CD) and myofascial neck pain syndrome (MPS). Additionally, the prevalence of adjunct modality uses during this period is unknown despite evolving practices.

Objective: To assess and compare treatment benefit, safety, and adjunct modality prevalences of long-term BTX-A injections between CD and MPS patients. Read More

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http://dx.doi.org/10.2147/JPR.S254032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276373PMC

Graded exposure and orthopedic manual physical therapy for kinesiophobia and function in chronic temporomandibular dysfunction: A case report.

Cranio 2020 Jun 18:1-14. Epub 2020 Jun 18.

Department of Rehabilitation Services, University of Illinois Hospital and Health Sciences System , Chicago, IL, USA.

Background: This case report describes the successful use of multi-modal physical therapy (PT), including orthopedic manual physical therapy (OMPT) and graded exposure, in a patient with chronic temporomandibular dysfunction (TMD).

Clinical Presentation: A 41-yr old female presented with a five-year history of bilateral chronic myofascial TMD and comorbid neck/right arm pain. The patient was treated for 12 weeks with a focus on OMPT and graded exposure. Read More

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http://dx.doi.org/10.1080/08869634.2020.1779483DOI Listing

Effects of dry needling technique into trigger points of the sternocleidomastoid muscle in migraine headache: A randomized controlled trial.

Am J Phys Med Rehabil 2020 Jun 15. Epub 2020 Jun 15.

Professor, Clinical Sciences Department & Pediatric Neuro-Rehabilitation Research Center, University of Welfare & Rehabilitation, Tehran, Iran.

Objective: The study aimed to investigate the effect of dry needling (DN) into trigger points of the sternocleidomastoid muscle in migraine headache patients.

Design: Forty subjects with a migraine headache, originating from myofacial trigger points into the sternocleidomastoid (SCM) muscle (20 subjects in DN group and 20 subjects in control group) volunteered to participate in this study. The subjects in the treatment group received three sessions of dry needling in the myofascial trigger point region. Read More

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http://dx.doi.org/10.1097/PHM.0000000000001504DOI Listing

Neck associated factors related to migraine in adolescents with painful temporomandibular disorders.

Authors:
Jeong-Hyun Kang

Acta Odontol Scand 2020 Jun 12:1-9. Epub 2020 Jun 12.

Clinic of Oral Medicine and Orofacial Pain, Institute of Oral Health Science, Ajou University School of Medicine, Suwon, Korea (ROK).

Migraine is a comorbidity of painful temporomandibular disorders (TMDs). Both migraine and painful TMD have associations with neck pain and head posture. The aim of this study was to clarify the role of neck pain and head posture on the association between migraine and painful TMD in adolescents. Read More

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http://dx.doi.org/10.1080/00016357.2020.1774649DOI Listing

The effect of vibration therapy on neck myofascial trigger points: A randomized controlled pilot study.

Clin Biomech (Bristol, Avon) 2020 Jun 3;78:105071. Epub 2020 Jun 3.

Department of Physical Therapy, University of Valencia, Gascó Oliag 5, 46010, Valencia, Spain. Electronic address:

Background: The purpose of this study was to evaluate the effect of low-frequency self-administered vibration therapy into myofascial trigger points in the upper trapezius and levator scapulae on patients with chronic non-specific neck pain.

Methods: Twenty-eight patients with chronic non-specific neck pain were randomly assigned into a vibration group, receiving 10 self-applied sessions of vibration therapy in the upper trapezius and levator scapulae trigger points; or a control group, receiving no intervention. Self-reported neck pain and disability (Neck Disability Index) and pressure pain threshold were assessed at baseline and after the first, fifth and 10th treatment sessions. Read More

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http://dx.doi.org/10.1016/j.clinbiomech.2020.105071DOI Listing

The Effect of extracorporeal shock wave therapy on pain intensity and neck disability for patients with myofascial pain syndrome in the neck and shoulder: a meta-analysis of randomized controlled trials.

Am J Phys Med Rehabil 2020 Jun 9. Epub 2020 Jun 9.

College of Pharmacy, Chung-Ang University, Seoul, Republic of Korea.

Objective: To investigate the efficacy of extracorporeal shock wave therapy(ESWT) on myofascial pain syndrome(MPS) in the neck and shoulder compared with that of other treatments.

Data Sources: PubMed, EMBASE and Web of Science were systematically searched until 30th May, 2019 to select randomized controlled trials(RCTs).

Review Methods: The RCTs comparing ESWT with sham-ESWT or other treatments for patients with MPS in the neck and shoulder patients were included. Read More

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http://dx.doi.org/10.1097/PHM.0000000000001493DOI Listing

Intermediate Cervical Plexus Block in the Management of Persistent Postoperative Pain Post Carotid Endarterectomy: A Prospective, Randomized, Controlled, Clinical Trial.

