949 results match your criteria Cervical Myofascial Pain

Pharmacotherapy for Spine-Related Pain in Older Adults.

Drugs Aging 2022 Jun 27. Epub 2022 Jun 27.

Department of Neurology, Boston University School of Medicine, Boston Medical Center, 85 E. Concord St, 1122, Boston, MA, 02118, USA.

As the population ages, spine-related pain is increasingly common in older adults. While medications play an important role in pain management, their use has limitations in geriatric patients due to reduced liver and renal function, comorbid medical problems, and polypharmacy. This review will assess the evidence basis for medications used for spine-related pain in older adults, with a focus on drug metabolism and adverse drug reactions. Read More

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[Shock wave therapy in oncology: in vitro, in vivo, rehabilitation].

Vopr Kurortol Fizioter Lech Fiz Kult 2022 ;99(3):58-65

Moscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of the Department of Health of the City of Moscow, Moscow, Russia.

Extracorporeal shock wave therapy (ESWT) is a relatively new branch of physiotherapy.

Purpose Of The Study: Conduct an analytical review of the available literature data on the use of ESWT in oncology.

Material And Methods: A review was conducted, including data from electronic databases: Scopus, Web of Science, MedLine, World Health Organization, The Cochrane Central Register of Controlled Trials, ScienceDirect, US National Library of Medicine National Institutes of Health, PubMed, Google Scholar, elibrary, CyberLeninka, disserCat. Read More

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Effect of post-isometric relaxation versus myofascial release therapy on pain, functional disability, rom and qol in the management of non-specific neck pain: a randomized controlled trial.

BMC Musculoskelet Disord 2022 Jun 13;23(1):567. Epub 2022 Jun 13.

School of Public Health, Dow University of Health Sciences, Karachi, Pakistan.

Background: Non-specific neck pain is the most prevailing musculoskeletal disorder which has a large socioeconomic burden worldwide. It is associated with poor posture and neck strain which may lead to pain and restricted mobility. Physical therapists treat such patients through several means. Read More

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Neuralgia and Atypical Facial, Ear, and Head Pain.

Otolaryngol Clin North Am 2022 Jun;55(3):595-606

Caruso Department of Otolaryngology Head & Neck Surgery, University of Southern California, 1537 Norfolk Street, Suite 5800, Los Angeles, CA 90033, USA. Electronic address:

Though there have been considerable strides in the diagnosis and care of orofacial pain disorders, facial neuralgias, and myofascial pain dysfunction syndrome remain incredibly cumbersome for patients and difficult to manage for providers. Cranial neuralgias, myofascial pain syndromes, temporomandibular dysfunction (TMD), dental pain, tumors, neurovascular pain, and psychiatric diseases can all present with similar symptoms. As a result, a patient's quest for the treatment of their orofacial pain often begins on the wrong foot, with a misdiagnosis or unnecessary procedure, which makes it all the more frustrating for them. Read More

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Short-term effects of instrument-assisted soft tissue mobilization compared to algometry pressure release in tension-type headache: a randomized placebo-controlled trial.

J Man Manip Ther 2022 Jun 8:1-10. Epub 2022 Jun 8.

Faculty of Physical Therapy, Cairo University, Giza, Egypt.

Purposes: To compare the effectiveness of instrument-assisted soft tissue mobilization (IASTM) and pressure algometry with sham ultrasound (control group) on the clinical measures of headache, pressure pain threshold (PPT) of upper trapezius and suboccipital muscles and cervical alignment in patients with tension type headache (TTH).

Methods: Seventy-two patients with TTH of both genders were randomly allocated to 3 experimental groups: a) the IASTM group (n=24), b) pressure algometry group (n=24), and c) sham ultrasound control group (n=24). Headache frequency and disability, pressure pain threshold of upper trapezius and suboccipital muscles, cervical lordosis angle (CA) and anterior head translation (AHT) were measured four weeks before and after intervention. Read More

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Role of Manual Therapy for Neck Pain and Quality of Life in Head and Neck Cancer Survivors: A Systematic Review.

Indian J Palliat Care 2022 Jan-Mar;28(1):99-112. Epub 2021 Dec 18.

Department of Oncology Physiotherapy, KAHER Institute of Physiotherapy, Belgaum, Karnataka, India.

Background: Pain is the one the most dreadful side effects of head and neck cancers and cancer related treatments affecting patients during and after the treatment adding to the problems affecting their ability to speak, swallow, breath and feeding. Manual therapy is standard set of physiotherapy treatments used for alleviating neck pain. It has found to be effective in small subset of cancer patients for relieving pain. Read More

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December 2021

Musculoskeletal mimics of cervical radiculopathy.

