724 results match your criteria Cervical Myofascial Pain


Effectiveness of hot herbal compress versus topical diclofenac in treating patients with myofascial pain syndrome.

J Tradit Complement Med 2019 Apr 1;9(2):163-167. Epub 2018 Jun 1.

Chulabhorn International College of Medicine, Thammasat University, Pathumthani, 12121, Thailand.

Myofascial pain syndrome (MPS) is a chronic pain disorder which causes musculoskeletal pain and inflammation in the body's soft tissues. Thai Traditional Medicine uses hot herbal compresses as analgesic and anti-inflammatory treatment. There are no scientifically validated follow-up studies after treatment using hot herbal compresses. Read More

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http://dx.doi.org/10.1016/j.jtcme.2018.05.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6435979PMC
April 2019
2 Reads

A soft massage tool is advantageous for compressing deep soft tissue with low muscle tension: Therapeutic evidence for self-myofascial release.

Complement Ther Med 2019 Apr;43:312-318

Department of Mechanical Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, 34141, Republic of Korea. Electronic address:

Objectives: This study aimed to compare the amount of deep tissue pressure and muscle relaxation between a soft inflatable rubber ball (SIRB) and a hard massage ball (HMB).

Design: Crossover experimental design study.

Interventions: Thirty participants with neck pain (age: 65. Read More

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http://dx.doi.org/10.1016/j.ctim.2019.01.001DOI Listing
April 2019
1 Read

Dry needling versus trigger point compression of the upper trapezius: a randomized clinical trial with two-week and three-month follow-up.

J Man Manip Ther 2018 Oct 15:1-10. Epub 2018 Oct 15.

c Department of Physical Therapy , North Georgia College and State University , Dahlonega , GA , USA.

Objectives: The purpose of this randomized controlled trial was to investigate the long-term clinical effect of dry needling with two-week and three-month follow up, on individuals with myofascial trigger points in the upper trapezius muscle.

Methods: A sample of convenience (33 individuals) with a trigger point in the upper trapezius muscle, participated in this study. The individuals were randomly assigned to two groups: trigger point compression (N = 17) or dry needling (N = 16). Read More

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http://dx.doi.org/10.1080/10669817.2018.1530421DOI Listing
October 2018
3 Reads

Local Anesthetic Injections for the Short-Term Treatment of Head and Neck Myofascial Pain Syndrome: A Systematic Review with Meta-Analysis.

J Oral Facial Pain Headache 2019 Mar 20. Epub 2019 Mar 20.

Aims: To evaluate the effectiveness of local anesthetic trigger point injections in adults with myofascial pain syndrome (MPS) in the head, neck, and shoulder regions compared to dry needling, placebo, and other interventions.

Methods: Randomized controlled trials using local anesthetic injections in adults diagnosed with MPS were included. The Cochrane Library, MEDLINE via PubMed, Web of Science, and EMBASE libraries were searched. Read More

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http://dx.doi.org/10.11607/ofph.2277DOI Listing
March 2019
2 Reads

Analgesic effects of a capacitive-resistive monopolar radiofrequency in patients with myofascial chronic neck pain: a pilot randomized controlled trial.

Rev Assoc Med Bras (1992) 2019 Feb;65(2):156-164

Department of Physical Therapy, Occupational Therapy, Rehabilitation, and Physical Medicine. Rey Juan Carlos University, Madrid, Spain.

Background: To date, there is a lack of prior studies on the use of capacitive resistive monopolar radiofrequency (RF) to treat neck pain. The objective of this study was to investigate the immediate effect of capacitive resistive monopolar radiofrequency (RF=448 kHz), in comparison with a placebo, on (1) reducing neck pain intensity at myofascial trigger points (MTrP), (2) decreasing neck disability and (3) improving cervical range of motion (CROM).