Pain Physician 2020 Jun;23(3):237-244

Department of life health & environmental sciences, University of L'Aquila.

Background: The mechanisms of persistent postoperative pain (PPP) with neuropathic features after carotid endarterectomy (CEA) are multifaceted and are incompletely understood.

Objectives: The aim of this research was to assess whether the ultrasound-guided (USG) intermediate cervical plexus block (ICPB) could provide better control of PPP and neuropathic disturbances (NPDs) after CEA than the USG superficial cervical plexus block (SCPB).

Study Design: Prospective, randomized, controlled, clinical trial. Read More

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Ultrasound-Guided Inactivation of Trigger Points Combined with Muscle Fascia Stripping by Liquid Knife in Treatment of Postherpetic Neuralgia Complicated with Abdominal Myofascial Pain Syndrome: A Prospective and Controlled Clinical Study.

Pain Res Manag 2020 17;2020:4298509. Epub 2020 May 17.

Central Laboratory, Baoshan District Hospital of Integrated Traditional Chinese and Western Medicine of Shanghai, Shanghai 201999, China.

Objective: To evaluate ultrasound-guided inactivation of myofascial trigger points (MTrPs) combined with abdominal muscle fascia stripping by liquid knife in the treatment of postherpetic neuralgia (PHN) complicated with abdominal myofascial pain syndrome (AMPS).

Methods: From January 2015 to July 2018, non-head-and-neck PHN patients in the Pain Department, The First Affiliated Hospital of Soochow University, were treated with routine oral drugs and weekly paraspinal nerve block for two weeks. Patients with 2 < VAS (visual analogue scale) score < 6 were subjects of the study. Read More

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http://dx.doi.org/10.1155/2020/4298509DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251458PMC

A critical overview of the current myofascial pain literature - January 2020.

J Bodyw Mov Ther 2020 Apr 29;24(2):213-224. Epub 2020 Apr 29.

Myopain Seminars, Bethesda, MD, USA; New Orleans Pelicans, New Orleans, LA, USA. Electronic address:

We are starting 2020 with 6 basic research studies, 9 review articles, 14 dry needling/injection studies, and one manual therapy paper for a total of 30 new papers. Topics range from studies on mechanisms, inflammatory mediators in myofascial pain, fascia, screening, Platelet-rich plasma intramuscular injections, and temporal summation to clinical studies on patients with tension-type headache, chronic pelvic pain, knee osteoarthritis, plantar fasciitis, generalized musculoskeletal pain, neck pain, breast cancer, tendinopathies, thoracic outlet syndrome, and canine dry needling, among others. Read More

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http://dx.doi.org/10.1016/j.jbmt.2020.04.001DOI Listing

Massage therapy treatment and outcomes in a patient with Charcot-Marie-Tooth disease: A case report.

Authors:
Galit Paz

J Bodyw Mov Ther 2020 Apr 25;24(2):130-137. Epub 2019 Oct 25.

Grant MacEwan University, Massage Therapy Program, Canada. Electronic address:

Background: Charcot-Marie-Tooth (CMT) disease, a progressive hereditary peripheral neuropathy, leads to muscle weakness, wasting, and sensory and motor nerve deprivation. The two main types of CMT are CMT1 (demyelinating) and CMT2 (axonal). Initial findings include foot deformities and sensory changes with progression to altered gait, diminished reflexes, and muscle wasting and weakness. Read More

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http://dx.doi.org/10.1016/j.jbmt.2019.10.014DOI Listing

[Migraine in childhood and adolescence-neurostimulation as a future innovative approach in terms of a multimodal treatment regimen].

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2020 Jun 5. Epub 2020 Jun 5.

Abteilung für Pädiatrische Neurologie, Entwicklungsneurologie, Sozialpädiatrie und LMU Zentrum für Entwicklung und komplex chronisch kranke Kinder - iSPZ Hauner, Dr. von Haunersches Kinderspital, LMU Klinikum, Lindwurmstr. 4, 80337, München, Deutschland.

Although migraine is a relevant health issue in children and adolescents, clinical care and research are still underrepresented and underfunded in this field. Quality of life can be significantly reduced when living with frequent episodes of pain. Due to the high level of vulnerability of the developing brain during adolescence, the risk of chronification and persistence into adulthood is high. Read More

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http://dx.doi.org/10.1007/s00103-020-03169-wDOI Listing

Short-Term Effects of PENS versus Dry Needling in Subjects with Unilateral Mechanical Neck Pain and Active Myofascial Trigger Points in Levator Scapulae Muscle: A Randomized Controlled Trial.

J Clin Med 2020 Jun 1;9(6). Epub 2020 Jun 1.