Faye Y Chiou-Tan

Muscle Nerve 2022 Jul 24;66(1):6-14. Epub 2022 Apr 24.

H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas, USA.

Musculoskeletal mimics of cervical radiculopathy will be explored in this AANEM monograph. A review of the literature and textbooks was conducted. Musculoskeletal cervical radiculopathy mimics include: (1) head/neck pain, such as neck tension, cervicogenic headache, and temporomandibular disorder; (2) referred pain from shoulder pathology, such as rotator cuff tears/impingement; (3) elbow region abnormalities, including medial/lateral epicondylitis; (4) wrist/hand conditions, such as DeQuervain's tenosynovitis and intersection syndrome; (5) muscle connective tissue disorders, including myofascial trigger points; (6) conditions that have decreased range of motion, including frozen shoulder and rounded shoulders with tight pectoral/scalene muscles; (7) conditions with joint hyperlaxity and instability, as seen in post-stroke shoulder subluxation; (8) vascular conditions, such as thoracic outlet syndrome; and (9) autonomic controlled soft tissue changes associated with complex regional pain syndrome. Read More

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Effects of Repeated Injection of 1% Lidocaine vs. Radial Extracorporeal Shock Wave Therapy for Treating Myofascial Trigger Points: A Randomized Controlled Trial.

Medicina (Kaunas) 2022 Mar 26;58(4). Epub 2022 Mar 26.

Chair of Anatomy II, Institute of Anatomy, Faculty of Medicine, LMU Munich, 80336 Munich, Germany.

: This study tested the hypothesis that treatment of myofascial trigger points (MTrPs) in the upper trapezius muscle (UTM) with repeated injection of 1% lidocaine results in better alleviation of muscular stiffness and soreness as well as improved metabolism in the hypercontracted MTrP area than treatment with radial extracorporeal shock wave therapy (rESWT). : A single-blinded, prospective, randomized controlled trial was conducted on patients suffering from MTrPs in the UTM. Thirty patients were treated with repeated injection of 2 mL of 1% lidocaine (three injections; one injection per week). Read More

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Unusual Presentation of Clear Cell Odontogenic Carcinoma: Case Report and Literature Review.

Diagnostics (Basel) 2022 Apr 18;12(4). Epub 2022 Apr 18.

Unit Oral Medicine and Maxillo-Facial Pathology, Department of Surgery, Service of Maxillofacial and Oral Surgery, University Hospital and Faculty of Medicine, 1205 Geneva, Switzerland.

Clear cell odontogenic carcinoma (CCOC) is a rare, aggressive epithelial neoplasm of the jaw first described in 1985 by Hansen and classified as an odontogenic malignant tumor in the 2005 WHO classification. To date, only 117 cases have been reported in the literature written in English. In this paper, we report the atypical presentation of a pericoronal localized tumor in the right mandibular wisdom tooth discovered during a routine radiologic examination. Read More

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Therapeutic Yoga for the Management of Chronic Nonspecific Neck Pain: Current Evidence and Mechanisms.

Int J Yoga Therap 2022 Jan;32(2022)

Department of Physical Medicine and Rehabilitation, Memorial Healthcare System, Hollywood, Fla.

Chronic nonspecific neck pain (CNNP), which is neck pain in the absence of attributable structural and neurological findings, is often challenging for medical and rehabilitation professionals to treat. Conventional treatments such as medications and physical therapy often fail to provide lasting relief, which leads patients to pursue complementary therapies such as yoga. This review discusses the evidence from nine studies, including four randomized controlled trials, which suggests that a supervised yoga program may decrease pain intensity, disability, and mood symptoms in adults with CNNP. Read More

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January 2022

Levator scapulae and rhomboid minor are united.

Ann Anat 2022 Aug 31;243:151938. Epub 2022 Mar 31.

Institut für Anatomie, Universität Leipzig, Liebigstr 13, 04103 Leipzig, Germany.

Pain over the superior angle of the scapula is a common musculoskeletal symptom. It is often accompanied by radiating pain to the neck, head, and shoulder. The aetiologies can be varied but may also be idiopathic in nature. Read More

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Cervical musculoskeletal impairments in the 4 phases of the migraine cycle in episodic migraine patients.

Cephalalgia 2022 Mar 25:3331024221082506. Epub 2022 Mar 25.

Department of Health Science and Technology, Center for Pain and Neuroplasticity (CNAP), School of Medicine, Aalborg University, Denmark.

Objective: To assess cervical musculoskeletal impairments during the 4 phases of a migraine cycle in episodic migraine patients, controlling for the presence of concomitant neck pain.

