867 results match your criteria Cervical Myofascial Pain


Dry Needling versus Trigger Point Injection for Neck Pain Symptoms Associated with Myofascial Trigger Points: A Systematic Review and Meta-analysis.

Pain Med 2021 Jun 11. Epub 2021 Jun 11.

Department of Radiology, Rehabilitation and Physiotherapy, Universidad Complutense de Madrid, Madrid, Spain.

Objective: To examine the effects of dry needling against trigger point (TrP) injections (wet needling) applied to TrPs associated with neck pain.

Methods: Electronic databases were searched for randomized clinical trials where dry needling was compared to TrP injections (wet needling) applied to neck muscles and collected outcomes on pain or related-disability. Secondary outcomes consisted of pressure pain thresholds, cervical mobility, and psychological factors. Read More

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Current advances and novel research on minimal invasive techniques for musculoskeletal disorders.

Dis Mon 2021 Jun 4:101210. Epub 2021 Jun 4.

Frailty and Cognitive Impairment Research Group (FROG), University of Valencia, 46010 Valencia, Spain. Electronic address:

The present review summarized the current advances and novel research on minimal invasive techniques for musculoskeletal disorders. Different invasive approaches were proposed in the physical therapy field for the management of musculoskeletal disorders, such as ultrasound-guided percutaneous needle electrolysis, dry needling, acupuncture and other invasive therapy techniques, discussing about their worldwide status, safety and interventional ultrasound imaging. Indeed, dry needling may be one of the most useful and studies invasive physical therapy applications in musculoskeletal disorders of different body regions, such as back, upper limb, shoulder, arm, hand, pelvis, lower limb, neck, head, or temporomandibular joint, and multiple soreness location disorders, such as fibromyalgia. Read More

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Fascial treatment versus manual therapy (HVLA) in patients with chronic neck pain: A randomized controlled trial.

J Back Musculoskelet Rehabil 2021 Jun 4. Epub 2021 Jun 4.

Department of General Practice, University Medical Center Göttingen, Göttingen, Germany.

Background: Chronic neck pain (CNP) is a common health problem in western industrialized nations. In recent years, the fascial tissue has attracted the attention of therapists, and a treatment of the fasciae promises to be a meaningful approach in the therapy of patients with CNP.

Objective: The aim of this study was to investigate the effectiveness of a fascial treatment (FT) compared to manual therapy (MT) and to no intervention (control group, CG) in patients with CNP. Read More

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The efficacy of botulinum toxin A treatment for tension-type or cervicogenic headache: a systematic review and meta-analysis of randomized, placebo-controlled trials.

Scand J Pain 2021 Jun 4. Epub 2021 Jun 4.

Pain Clinic, Division of Surgical Medicine and Intensive Care, University Hospital of North Norway, Tromsø, Norway.

Objectives: The pathogeneses of chronic tension-type headache (CTTH) and cervicogenic headache (CEH) are not well established. Peripheral activation or sensitization of myofascial nociceptors is suggested as a potential mechanism and injections of botulinum toxin (BONTA) have thus been used in the treatment for both headache conditions. BONTA inhibits the release of acetylcholine at the neuromuscular junction and inhibits contraction of skeletal muscles. Read More

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Conservative management of neck and thoracic pain in an adult with neurofibromatosis-1.

J Can Chiropr Assoc 2021 Apr;65(1):121-126

Chiropractic Department, D'Youville College.

Objective: To describe the case of a 21-year-old female with previously diagnosed neurofibromatosis type 1 (NF1) with neck, scapular, lumbar, and temporomandibular discomfort along with headaches.

Clinical Features: The patient had chronic tightness and pain in the cervicothoracic region as well as pain in the lumbar spine at the site of prior neurofibroma removal. Radiographs demonstrated multilevel osseous changes. Read More

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Prevalence of Cervical Myofascial Pain Syndrome and its Correlation with the Severity of Pain and Disability in Patients with Chronic Non-specific Neck Pain.

Arch Bone Jt Surg 2021 Mar;9(2):230-234

Guilan Road Trauma Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.