Physiotherapy and Pain Group, University of Alcalá, 28871 Madrid, Spain.

Procedures such as dry needling (DN) or percutaneous electrical nerve stimulation (PENS) are commonly proposed for the treatment of myofascial trigger points (MTrP). The aim of the present study is to investigate if PENS is more effective than DN in the short term in subjects with mechanical neck pain. This was an evaluator-blinded randomized controlled trial. Read More

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http://dx.doi.org/10.3390/jcm9061665DOI Listing

Effects of Exercise and an Integrated Neuromuscular Inhibition Technique Program in the Management of Chronic Mechanical Neck Pain: A Randomized Controlled Trial.

J Manipulative Physiol Ther 2020 May 29. Epub 2020 May 29.

Laboratory of Neuromechanics, Department of Physical Education and Sport Science at Serres, Aristotle University of Thessaloníki, Agios Ioannis Serres, Greece.

Objective: The aim of this study was to evaluate the effect of adding the integrated neuromuscular inhibition technique (INIT) to therapeutic exercise (TE) in individuals with chronic mechanical neck pain (CMNP).

Methods: In this 34-week, assessor-blind randomized controlled trial, 40 participants (men and women) with CMNP with active or latent myofascial trigger points on the neck muscles were divided into 2 groups. The participants followed 4 treatments per week for 10 weeks. Read More

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http://dx.doi.org/10.1016/j.jmpt.2019.03.011DOI Listing

Dry needling for spine related disorders: a scoping review.

Chiropr Man Therap 2020 May 11;28(1):23. Epub 2020 May 11.

University of Bridgeport College of Health Sciences, School of Chiropractic, 126 Park Avenue, Bridgeport, CT, 06604, USA.

Introduction/background: The depth and breadth of research on dry needling (DN) has not been evaluated specifically for symptomatic spine related disorders (SRD) from myofascial trigger points (TrP), disc, nerve and articular structures not due to serious pathologies. Current literature appears to support DN for treatment of TrP. Goals of this review include identifying research published on DN treatment for SRD, sites of treatment and outcomes studied. Read More

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http://dx.doi.org/10.1186/s12998-020-00310-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212610PMC

Effects of pain neuroscience education and dry needling for the management of patients with chronic myofascial neck pain: a randomized clinical trial.

Acupunct Med 2020 May 5:964528420920300. Epub 2020 May 5.

Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Spain.

Objectives: The aim of this study was to observe the medium-term effects on pain, disability, and psychological factors of a combination of myofascial trigger point (MTrP) dry needling (DN) with pain neuroscience education (PNE) versus DN alone versus control care as usual (CUC) in patients with chronic neck pain.

Methods: A total of 60 patients were randomly selected in a Spanish National Health Service Public Hospital and divided into three groups: 6 sessions of DN with 3 sessions of PNE (TrPDN + PNE group, n = 21), 6 sessions of DN alone (TrPDN group, n = 20), or 10 sessions of usual care (CUC group, n = 19). The primary outcome was neck pain intensity, while neck disability, medication intake, and psychological factors were secondary outcomes. Read More

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http://dx.doi.org/10.1177/0964528420920300DOI Listing

Instrument-assisted soft tissue mobilisation versus stripping massage for upper trapezius myofascial trigger points.

J Taibah Univ Med Sci 2020 Apr 6;15(2):87-93. Epub 2020 Mar 6.

Basic Science Department, Faculty of physical therapy, Cairo University, Egypt.

Objective: This study investigated the effects of instrument-assisted soft tissue mobilisation (IASTM) versus stripping massage (SM) on myofascial trigger points in the right upper trapezius.

Method: Forty patients (34 women and 6 men), aged 18-23 years, with active trigger points in the right upper trapezius were divided into two equal groups (A and B). Group A (n = 20) received IASTM using an M2T blade twice a week for four weeks in addition to stretching exercise. Read More

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http://dx.doi.org/10.1016/j.jtumed.2020.01.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184218PMC

Effects on migraine, neck pain, and head and neck posture, of temporomandibular disorder treatment: Study of a retrospective cohort.

Authors:
Jeong-Hyun Kang

Arch Oral Biol 2020 Jun 18;114:104718. Epub 2020 Apr 18.

Clinic of Oral Medicine and Orofacial Pain, Institute of Oral Health Science, Ajou University School of Medicine, 164, Worldcup-ro, Yeongtong-gu, Suwon, Gyeonggi-do, 16499, Republic of Korea. Electronic address:

Objectives: The present study purposed to observe the response of comorbidities of temporomandibular disorders (TMD) including migraine and cervical dysfunction after painful TMD treatment.