Methods: Differences in cervical musculoskeletal impairments were assessed during the 4 migraine phases in episodic migraine patients and compared with healthy controls controlling for concomitant neck pain. Cervical musculoskeletal impairments were assessed as follow: cervical active range of motion; flexion rotation test; craniocervical flexion test and calculation of activation pressure score; the total number of myofascial trigger points in head/neck muscles; the number of positivevertebral segments (headache's reproduction) during passive accessory intervertebral movement; pressure pain thresholds over C1, C2, C4, C6 vertebral segments bilaterally, trigeminal area, hand, and leg. Read More

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Wiad Lek 2022 ;75(2):433-437


Objective: The aim: To determine the influence of co-occurring neck pain with cervical myofascial dysfunction on the development of psychoemotional disorders and the number of analgesics taken in patients with episodic migraine.

Patients And Methods: Materials and methods: The study included 92 patients, 24 male and 68 female, mean age 42.5±15. Read More

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Ultrasound-guided 3-in-1 trigger point injection for treating myofascial pain syndrome in muscles of the lateral scapular area: a case report.

Ann Palliat Med 2022 Mar 14. Epub 2022 Mar 14.

Department of Physical medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu, Republic of Korea.

Background: Myofascial pain syndrome (MPS) is a common cause of musculoskeletal pain. MPS in the muscles of the lateral scapula frequently develops due to poor sitting posture (rounded shoulders and cervical kyphosis) in the office as well as long working hours. Herein, we introduce the use of the trigger point injection (TPI) technique in three muscles (i. Read More

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Comparison of factors affecting patients with a myofascial temporomandibular disorder with and without sleep bruxism.

Niger J Clin Pract 2022 Mar;25(3):273-280

Department of Pediatric Dentistry, Henry M. Goldman School of Dental Medicine, Boston University, Boston, USA.

Aims And Background: The aim of the present study was to evaluate the relationship between jaw function, neck disability, sleep quality, fatigue, and headache in patients with myofascial temporomandibular disorder (TMD) with sleep Bruxism (SB) and without it (non-SB).

Subjects And Methods: This case-control study was conducted with a total of 200 myofascial TMD patients, comprising 91 identified as SB and 109 as non-SB. The Jaw Function Limitations Scale (JFLS), Neck Disability Index (NDI), Pittsburgh Sleep Quality Index (PSQI), Fatigue Severity Scale (FSS), and Headache Impact Test-6 (HIT-6) scales and indexes were used. Read More

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Efficacy of extracorporeal shock waves in the treatment of myofascial pain syndrome: a systematic review and meta-analysis of controlled clinical studies.

Ann Transl Med 2022 Feb;10(4):165

Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, China.

Background: Myofascial pain syndrome (MPS) is recurrent local myofascial pain with various treatment methods. In recent years, extracorporeal shock wave therapy (ESWT) has attracted much attention, but its role still lacks systematic review. We included controlled clinical studies for meta-analysis to systematically evaluate the application effect of ESWT. Read More

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February 2022

Effect of dry-needling and exercise treatment on myofascial trigger point: A single-blind randomized controlled trial.

Complement Ther Clin Pract 2022 May 5;47:101571. Epub 2022 Mar 5.

Department of Physical Medicine and Rehabilitation, Istanbul Physical Medicine and Rehabilitation Training and Research Hospital, Istanbul, Turkey. Electronic address:

Aim: To investigate the effectiveness of dry-needling(DN) together with exercise therapy on pain, ultrasonographic parameters of myofascial trigger points(MTrPs), and upper trapezius(UT) muscles, and neck disability in patients with myofascial pain syndrome.

Material And Methods: This was a single-blind, prospective, randomized, and controlled trial. Participants aged 18-45 years with persistent neck pain for >3 months caused by the active MTrPs in the UT muscles were included. Read More

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Acute effects of myofascial reorganization on trapezius muscle oxygenation in individuals with nonspecific neck pain.

J Bodyw Mov Ther 2022 01 21;29:286-290. Epub 2021 Oct 21.

College of Health Sciences and Sports at Santa Catarina State University (UDESC), Physical Therapy Department, Posture and Balance Laboratory (LAPEQ), Florianópolis, SC, Brazil. Electronic address:

Background And Purpose: Nonspecific neck pain (NNP) is a common idiopathic disorder in the general population that affects the trapezius muscle (TM) and blood supply, thereby compromising the fascial system. Myofascial reorganization (MR) is a physical therapy technique that can influence the dynamics of local fluids reducing excessive muscle tension and capillary constriction, and increasing local blood flow. This study aimed to investigate whether MR improves peripheral muscle oxygenation. Read More

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January 2022

Reliability of quantitative sensory testing on myofascial trigger points in the upper trapezius muscle of individuals with chronic neck pain.