Background: Nonspecific chronic neck pain is increasing according to work-related gestures and modern lifestyle. Myofascial pain syndrome is a common problem and may be a primary disease. This study was designed to evaluate the prevalence of cervical myofascial pain syndrome in patients with chronic non-specific neck pain with normal MRI. Read More

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Comparing muscle thickness and function in healthy people and subjects with upper trapezius myofascial pain syndrome using ultrasonography.

J Bodyw Mov Ther 2021 Apr 15;26:253-256. Epub 2020 Dec 15.

Orthopedic Research Center, Department of Orthopedic, Poorsina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran. Electronic address:

Background: The reliability of the muscle function using ultrasonography is not reported in patients with myofascial pain syndrome and healthy individuals. The main aim of this study was to compare muscle thickness and function of two matched healthy and patients groups with neck pain due to upper trapezius myofascial pain syndrome.

Methods: 40 subjects (20 healthy and 20 patients) participated in this study. Read More

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The Effectiveness of Sternocleidomastoid Muscle Dry Needling in Patients with Cervicogenic Headache.

Adv Biomed Res 2021 26;10:10. Epub 2021 Feb 26.

Department of Physical Therapy, Faculty of Rehabilitation Sciences, Isfahan University of Medical Sciences, Tehran, Iran.

Background: Cervicogenic headache (CGH) is a secondary headache with a cervical source that radiates pain to the head or face. Accordingly, one reason of CGH is myofascial trigger points. The purpose of this study was to investigate the effect of one session dry needling (DN) of myofascial trigger points of the sternocleidomastoid (SCM) muscle in patients with CGH. Read More

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February 2021

Effectiveness of training about kinesiotaping in myofascial pain syndrome: A prospective, single-blind, randomized-controlled study.

Turk J Phys Med Rehabil 2021 Mar 4;67(1):17-24. Epub 2021 Mar 4.

Department of Physical Medicine and Rehabilitation, Medicine Faculty of Sakarya University, Sakarya, Turkey.

Objectives: In this study, we aimed to investigate whether there was any difference in kinesiotaping (KT) application on the upper trapezius muscle between a trained and untrained physiatrist in the management of patients with myofascial pain syndrome (MPS).

Patients And Methods: Between April 2013 and July 2015, a total of 45 patients (44 females, 1 males; mean age 31.9±8. Read More

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Headache from clinically confirmed hemicrania continua arising from the sternocleidomastoid muscle: a case report.

BMC Neurol 2021 May 3;21(1):184. Epub 2021 May 3.

Department of Neurology, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.

Background: A patient with a history of cluster headaches, now in remission, presented with confirmed hemicrania continua that resolved with a local anaesthetic injection into the Sternocleidomastoid (SCM) muscle. To the best of our knowledge, this is the first reported case of a trigeminal autonomic cephalalgia arising from a soft tissue source in the neck.

Case Presentation: A 66-year-old man with a history of cluster headaches presented with a six-month history of a new constant right-sided headache. Read More

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[Methods of medical rehabilitation in the complex program therapy for patients with cervicobrachialgia caused by pathological dental occlusion].

Vopr Kurortol Fizioter Lech Fiz Kult 2021 ;98(2):17-23

Dental Clinic No. 33, Moscow, Russia.

Chronic pain syndromes in the neck and shoulder girdle are one of the important clinical problems due to their high prevalence. In addition, it's of great interest to study the mutual influence of the musculoskeletal system pathology, balance organs and dentoalveolar system due to the possible negative impact of these structures on each other which surely affects the treatment timing and its results.

Objective: To develop a diagnostic algorithm and a comprehensive program for the treatment and rehabilitation of patients with cervicobrachialgia combined with pathological dental occlusion. Read More

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Efficacy of different combinations of physiotherapy techniques compared to exercise and patient education in temporomandibular disorders: A randomized controlled study.

Cranio 2021 Apr 5:1-13. Epub 2021 Apr 5.

Health Sciences Faculty, Department of Physiotherapy and Rehabilitation, Marmara University, Istanbul, Turkey.

Objective: This study aims to investigate the efficacy of different types of physiotherapy approaches in individuals with cervical myofascial painful temporomandibular disorders (TMDs).