Design: A total of 187 patients were included: 45 had no symptoms related to the painful TMD and migraine (Control), 52 had the painful TMD only (pTMD), 47 had the painful TMD that occurred earlier than the migraine (TMD1ST), and 43 had the migraine that occurred earlier than the painful TMD (MIG1ST). All patients were diagnosed based on the Research Diagnostic Criteria for Temporomandibular Disorders and International Classification of Headache Disorders, 3rd edition. Read More

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http://dx.doi.org/10.1016/j.archoralbio.2020.104718DOI Listing

Treatment of Neck Pain With Myofascial Therapies: A Single Blind Randomized Controlled Trial.

J Manipulative Physiol Ther 2020 Apr 18. Epub 2020 Apr 18.

Department of Health Sciences, University of Jaén, Jaén, Andalusia, Spain.

Objective: This study aimed to investigate the effects of myofascial release therapy vs a standard physical therapy program in patients with neck pain (NP).

Methods: This was a randomized controlled trial in which 54 participants with mechanical NP were randomly assigned into an experimental group (EG) or a comparison group (CG). The EG group (n = 27) received 5 therapy sessions of myofascial release therapy while the CG group (n = 27) received 10 sessions of massage, ultrasound therapy, and transcutaneous electric nerve stimulation over a 2-week period. Read More

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http://dx.doi.org/10.1016/j.jmpt.2019.12.001DOI Listing

Efficacy of Combination Therapies on Neck Pain and Muscle Tenderness in Male Patients with Upper Trapezius Active Myofascial Trigger Points.

Biomed Res Int 2020 10;2020:9361405. Epub 2020 Mar 10.

Department of Rehabilitation Sciences, College of Applied Medical Sciences, Najran University, Najran, Saudi Arabia.

Myofascial pain syndrome, thought to be the main cause of neck pain and shoulder muscle tenderness in the working population, is characterized by myofascial trigger points (MTrPs). This study aimed to examine the immediate and short-term effect of the combination of two therapeutic techniques for improving neck pain and muscle tenderness in male patients with upper trapezius active MTrPs. This study was a pretest-posttest single-blinded randomized controlled trial. Read More

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http://dx.doi.org/10.1155/2020/9361405DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085833PMC

Efficacy of Extracorporeal Shockwave Therapy on Pain and Function in Myofascial Pain Syndrome of the Trapezius: A Systematic Review and Meta-Analysis.

Arch Phys Med Rehabil 2020 Mar 28. Epub 2020 Mar 28.

Department of Rehabilitation Medicine Center, West China Hospital, Sichuan University, Chengdu, Sichuan, PR China; Key Laboratory of Rehabilitation Medicine in Sichuan Province, Chengdu, Sichuan, PR China. Electronic address:

Objective: To evaluate the effect of extracorporeal shockwave therapy (ESWT) on pain and function in myofascial pain syndrome (MPS) of the trapezius.

Data Sources: PubMed, EMBASE, Web of Science, Physiotherapy Evidence Database, and The Cochrane Central Register of Controlled Trials were systematically searched from the time of their inception to September 2019.

Study Selection: Randomized controlled trials comparing the effects of ESWT on MPS of the trapezius were included in this review. Read More

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http://dx.doi.org/10.1016/j.apmr.2020.02.013DOI Listing

Neurogenic Thoracic Outlet Syndrome and other Forms of Cervical Brachial Syndrome Treated with Plasma Concentrate Enriched for Alpha 2 Macroglobulin.

Pain Physician 2020 03;23(2):229-233

Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA.

Background: Existing therapies for myofascial and neuralgic forms of cervicobrachial pain may have unsatisfactory outcomes. Alternative therapies may be considered, particularly for individuals who have failed to respond. Contemporary conceptualizations of chronic pain mechanisms include the contribution of inflammatory factors; therefore, locally targeted antiinflammatory administrations may play a role in treatment of cervicobrachial pain. Read More

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Efficacy of dry needling as an adjunct to manual therapy for patients with chronic mechanical neck pain: a randomised clinical trial.

Acupunct Med 2020 Mar 23:acupmed2018011682. Epub 2020 Mar 23.

Simplifying Research Institute, Toledo, Spain.

Objective: Chronic mechanical neck pain is associated with musculoskeletal tissue alterations. Active trigger points in the trapezius and levator scapulae muscles are common in patients with chronic mechanical neck pain. In this study, we compared the effect of dry needling (DN) combined with manual therapy (MT) to sham dry needling (SDN) combined with MT on pain, pain pressure threshold, cervical range of motion and neck disability in patients with chronic mechanical neck pain. Read More

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http://dx.doi.org/10.1136/acupmed-2018-011682DOI Listing

Female Office Workers with Moderate Neck Pain Have Increased Anterior Positioning of the Cervical Spine and Stiffness of Upper Trapezius Myofascial Tissue in Sitting Posture: Response to Letter to Editor.