Methods: A randomized, double-blind, placebo-controlled trial (NCT02353195) was carried out. Read More

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http://dx.doi.org/10.1590/1806-9282.65.2.156DOI Listing
February 2019
5 Reads

The effects of shock wave and dry needling on active trigger points of upper trapezius muscle in patients with non-specific neck pain: A randomized clinical trial.

J Back Musculoskelet Rehabil 2019 Mar 1. Epub 2019 Mar 1.

Physiology Department, Faculty of Medical, Tabriz University of Technology, Tabriz, Iran.

Background: Chronic neck pain is associated with various myofascial trigger points (MTrPs).

Objective: A single-blind randomized clinical trial was designed to compare the effects of extracorporeal shock wave therapy (ESWT) with dry needling (DN) techniques on the upper trapezius muscle trigger point in patients with non-specific neck pain (NSNP).

Methods: Seventy patients with NSNP and active MTrPs of the upper trapezius muscle were randomly divided into two groups: an ESWT group (n= 35) and a DN group (n= 35). Read More

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http://dx.doi.org/10.3233/BMR-181289DOI Listing
March 2019
1 Read

Kinesio taping versus dry needling in the treatment of myofascial pain of the upper trapezius muscle: A randomized, single blind (evaluator), prospective study.

J Back Musculoskelet Rehabil 2019 Mar 1. Epub 2019 Mar 1.

Department of Physical Medicine and Rehabilitation, İzmir Bozyaka Training and Research Hospital, İzmir, Turkey.

Background: Although a number of therapeutic interventions for trigger-point inactivation have been studied, it remains controversial which intervention is better.

Objective: To compare the effectiveness of the kinesio taping and dry needling methods in patients with trigger-point related myofascial pain syndrome of the upper trapezius muscle.

Methods: A total of 42 patients were randomly allocated to the kinesio taping group (n= 23) and dry needling group (n= 19). Read More

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http://dx.doi.org/10.3233/BMR-181162DOI Listing
March 2019
1 Read

Self-Myofascial Release of the Superficial Back Line Improves Sit-and-Reach Distance.

J Sport Rehabil 2019 Mar 12:1-19. Epub 2019 Mar 12.

1 School of Kinesiology and Recreation, Illinois State University, Normal, IL.

Context:: Decreased hamstring flexibility can lead to a plethora of musculoskeletal injuries, including low back pain, hamstring strains, and patellofemoral pain. Lack of flexibility may be the result of myofascial adhesions. The fascia connected to the hamstrings is part of the superficial back line that runs from the cranium to the plantar aspect of the foot. Read More

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http://dx.doi.org/10.1123/jsr.2018-0306DOI Listing
March 2019
4 Reads

Low Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment.

Curr Pain Headache Rep 2019 Mar 11;23(3):23. Epub 2019 Mar 11.

Department of Anesthesiology, Louisiana State University Health Science Center, New Orleans, LA, 70112, USA.

Purpose Of Review: Low back pain encompasses three distinct sources: axial lumbosacral, radicular, and referred pain. Annually, the prevalence of low back pain in the general US adult population is 10-30%, and the lifetime prevalence of US adults is as high as 65-80%.

Recent Findings: Patient history, physical exam, and diagnostic testing are important components to accurate diagnosis and identification of patient pathophysiology. Read More

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http://dx.doi.org/10.1007/s11916-019-0757-1DOI Listing
March 2019
2 Reads

Randomized Trial on Comparison of the Efficacy of Extracorporeal Shock Wave Therapy and Dry Needling in Myofascial Trigger Points.

Am J Phys Med Rehabil 2019 Mar 1. Epub 2019 Mar 1.

From the Department of Rehabilitation Medicine, Guangdong Second Provincial General Hospital, Southern Medical University, Guangzhou, PR China (SL); Department of Rehabilitation Medicine, Lianjian People's Hospital, Guangdong, PR China (ZZ); Departments of Rehabilitation (SL,CL,SK,CL,SW,CM) and Ultrasonic (JR), Sun Yat-sen Memorial Hospital, Guangzhou, PR China; Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, PR China (WX).