Methods: Seventy-five participants with myofascial pain of jaw muscles and cervical myofascial pain were randomized into three groups: exercise group (E), low-level laser therapy group (LLLT), and manual pressure release group (MPR). All patients were assessed before treatment and after 12 sessions of treatment. Read More

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Effectiveness of Dry Needling with Percutaneous Electrical Nerve Stimulation of High Frequency Versus Low Frequency in Patients with Myofascial Neck Pain.

Pain Physician 2021 Mar;24(2):135-143

Toledo Physiotherapy Research Group (GIFTO), Physical Therapy and Nursing, Universidad de Castilla-La Mancha, Madrid, Spain; CranioSPain Research Group, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid, Spain.

Background: Percutaneous nerve electrical stimulation is a novel treatment modality for the management of acute and chronic myofascial pain syndrome.

Objectives: To compare the effectiveness of dry needling combined with percutaneous electrical nerve stimulation  of low frequency versus high frequency, in patients with chronic myofascial neck pain.

Study Design: Randomized, single-blind trial. Read More

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Effect of Therapeutic Ultrasound for Neck Pain: A Systematic Review and Meta-Analysis.

Arch Phys Med Rehabil 2021 Mar 17. Epub 2021 Mar 17.

Rehabilitation Medicine Center and Institute of Rehabilitation Medicine, 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 effects and safety of therapeutic ultrasound in patients with neck pain.

Data Sources: The PubMed, EMBASE, CENTRAL, and Physiotherapy Evidence databases were searched for articles published before December 1, 2020.

Study Selection: Randomized controlled trials that compared the effects of therapeutic ultrasound on neck pain were included in this review. Read More

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Ischemic Pressure vs Postisometric Relaxation for Treatment of Rhomboid Latent Myofascial Trigger Points: A Randomized, Blinded Clinical Trial.

J Manipulative Physiol Ther 2021 Feb;44(2):103-112

Basic Science Department, Faculty of Physical Therapy, Pharos University in Alexandria, Alexandria, Egypt. Electronic address:

Objective: The purpose of this study was to investigate the effects of ischemic pressure (IP) vs postisometric relaxation (PIR) on rhomboid-muscle latent trigger points (LTrPs).

Methods: Forty-five participants with rhomboid-muscle LTrPs were randomly assigned into 3 groups and received 3 weeks of treatment-group A: IP and traditional treatment (infrared radiation, ultrasonic therapy, and transcutaneous electrical nerve stimulation); group B: PIR and traditional treatment; and group C: traditional treatment. Shoulder pain and disability, neck pain and disability, and pressure pain threshold (PPT) of 3 points on each side were measured before and after treatment. Read More

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February 2021

Granisetron vs. lidocaine injection to trigger points in the management of myofascial pain syndrome: a double-blind randomized clinical trial.

Scand J Pain 2021 Mar 10. Epub 2021 Mar 10.

Clinical Biomechanics and Ergonomics Research Center, Faculty of Medicine, Aja University of Medical Sciences, Tehran, Islamic Republic of Iran.

Objectives: Granisetron and lidocaine injections have been used for the management of myofascial pain syndrome. This study was aimed to compare the efficacy of granisetron and lidocaine injections to trigger points of upper trapezius in the management of myofascial pain syndrome.

Methods: We performed a double-blind randomized clinical trial in an outpatient clinic of physical medicine and rehabilitation at a teaching hospital. Read More

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Comparison of the effects of extracorporeal shockwave treatment with kinesiological taping treatments added to exercise treatment in myofascial pain syndrome.

Authors:
Ümit Yalçın

J Back Musculoskelet Rehabil 2021 Feb 26. Epub 2021 Feb 26.

Background: Although studies examined kinesiological taping (KT) and extracorporeal shock wave therapy (ESWT) in myofascial pain syndrome (MPS), no study has yet compared these two treatments.

Objective: This study aimed to compare the efficacy of KT and ESWT on pain, pain threshold, functional level and neck movements in the treatment of MPS, which is an important cause of disability and constitutes 50-80% of chronic painful diseases.

Methods: Two hundred and sixty-two patients diagnosed with MPS in the upper part of the unilateral trapeze muscle were included in the study. Read More

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February 2021

Massage for Combat Injuries in Veteran with Undisclosed PTSD: a Retrospective Case Report.