PM R 2020 Mar 9. Epub 2020 Mar 9.

Department of Musculoskeletal Rehabilitation, Poznań University of Physical Education, Poznań, Poland.

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http://dx.doi.org/10.1002/pmrj.12358DOI Listing

Regarding "Female Office Workers with Moderate Neck Pain Have Increased Anterior Positioning of the Cervical Spine and Stiffness of the Upper Trapezius Myofascial Tissues in Sitting Position".

Authors:
Myron LaBan

PM R 2020 Mar 9. Epub 2020 Mar 9.

Physical Medicine and Rehabilitation, William Beaumont Hospital, Royal Oak, MI, USA.

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http://dx.doi.org/10.1002/pmrj.12359DOI Listing

The effectiveness of acupuncture in the management of persistent regional myofascial head and neck pain: A systematic review and meta-analysis.

Complement Ther Med 2020 Mar 1;49:102297. Epub 2020 Feb 1.

Craniofacial Pain Center, Department of Diagnostic Sciences, Tufts University, School of Dental Medicine, Boston, MA, United States.

Persistent head and neck myofascial pain is among the most frequently reported pain complaints featuring major variability in treatment approaches and perception of improvement. Acupuncture is one of the least invasive complimentary modalities that can optimize conventional treatment. The aim of this review was to determine the evidence for the effectiveness of acupuncture in the management of localized persistent myofascial head and neck pain. Read More

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http://dx.doi.org/10.1016/j.ctim.2019.102297DOI Listing

Remedial Massage Therapy Interventions Including and Excluding Sternocleidomastoid, Scalene, Temporalis, and Masseter Muscles for Chronic Tension Type Headaches: a Case Series.

Int J Ther Massage Bodywork 2020 Mar 26;13(1):22-31. Epub 2020 Feb 26.

Massage Therapy Department, Southern Institute of Technology, Invercargill, New Zealand.

Background: Tension-type headache (TTH) is the most prevalent primary headache type world-wide. Chronic TTH (CTTH) of >15 headache-affected days per month for > 3 months can cause considerable pain and disability.

Purpose: This case series aimed to investigate whether massage therapy interventions were more effective when muscles of the anterior neck, jaw, and cranium were included. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7043717PMC

The Effectiveness of the Polarized Low-Level Laser in the Treatment of Patients With Myofascial Trigger Points in the Trapezius Muscles.

J Lasers Med Sci 2020 18;11(1):14-19. Epub 2020 Jan 18.

Department of Radiology, School of Allied Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

This study assessed the effect of polarized low-level laser therapy (PLLLT) on the treatment of myofascial trigger points (MTrPs) in the trapezius muscles. Its effectiveness in pain reduction was compared to low-level laser therapy (LLLT). Sixty-four patients with MTrPs were randomly divided into 2 groups, namely PLLLT and LLLT. Read More

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http://dx.doi.org/10.15171/jlms.2020.04DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008735PMC
January 2020

The effect of focused extracorporeal shock wave therapy on myofascial pain syndrome of trapezius: A systematic review and meta-analysis.

Medicine (Baltimore) 2020 Feb;99(7):e19085

Department of Rehabilitation Medicine, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, Korea.

Background: Myofascial pain syndrome (MPS) is commonly seen in clinical settings and negatively influences a patient's daily life. Recently, the application of extracorporeal shock wave therapy (ESWT) has been utilized as one of the treatment methods for MPS. The aim of this systematic review and meta-analysis was to summarize the current evidence for the short-term effect of ESWT on MPS of trapezius. Read More

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http://dx.doi.org/10.1097/MD.0000000000019085DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7035035PMC
February 2020

Acupuncture for whiplash-associated disorder following road traffic collision: a physiotherapy service evaluation.

Acupunct Med 2020 Feb 6:964528419899660. Epub 2020 Feb 6.

Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle upon Tyne, UK.

Background: Whiplash-associated disorder (WAD) is a common musculoskeletal condition that frequently occurs following a road traffic collision. Physiotherapy is often prescribed to help with the symptoms and injuries. Research evidence has demonstrated that acupuncture may be beneficial, but no studies have examined the routine clinical use of acupuncture by physiotherapists for treatment of WAD. Read More

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http://dx.doi.org/10.1177/0964528419899660DOI Listing
February 2020

Relative Effectiveness of Electroacupuncture and Biofeedback in the Treatment of Neck and Upper Back Myofascial Pain: A Randomized Clinical Trial.

Arch Phys Med Rehabil 2020 05 16;101(5):770-780. Epub 2020 Jan 16.