Objectives: To compare the efficacy of radial extracorporeal shock wave therapy (ESWT) and dry needling (DN) in the treatment of myofascial trigger points (MTrPs) in the upper trapezius muscle.

Design: A total of 65 patients with MTrPs were randomly divided into ESWT group (n=32) and DN group (n=33). Patients received 3 weeks of treatment at one-week intervals in both groups Visual analogue scale (VAS), pressure pain threshold (PPT), Neck Disability Index (NDI) and shear modulus were evaluated pre-treatment, immediately post the first therapy, 1-month and 3-month after the completion of the third therapy. Read More

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http://dx.doi.org/10.1097/PHM.0000000000001173DOI Listing
March 2019
1 Read

Ultrasound imaging of the upper trapezius muscle for safer myofascial trigger point injections: a case report.

Phys Sportsmed 2019 Mar 1:1-2. Epub 2019 Mar 1.

b Department of Physical and Rehabilitation Medicine , Hacettepe University Medical School , Ankara , Turkey.

Chronic myofascial pain of the cervical spine and shoulders is commonplace in clinical practice and is often related to adverse posture during work conditions in our lifestyle. The diagnosis is clinical and injections of the neck/shoulder muscles, especially the upper trapezius, are commonly performed in a blinded way. The anatomy of the posterior compartment of the neck is complicated, and several neurovascular structures are located nearby the trapezius and levator scapulae muscles in the inter-fascial planes. Read More

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http://dx.doi.org/10.1080/00913847.2019.1589105DOI Listing
March 2019
4 Reads

Non-pharmacological treatment of chronic neck-shoulder myofascial pain in patients with forward head posture.

Wiad Lek 2019;72(1):84-88

Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine.

Objective: Introduction: Today, chronic pain remains a pressing medical and socio-economic problem, despite the rapid development of medical technologies, the presence of a vast arsenal of drug and non-drug treatments. Estimates for chronic pain prevalence ranged from 8% to 60%. At the same time, about 40% of patients report insufficient effectiveness in the treatment of chronic pain syndrome. Read More

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January 2019
4 Reads

Association between child maltreatment and central sensitivity syndromes: a systematic review protocol.

BMJ Open 2019 Feb 19;9(2):e025436. Epub 2019 Feb 19.

School of Nursing, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.

Introduction: A growing body of evidence is identifying the link between a history of child maltreatment and a variety of adverse health outcomes ultimately leading to significant social and healthcare burden. Initial work has identified a potential association between child maltreatment and the development of a selection of somatic and visceral central sensitivity syndromes: fibromyalgia, chronic fatigue syndrome, temporomandibular joint disorder, chronic lower back pain, chronic neck pain, chronic pelvic pain, interstitial cystitis, vulvodynia, chronic prostatitis, tension-type headache, migraine, myofascial pain syndrome, irritable bowel syndrome and restless legs syndrome.

Methods And Analysis: Primary electronic searches will be performed in the Embase, MEDLINE, PubMed, Scopus, PyscINFO, CINAHL and Cochrane Library databases and a number of Grey Literature sources including child protection and paediatric conference proceedings. Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-02543
Publisher Site
http://dx.doi.org/10.1136/bmjopen-2018-025436DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368161PMC
February 2019
6 Reads

[Temporomandibular disorder and cervicalgia: pathophysiology underlying the comorbidity with chronic migraine].

Zh Nevrol Psikhiatr Im S S Korsakova 2019;119(1):17-22

Sechenov First Moscow State Medical University, Moscow, Russia.

Aim: To analyze the prevalence of various clinical forms of temporomandibular disorder (TMD) and cervicalgia in episodic (EM) and chronic migraine (CM).

Material And Methods: Ninety patients with CM and 42 patients with EM as defined by the International Classification of Headache Disorders (ICHD)-3 beta were recruited. TMD and sleep bruxism were diagnosed according to the DC/TMD criteria and the International Classification of Sleep Disorders (ICSD-R), respectively. Read More

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http://dx.doi.org/10.17116/jnevro201911901117DOI Listing
January 2019
1 Read

Trigger Point Sensitivity Is a Differentiating Factor between Cervicogenic and Non-Cervicogenic Headaches: A Cross-Sectional, Descriptive Study.