Int J Ther Massage Bodywork 2021 Mar 1;14(1):4-11. Epub 2021 Mar 1.

Indiana University School of Health & Human Sciences - IUPUI, Indianapolis, IN, USA.

Introduction: Massage has shown promise in reducing symptoms related to dissociation and anxiety that can exacerbate chronic pain and suffering. The combat wounded, veteran population is increasing and requires a multidisciplinary approach for comprehensive treatment. This case study examines massage therapy use to improve veteran combat injury rehabilitation and recovery experience through purposive, retrospective, and comprehensive SOAP note review. Read More

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Patients with episodic migraine show increased T2 values of the trapezius muscles - an investigation by quantitative high-resolution magnetic resonance imaging.

Cephalalgia 2021 Feb 20:333102421996374. Epub 2021 Feb 20.

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

Background: Neck pain is frequent in patients with migraine. Likewise, evidence for inflammatory processes in the trapezius muscles is accumulating. However, non-invasive and objectively assessable correlates are missing . Read More

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February 2021

Is Dry Needling Effective When Combined with Other Therapies for Myofascial Trigger Points Associated with Neck Pain Symptoms? A Systematic Review and Meta-Analysis.

Pain Res Manag 2021 2;2021:8836427. Epub 2021 Feb 2.

Department of Radiology, Rehabilitation and Physiotherapy, Universidad Complutense de Madrid, Madrid, Spain.

Objective: To evaluate the effects of combining dry needling with other physical therapy interventions versus the application of the other interventions or dry needling alone applied over trigger points (TrPs) associated to neck pain. . Electronic databases were searched for randomized controlled trials where at least one group received dry needling combined with other interventions for TrPs associated with neck pain. Read More

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A clinical trial: Aqualizer ™ therapy and its effects on myopathies or temporomandibular dysfunctions. Part II: Subjective parameters.

Cranio 2021 Feb 13:1-7. Epub 2021 Feb 13.

Department of Oral and Maxillofacial Surgery, University of Erlangen- Nuremberg, Erlangen, Germany.

: Temporomandibular dysfunction (TMD) reduces patients' quality of life (QoL). The aim was to assess the effects of initial Aqualizer™ therapy.: Group 1 (initial Aqualizer™ therapy) before definitive splint therapy or Group 2 (no initial therapy). Read More

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February 2021

Equine Cervical Pain and Dysfunction: Pathology, Diagnosis and Treatment.

Animals (Basel) 2021 Feb 6;11(2). Epub 2021 Feb 6.

Orthopaedic Research Center, Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Science, Colorado State University, Fort Collins, CO 80523, USA.

Interest in the cervical spine as a cause of pain or dysfunction is increasingly becoming the focus of many equine practitioners. Many affected horses are presented for poor performance, while others will present with dramatic, sometimes dangerous behavior. Understanding and distinguishing the different types of neck pain is a starting point to comprehending how the clinical presentations can vary so greatly. Read More

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February 2021

Combining Patient Education With Dry Needling and Ischemic Compression for Treating Myofascial Trigger Points in Office Workers With Neck Pain: A Single-Blinded, Randomized Trial.

J Chiropr Med 2020 Dec 24;19(4):222-229. Epub 2020 Nov 24.

Department of Public Health and Nursing, Department of Mental Health, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.

Objective: The purpose of this study was to compare immediate and short-term effects of combining dray needling (DN) + patient education vs ischemic compression (IC) + patient education for treating myofascial trigger points (MTP) in office workers with neck pain.

Methods: This was a single-blinded, randomized trial. Thirty-two participants were randomly assigned to either DN + patient education or IC + patient education group. Read More

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December 2020

The comparative effects of spinal manipulation, myofascial release and exercise in tension-type headache patients with neck pain: A randomized controlled trial.

Complement Ther Clin Pract 2021 May 24;43:101319. Epub 2021 Jan 24.

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

Objectives: To evaluate the effects of two manual treatment methods on pain, disability, and pressure pain threshold (PPT) in tension-type headache (TTH) patients with and neck pain.