Physical Medicine and Rehabilitation Department, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

Objective: To determine the differences between clinical effects of electroacupuncture and biofeedback therapy in addition to conventional treatment in patients with cervical myofascial pain syndrome (MPS).

Design: Randomized clinical trial.

Setting: Physical medicine and rehabilitation clinic of a university hospital. Read More

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http://dx.doi.org/10.1016/j.apmr.2019.12.009DOI Listing

Tissue Stiffness is Not Related to Pain Experience: An Individually Controlled Study in Patients with Chronic Neck and Back Pain.

Evid Based Complement Alternat Med 2019 21;2019:1907168. Epub 2019 Dec 21.

University Medical Center of Freiburg, Institute for Infection Prevention and Hospital Epidemiology, Center for Complementary Medicine, Freiburg, Germany.

Background: Massage therapies such as cupping are often applied in patients with chronic neck and back pain with the assumption that they can reduce increased tissue stiffness and, therefore, improve pain. The aim of this study was to clarify whether tissue stiffness is related to pain experience in patients with chronic (>3 months) back and neck pain and whether it can be altered by a cupping massage.

Methods: The tissue stiffness of the point of subjectively felt maximum pain intensity of 40 patients with neck ( = 20) or lower back pain ( = 20) was measured by a myometer. Read More

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http://dx.doi.org/10.1155/2019/1907168DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942862PMC
December 2019

Myofascial pain, widespread pressure hypersensitivity, and hyperalgesia in the face, neck, and shoulder regions, in survivors of head and neck cancer.

Support Care Cancer 2020 Jun 21;28(6):2891-2898. Epub 2019 Nov 21.

Department of Physical Therapy, Instituto Biosanitario Granada (IBS.Granada), University of Granada, Granada, Spain.

Purpose: Medical treatment for head and neck cancer may induce the presence of inflammation, pain, and dysfunction. The purpose of the current study was to assess the presence of myofascial trigger points (TrPs) and their relationship with widespread pressure hypersensitivity and hyperalgesia in survivors of head and neck cancer (sHNC).

Methods: TrPs and pressure-pain thresholds (PPTs) were quantified in different muscles/joints in the head and neck of 30 sHNC (59. Read More

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http://dx.doi.org/10.1007/s00520-019-05173-6DOI Listing
June 2020
4 Reads

The prevalence of primary dysmenorrhea among students and its association with musculoskeletal and myofascial pain.

J Bodyw Mov Ther 2019 Oct 14;23(4):785-791. Epub 2019 May 14.

Department of Physical Therapy, Faculty of Health Studies, Ben Gurion University of the Negev, Beer Sheva, Israel. Electronic address:

Objectives: To examine the association between dysmenorrhea and musculoskeletal pain amongst university students aged 20-35 and the association between dysmenorrhea and the occurrence of MTrPs.

Methods: The study comprised two stages: a cross-sectional study evaluated the association between dysmenorrhea and musculoskeletal pain and a case-control study evaluated the association between dysmenorrhea and the occurrence of MTrPs in the abdominal and pelvic area. Initially, questionnaires such as demographics, menstruation characteristics, Numeric Pain Rating Scale (NPRS), measuring the average pain during menstruation and Nordic, were distributed to female students. Read More

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http://dx.doi.org/10.1016/j.jbmt.2019.05.006DOI Listing
October 2019
3 Reads

Lingual frenuloplasty with myofunctional therapy: Exploring safety and efficacy in 348 cases.

Laryngoscope Investig Otolaryngol 2019 Oct 26;4(5):489-496. Epub 2019 Aug 26.

Division of Sleep Surgery, Department of Otolaryngology-Head & Neck Surgery Stanford University School of Medicine Stanford California U.S.A.

Background: Ankyloglossia is a condition of altered tongue mobility due to the presence of restrictive tissue between the undersurface of the tongue and the floor of mouth. Potential implications of restricted tongue mobility (such as mouth breathing, snoring, dental clenching, and myofascial tension) remain underappreciated due to limited peer-reviewed evidence. Here, we explore the safety and efficacy of lingual frenuloplasty and myofunctional therapy for the treatment of these conditions in a large and diverse cohort of patients with restricted tongue mobility. Read More

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http://dx.doi.org/10.1002/lio2.297DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6793603PMC
October 2019
22 Reads

Feasibility of Ultrasound-Guided Trigger Point Injection in Patients with Myofascial Pain Syndrome.

Healthcare (Basel) 2019 Oct 15;7(4). Epub 2019 Oct 15.

Department of Rehabilitation Medicine, Konkuk University Chungju Hospital, Konkuk University School of Medicine, Chungju 27376, Korea.