Rev Assoc Med Bras (1992) 2022 Jan;68(1):56-60

Universidade de São Paulo, Ribeirão Preto Medical School, Department of Health Sciences, Postgraduate Program in Rehabilitation and Functional Performance - Ribeirão Preto (SP), Brazil.

Objective: The objective of this study was to measure the intra- and inter-rater reliability of the quantitative sensory testing for measuring the thermal pain threshold on myofascial trigger points in the upper trapezius muscle of individuals with chronic neck pain.

Methods: Thirty female participants were included, aged between 18 and 45 years and with bilateral myofascial trigger points, active and centrally located in the upper trapezius muscle. Two measurements with quantitative sensory testing were performed by each examiner at an interval of 1 week between them. Read More

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January 2022

Botulinum Toxin Can Abolish and/or Quiet Tinnitus Associated with Chronic Migraine: Serendipidous Observations.

Int Tinnitus J 2022 Mar 3;25(2):133-136. Epub 2022 Mar 3.

Department of Otolaryngology,Tel Aviv Medical Center, Israel.

Introduction: It is well established that treatment of head and neck myofascial dysfunction can alleviate both tinnitus and chronic migraine (CM). Onabotulinumtoxin A (OnaA) has become a standard treatment for CM. In a recent systematic study a subject reported tinnitus improvement. Read More

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Understanding the interaction between clinical, emotional and psychophysical outcomes underlying tension-type headache: a network analysis approach.

J Neurol 2022 Mar 1. Epub 2022 Mar 1.

VALTRADOFI Research Group, Department of Physiotherapy, Faculty of Health, Camilo Jose Cela University, Madrid, Spain.

Objective: Evidence supports that tension-type headache (TTH) involves complex underlying mechanisms. The current study aimed to quantify potential multivariate relationships between headache-related, psychophysical, psychological and health-related variables in patients with TTH using network analysis.

Methods: Demographic (age, height, weight), headache-related (intensity, frequency, duration, and headache-related disability), psychological and emotional (Hospital Anxiety and Depression Scale, Pittsburgh Sleep Quality Index), psycho-physical (pressure pain thresholds [PPTs] and myofascial trigger points) and health-related variables (SF-36 questionnaire) were collected in 169 TTH patients. Read More

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The impact of nociplastic pain features on the response to physical therapy in patients with primary myofascial pain.

J Back Musculoskelet Rehabil 2022 Feb 25. Epub 2022 Feb 25.

Chronic Pain and Fatigue Research Center, University of Michigan, Ann Arbor, MI, USA.

Background: Myofascial pain is a common, but poorly understood multifactorial condition.

Objective: This study analyzed how the degree of central sensitization (nociplastic pain) can impact the response to physical therapy for patients with myofascial pain.

Methods: This prospective, observational cohort study compared pain phenotyping and functional measures in 30 participants with non-acute neck/shoulder girdle primary myofascial pain following 3-months of physical therapy. Read More

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February 2022

Dry needling in active or latent trigger point in patients with neck pain: a randomized clinical trial.

Sci Rep 2022 02 24;12(1):3188. Epub 2022 Feb 24.

Universidad Europea de Madrid, Faculty of Sport Sciences, Villaviciosa de Odón, 28670, Madrid, Spain.

The purpose was to determine the efficacy of deep dry needling (DDN) applied on an active myofascial trigger point (MTrP) versus a latent-MTrP versus a non-MTrP location, on pain reduction and cervical disability, in patients with chronic neck pain. A randomized, double-blind clinical trial design was used. A sample of 65 patients was divided into non-MTrP-DDN, active-MTrP-DDN and latent-MTrP-DDN groups. Read More

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February 2022

Combined effectiveness of extracorporeal radial shockwave therapy and ultrasound-guided trigger point injection of lidocaine in upper trapezius myofascial pain syndrome.

Am J Transl Res 2022 15;14(1):182-196. Epub 2022 Jan 15.

Department of Rehabilitation Medicine, The Second Affiliated Hospital of Chongqing Medical University Chongqing 400010, China.

Objective: Myofascial pain syndrome (MPS) is a major musculoskeletal problem and a leading cause of disability worldwide. Extracorporeal shockwave therapy (ESWT) and trigger point injection (TPI) have shown positive results for MPS but no previous study has investigated the combined effects of radial shockwave and trigger point injection of lidocaine for upper trapezius myofascial pain syndrome.