Physiother Can 2018 ;70(4):323-329

Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

A common factor in all forms of headache is the presence of myofascial trigger points (TrPs). The aim of this study was to compare the presentation of patients with cervicogenic headaches and patients with non-cervicogenic headaches in the sensitivity of TrPs in their upper trapezius, sternocleidomastoid, temporalis, and posterior cervical muscles. This was a descriptive, cross-sectional study. Read More

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http://dx.doi.org/10.3138/ptc.2017-38DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361411PMC
January 2018
3 Reads

Dry needling versus friction massage to treat tension type headache: A randomized clinical trial.

J Bodyw Mov Ther 2019 Jan 31;23(1):89-93. Epub 2018 Jan 31.

Student Research Committee, Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

Tension type headache (TTH), the most common type of headache, is known to be associated with myofascial pain syndrome and the existence of myofascial trigger points. There are several treatment options for myofascial trigger points. In this study we compared the effectiveness of dry needling and friction massage to treat patients with TTH. Read More

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http://dx.doi.org/10.1016/j.jbmt.2018.01.009DOI Listing
January 2019
2 Reads

Quantitative magnetic resonance imaging of the upper trapezius muscles - assessment of myofascial trigger points in patients with migraine.

J Headache Pain 2019 Jan 18;20(1). Epub 2019 Jan 18.

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-Maximilians-Universität, Lindwurmstr. 4, 80337, Munich, Germany.

Background: Research in migraine points towards central-peripheral complexity with a widespread pattern of structures involved. Migraine-associated neck and shoulder muscle pain has clinically been conceptualized as myofascial trigger points (mTrPs). However, concepts remain controversial, and the identification of mTrPs is mostly restricted to manual palpation in clinical routine. Read More

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http://dx.doi.org/10.1186/s10194-019-0960-9DOI Listing
January 2019
5 Reads

Effect of aerobic exercise in the treatment of myofascial pain: a systematic review.

J Exerc Rehabil 2018 Dec 27;14(6):902-910. Epub 2018 Dec 27.

Department of Medicine, University of Toronto, Toronto, ON, Canada.

Myofascial pain is prevalent chronic pain disorder that is comorbid with many conditions. Strengthening and stretching exercises are capable of inducing hypoalgesic effects in people with myofascial pain syndrome. The goal of this systematic review was to summarize the effects of aerobic exercise on the management of myofascial pain. Read More

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http://dx.doi.org/10.12965/jer.1836406.205DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323330PMC
December 2018
2 Reads

The effect of dry needling on the active trigger point of upper trapezius muscle: Eliciting local twitch response on long-term clinical outcomes.

J Back Musculoskelet Rehabil 2019 Jan 3. Epub 2019 Jan 3.

Rehabilitation Research Center, Department of Physiotherapy, School of Rehabilitation, Semnan University of Medical Sciences and Health Services, Semnan, Iran.

Background: Pain from myofascial trigger points is often treated by dry needling (DN). Empirical evidence suggests eliciting a local twitch response (LTR) during needling is essential. Muscle damage after eliciting LTR can increase the risk of tissue fibrosis in some cases. Read More

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http://dx.doi.org/10.3233/BMR-181286DOI Listing
January 2019
3 Reads

Therapeutic Effect of Superficial Acupuncture in Treating Myofascial Pain of the Upper Trapezius Muscle: A Randomized Controlled Trial.

Evid Based Complement Alternat Med 2018 2;2018:9125746. Epub 2018 Dec 2.

Department of Traditional Chinese Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan.