We compared the feasibility of ultrasound (US)-guided myofascial trigger point (MTrP) injection with that of a blind injection technique following the use of shear wave elastography (SWE) for the measurement of stiffness at the MTrPs in patients with trapezius myofascial pain syndrome (MPS). A total of 41 patients ( = 41) were randomized to either the trial group ( = 21, SWE combined with US-guided injection) or the control group ( = 20, SWE combined with blind injection). At baseline and four weeks, they were evaluated for the manual muscle test (MMT), the range of motion (ROM), pain visual analogue scale (VAS) scores, Shoulder Pain and Disability Index (SPADI) scores and Neck Disability Index (NDI) scores during the abduction, adduction, flexion, extension, external rotation and internal rotation of the shoulder joint. Read More

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http://dx.doi.org/10.3390/healthcare7040118DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6956081PMC
October 2019
1 Read

Short-Term Effects of Kinesio Taping in the Treatment of Latent and Active Upper Trapezius Trigger Points: two Prospective, Randomized, Sham-Controlled Trials.

Sci Rep 2019 10 9;9(1):14478. Epub 2019 Oct 9.

Department of Medicine, Faculty of Health Sciences, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain.

The presence of myofascial trigger points (MTrPs) is one of the most common causes of musculoskeletal problems and may lead to limited professional activity. Among the various treatment methods proposed for MTrPs, Kinesio Taping (KT) is a non-invasive, painless, and less time-consuming method with fewer side effects that has become widely used as a therapeutic tool in a variety of prevention and rehabilitation protocols. The aim of the study was to evaluate the immediate and short-term efficacy of the space correction KT technique in patients with latent or active MTrPs in the upper trapezius muscle. Read More

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http://dx.doi.org/10.1038/s41598-019-51146-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6785555PMC
October 2019
3 Reads

Ultrasound-Guided Intermediate Cervical Plexus Block With Depot Steroids in the Management of Refractory Neck Pain Secondary to Cervicothoracic Myofascial Pain Syndrome: A Case Series.

A A Pract 2019 Dec;13(12):446-449

Clinical Research Unit of Pain Medicine, University Hospitals of Leicester NHS Trust, United Kingdom.

Persistent cervicothoracic myofascial pain is a common condition that causes loss of function and can result in significant health care costs. The underlying cause is tender trigger points that result in impaired muscle function. Standard treatment includes physiotherapy, medications, acupuncture, and trigger point injections. Read More

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http://dx.doi.org/10.1213/XAA.0000000000001102DOI Listing
December 2019
1 Read

Dry Cupping, Ischemic Compression, or Their Combination for the Treatment of Trigger Points: A Pilot Randomized Trial.

J Altern Complement Med 2020 Jan 3;26(1):44-50. Epub 2019 Oct 3.

Department of Rehabilitation Medicine, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, P.R. China.

Chronic neck pain (NP) attributed to myofascial pain syndrome is one of the particularly common skeletal muscle disorder associated with the hyperirritable zone in the taut band of muscle. Trigger points (TPs) are the physical interpretation of the myofascial pain syndrome. In the United States, 30%-85% of pain patients have been affected by myofascial TPs. Read More

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http://dx.doi.org/10.1089/acm.2019.0231DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6983744PMC
January 2020
6 Reads

Expansion of 1 mL of Solution by Ultrasound-Guided Injection Between the Trapezius and Rhomboid Muscles: A Cadaver Study.

Pain Med 2020 05;21(5):1018-1024

Division of Anatomical Science, Department of Functional Morphology, Nihon University School of Medicine, Tokyo, Japan.

Objective: An ultrasound-guided interfascial injection, which targets the space between the epimysia, is often performed for myofascial neck and shoulder pain. However, the relationship between the injection volume and clinical effectiveness has been controversial. We conducted an anatomical study with cadavers to measure the distribution of a small amount of pigment solution injected into the interfascial space. Read More

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https://academic.oup.com/painmedicine/advance-article/doi/10
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http://dx.doi.org/10.1093/pm/pnz170DOI Listing
May 2020
2 Reads

The Greater Occipital Nerve and Obliquus Capitis Inferior Muscle: Anatomical Interactions and Implications for Occipital Pain Syndromes.

Plast Reconstr Surg 2019 09;144(3):730-736

Lausanne, Switzerland; Graz, Austria; Milan, Italy; San Francisco, Calif.; and St. Louis, Mo. From the Swiss Nerve Institute; the Department of Plastic, Reconstructive and Hand Surgery, Centre Hospitalier Universitaire Vaudois; the Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz; the Dental School, Vita-Salute San Raffaele University; the Surgical Medical Group; Peled Plastic Surgery; and Neuropax Clinic.

Background: The compression/injury of the greater occipital nerve has been identified as a trigger of occipital headaches. Several compression points have been described, but the morphology of the myofascial unit between the greater occipital nerve and the obliquus capitis inferior muscle has not been studied yet.