Method: For this purpose, forty-five participants were randomly divided into shockwave (n = 15), shockwave with ultrasound-guided trigger point injection (combined; n = 15), and control (standard care; n = 15) groups. Read More

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January 2022

Comparison of the effects between lasers applied to myofascial trigger points and to classical acupoints for patients with cervical myofascial pain syndrome.

Biomed J 2021 12 13;44(6):739-747. Epub 2020 Jun 13.

Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital at Taoyuan, Taoyuan, Taiwan; Healthy Aging Research Center, Chang Gung University, Taoyuan, Taiwan; Graduate Institute of Rehabilitation Science, Chang Gung University, Taoyuan, Taiwan. Electronic address:

Background: To compare the immediate effectiveness of low-level laser therapy (LLLT) applied to classical acupoints versus trigger points for patients with cervical myofascial pain syndrome (MPS).

Methods: This was a single-blinded, randomized, placebo-controlled trial. This study was performed in a university-affiliated medical center. Read More

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December 2021

Cervical Myofascial Pain Is Associated with an Imbalance of Masticatory Muscle Activity.

Int J Environ Res Public Health 2022 01 29;19(3). Epub 2022 Jan 29.

Department of Rehabilitation and Physiotherapy, Medical University of Lublin, 20-093 Lublin, Poland.

This study aimed to assess the relationship between the occurrence of cervical myofascial pain with active myofascial trigger points (MTrPs) within the upper trapezius muscle and the electromyographic asymmetry index (AsI) of masticatory muscles: temporalis anterior (TA), superficial part of the masseter muscle (MM), and anterior belly of the digastric muscle (DA). The study group comprised 100 subjects (80 women and 20 men) aged 18 to 30 years (mean 23 ± 2.6 years) reporting pain in the neck muscles, diagnosed with myofascial pain with active MTrPs only within the upper trapezius muscle. Read More

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January 2022

Prevalence, etiology, and biopsychosocial risk factors of cervicogenic dizziness in patients with neck pain: A multi-center, cross-sectional study.

Turk J Phys Med Rehabil 2021 Dec 1;67(4):399-408. Epub 2021 Dec 1.

Department of Physical Medicine and Rehabilitation, Romatem Kocaeli Hospital, Kocaeli, Turkey.

Objectives: This study aims to investigate the prevalence, etiology, and risk factors of cervicogenic dizziness in patients with neck pain.

Patients And Methods: Between June 2016 and April 2018, a total of 2,361 patients (526 males, 1,835 females; mean age: 45.0±13. Read More

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December 2021

Effect of a structured stretching exercise program on resolution of myofascial pain and opioid usage in "legacy pain" patients: A retrospective cohort study.

Pain Pract 2022 04 4;22(4):447-452. Epub 2022 Feb 4.

Jacobs School of Medicine and Biomedical Sciences, Family Medicine, University of Buffalo, Buffalo, New York, USA.

Objective: The aim of this study was to determine whether the implementation of a structured exercise stretching routine targeted at resolving myofascial pain is effective in improving outcomes of "legacy pain" patients.

Design: Retrospective cohort study.

Setting: Private community-based interventional pain management practice. Read More

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Evaluation of Shoulder Microcirculation Abnormality Using Laser Doppler Flowmetry.

Diagnostics (Basel) 2022 Jan 7;12(1). Epub 2022 Jan 7.

Safety & Health Section, YC INOX Co., Changhua 524, Taiwan.

Severe neck-shoulder pain induces functional limitations in both life and work. The purpose of this study was to determine the characteristics of shoulder microcirculation abnormality in workers. This study recruited 32 workers and patients, both = 16. Read More

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January 2022

Effect of myofascial release, stretching, and strengthening on upper torso posture, spinal curvatures, range of motion, strength, shoulder pain and disability, and quality of life in breast cancer survivors.

Physiother Res Int 2022 Apr 19;27(2):e1939. Epub 2022 Jan 19.

Department of Oncology Physiotherapy, KAHER Institute of Physiotherapy, Belagavi, India.

Background And Purpose: Breast cancer survivors are known to develop upper torso pain and stiffness including shoulder elevation and ipsilateral inclination of the trunk within a short period of time as a result of cancer adjuvant therapies correlating with the type and side of surgery. Hence, the study.

Methods: Twenty-two breast cancer survivors at a tertiary care hospital, Belgaum, Karnataka, have participated in this pre-post experimental study which included myofascial release (MFR), stretching, and strengthening for four sessions per week for 3 weeks that is, a total of 12 sessions. Read More

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