Methods: Forty-five patients with TTH were randomly assigned to one of three groups and received eight sessions treatment: manipulation plus exercise (manipulation), suboccipital inhibition plus exercise (myofascial release), and exercise only (control). Headache frequency, pain severity (VAS-headache, VAS-neck pain) and headache and neck disability (HIT-6 and NDI, respectively) were measured at baseline, posttreatment, and at the third month follow-up. Read More

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"Quantitative Ultrasound Texture Feature Changes with Conservative treatment of the Trapezius Muscle in female patients with Myofascial Pain Syndrome".

Am J Phys Med Rehabil 2021 Jan 19. Epub 2021 Jan 19.

Marmara University Medical Faculty, Physical Medicine and Rehabilitation Department, Istanbul, TURKEY Department of Medicine, Division of Physical Medicine and Rehabilitation, University of Toronto, Toronto, Canada.

Objectives: We set out to assess whether quantitative ultrasound could be used to assess changes that occur after physical therapy in patients suffering from myofascial pain syndrome(MPS).

Methods: We consecutively recruited female subjects suffering from MPS of the neck and shoulder region and provided 10 sessions of conservative physical therapy. A control group was recruited for textural analyses. Read More

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January 2021

Effect of Pompage on Teachers Self-Assessment-Clinical Trial.

J Voice 2021 Jan 11. Epub 2021 Jan 11.

Department of Speech Therapy and Graduate Program in Human Communication Disorders, Federal University of Santa Maria, Santa Maria, RS, Brazil.

Objective: To verify the results of self-assessments of teachers with vocal and musculoskeletal complaints and with the normal larynx, after myofascial release using pompage.

Methods: Double-blind, controlled, and randomized clinical trial including 28 teachers in the study group and 28 teachers in the control group, totaling 56 participants. Anamnesis, video laryngoscopy, hearing screening, clinical and photogrammetric postural assessment, pain threshold in cervical muscles, sound pressure and maximum phonation time measurements, and manovacuometry were performed. Read More

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January 2021

Myofascial Pain Syndrome and Its Relation to Trigger Points, Facial Form, Muscular Hypertrophy, Deflection, Joint Loading, Body Mass Index, Age and Educational Status.

J Int Soc Prev Community Dent 2020 Nov-Dec;10(6):786-793. Epub 2020 Nov 24.

Department of Basic Oral and Clinical Sciences, Division of Oral Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.

Introduction: Myofascial pain (MFP) is a type of pain characterized by the presence of a trigger point (TrPs) in taut band of skeletal muscles or its fascia. Based on the current literature, the prevalence of head and neck myofascial pain (HNMFP) varies among different communities. To better understand this condition and its relation to facial form, muscular hypertrophy, deflection, and joint loading, the study aimed at evaluating the prevalence of HNMFP among the population of Jeddah, Saudi Arabia. Read More

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November 2020

Immediate Effects of Dry Needling and Myofascial Release on Local and Widespread Pressure Pain Threshold in Individuals With Active Upper Trapezius Trigger Points: A Randomized Clinical Trial.

J Manipulative Physiol Ther 2021 Feb 9;44(2):95-102. Epub 2021 Jan 9.

Doctoral Program in Health Sciences, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil.

Objective: This study sought to compare the immediate effects of a single session of dry needling (DN), myofascial release (MR), and sham DN on pressure pain threshold (PPT) and neck pain intensity in individuals with chronic neck pain.

Methods: This was a randomized trial with a blinded outcome assessor. Forty-four individuals with chronic neck pain and unilateral myofascial trigger points in the upper trapezius muscle (UTM) were randomized to receive DN (n = 15), MR (n = 14), or sham DN (n = 15). Read More

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February 2021

Dry Needling Adds No Benefit to the Treatment of Neck Pain: A Sham-Controlled Randomized Clinical Trial With 1-Year Follow-up.

J Orthop Sports Phys Ther 2021 01;51(1):37-45

Objective: To examine the short- and long-term effectiveness of dry needling on disability, pain, and patient-perceived improvements in patients with mechanical neck pain when added to a multimodal treatment program that includes manual therapy and exercise.

Design: Randomized controlled trial.

Methods: Seventy-seven adults (mean ± SD age, 46. Read More

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January 2021