Methods: Twenty fresh cadaveric heads were dissected, and the greater occipital nerve was tracked from its emergence to its passage around the obliquus capitis inferior. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005945DOI Listing
September 2019
4 Reads

Pressure pain hypersensitivity and referred pain from muscle trigger points in elite male wheelchair basketball players.

Braz J Phys Ther 2019 Jul 30. Epub 2019 Jul 30.

Department of Radiology, Rehabilitation and Physiotherapy, Universidad Complutense de Madrid, Madrid, Spain; Instituto de Investigación Sanitaria del Hospital Clínico San Carlos, Madrid, Spain.

Background: Shoulder injuries are common in people individuals who use wheelchairs.

Objectives: This study investigated the presence of mechanical pain hypersensitivity and trigger points in the neck-shoulder muscles in elite wheelchair basketball players with/without shoulder pain and asymptomatic able-bodied elite basketball players.

Methods: Eighteen male wheelchair basketball players with shoulder pain, 22 players without shoulder pain, and 20 able-bodied elite male basketball players were recruited. Read More

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http://dx.doi.org/10.1016/j.bjpt.2019.05.008DOI Listing
July 2019
5 Reads

Repetitive Peripheral Magnetic Stimulation (rPMS) in Subjects With Migraine-Setup Presentation and Effects on Skeletal Musculature.

Front Neurol 2019 16;10:738. Epub 2019 Jul 16.

Department of Pediatric Neurology and Developmental Medicine, LMU Center for Children With Medical Complexity, Dr. von Hauner Children's Hospital, LMU-University Hospital, Ludwig-Maximilians-Universität, Munich, Germany.

Repetitive peripheral magnetic stimulation (rPMS) has been successfully applied recently in migraineurs to alleviate migraine symptoms. Symptom relief has been achieved by stimulating myofascial trigger points (mTrPs) of the trapezius muscles, which are considered part of the trigemino-cervical complex (TCC). However, effects on musculature have not been assessed in detail, and the specificity of effects to muscles considered part of the TCC yet has to be elucidated. Read More

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http://dx.doi.org/10.3389/fneur.2019.00738DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6646581PMC
July 2019
3 Reads

[Efficacy of dry needling in neck pain compared with other physiotherapy techniques: A systematic review].

Rehabilitacion (Madr) 2019 Jul - Sep;53(3):189-197. Epub 2019 Jul 9.

Departamento de Fisioterapia, Centro de Ciencias de la Salud San Rafael, Universidad Antonio de Nebrija, Madrid, España.

Objective: To determine the efficacy of dry needling (DN) in the treatment of myofascial trigger points (MTrP) compared to other methods of physical therapy in the treatment of neck pain.

Method: A systematic search was carried out in the MEDLINE Complete (EBSCO), Pubmed, PEDro and Scopus databases. The quality of the studies was assessed using the standard of biases of the Cochrane Collaboration. Read More

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http://dx.doi.org/10.1016/j.rh.2018.11.004DOI Listing
April 2020
3 Reads

Cervical Trigger Point Acupuncture for Treatment of Somatic Tinnitus.

J Acupunct Meridian Stud 2019 Dec 29;12(6):197-200. Epub 2019 Jul 29.

Neuromusculoskeletal Research Centre, Iran University of Medical Sciences, Tehran, Iran. Electronic address:

Cervicogenic somatic tinnitus is a subtype of subjective tinnitus and is defined as tinnitus in which forceful contractions of jaw and neck muscles modulate its psychoacoustic attributes. Various physical therapies have been proposed for the treatment of somatosensory tinnitus although there is no definitive cure for it. This report describes the use of acupuncture in the treatment of a 71-year-old woman with chronic neck pain who suffered from a left-sided tinnitus for 2 years as well. Read More

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http://dx.doi.org/10.1016/j.jams.2019.07.004DOI Listing
December 2019
2 Reads

Interventions for myofascial pain syndrome in cancer pain: recent advances: why, when, where and how.

Curr Opin Support Palliat Care 2019 09;13(3):262-269

Department of Anesthesia and Pain Management, Charing Cross University Hospital, London, United Kingdom.

Purpose Of Review: Pain is one of the most feared and most common symptoms of cancer, experienced by 38-85% of patients. Pain in terminally ill cancer patients is a multidimensional experience caused by a diverse array of factors - cancer itself, its treatment or other causes. Studies have shown a high incidence of myofascial pain syndrome (MPS) in patients with cancer and the knowledge of myofascial trigger points (MTrPs) is important to address and manage existing pain, and to prevent the recurrence of pain. Read More

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http://dx.doi.org/10.1097/SPC.0000000000000446DOI Listing
September 2019
2 Reads