The aim of this study was to compare the treatment efficacies of superficial acupuncture and traditional acupuncture on trigger points of the upper trapezius muscle. Forty people were recruited and randomly allocated to the traditional and superficial acupuncture groups. Each subject received two treatments per week in a four-week period. Read More

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https://www.hindawi.com/journals/ecam/2018/9125746/
Publisher Site
http://dx.doi.org/10.1155/2018/9125746DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304674PMC
December 2018
18 Reads
1.880 Impact Factor

Headache at the emergency room: Etiologies, diagnostic usefulness of the ICHD 3 criteria, red and green flags.

PLoS One 2019 7;14(1):e0208728. Epub 2019 Jan 7.

Neurology Department, Universidad del Rosario-Hospital MEDERI, Bogotá, Colombia.

Introduction: Non-traumatic headaches account for 0.5 to 4.5% at the emergency department (ED). Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0208728PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6322863PMC
January 2019
3 Reads

The role of soft tissue mobilization in reducing orofacial and general complaints in a patient with Kimmerle anomaly and temporomandibular joint disorder: A case report.

Cranio 2019 Jan 4:1-14. Epub 2019 Jan 4.

a Department of Prosthodontics , Medical University of Bialystok , Bialystok , Poland.

Background: Kimmerle anomaly belongs to the anatomic varieties of the first cervical vertebra. The clinical pattern is dominated by vascular- and neurogenic-type headaches, dizziness, decreased postural muscle tension, and vegetative symptoms.

Clinical Presentation: A 37-year-old woman who suffered from headache and pain in the left temporomandibular joint underwent clinical examination, electromyography of masticatory muscles, temporomandibular joint vibration analysis, cone beam computed tomography, and soft tissue mobilization. Read More

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http://dx.doi.org/10.1080/08869634.2018.1560616DOI Listing
January 2019
8 Reads

Controlled intervention to compare the efficacies of manual pressure release and the muscle energy technique for treating mechanical neck pain due to upper trapezius trigger points.

J Pain Res 2018 12;11:3151-3160. Epub 2018 Dec 12.

Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia,

Purpose: This study aimed at comparing the clinical efficacies of two manual therapies to determine the most beneficial result-oriented physiotherapeutic approach for treating nonspecific neck pain due to myofascial trigger points (MTrPs).

Methods: This was a randomized, controlled pretest-posttest experimental study that compared manual pressure release (MPR), the muscle energy technique (MET), and a control condition. These techniques were compared using a convenience sample of 45 female participants with neck pain due to MTrPs (mean age±SD=21. Read More

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http://dx.doi.org/10.2147/JPR.S172711DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6296190PMC
December 2018
3 Reads

Comparison of pressure release, phonophoresis and dry needling in treatment of latent myofascial trigger point of upper trapezius muscle.

J Back Musculoskelet Rehabil 2018 Dec 14. Epub 2018 Dec 14.

affiliation missing.

Background: Latent myofascial trigger point (LMTP) is a small hypersensitive area in skeletal muscles that becomes painful under compression or stimulation. LMTPs are relevant for various musculoskeletal disorders. Although several treatments have been introduced to treat LMTP, the most efficient one is yet to be found. Read More

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http://dx.doi.org/10.3233/BMR-181302DOI Listing
December 2018
2 Reads

Relationship among Cervical Spine Degeneration, Head and Neck postures, and Myofascial Pain in Masticatory and Cervical Muscles in Elderly with Temporomandibular Disorder.

Arch Gerontol Geriatr 2019 Mar - Apr;81:119-128. Epub 2018 Dec 7.

Clinic of Oral Medicine and Orofacial Pain, Institute of Oral Health Science, Ajou University School of Medicine, Suwon, Republic of Korea. Electronic address:

Objectives: The aim of the study was to verify associations among degenerative changes in the cervical spine, head and neck postures, and myofascial pain in the craniocervical musculature in elderly with myofascial temporomandibular disorders (TMDs).

Methods: A total of 120 participants (mean age, 68.3 ± 7. Read More

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http://dx.doi.org/10.1016/j.archger.2018.12.004DOI Listing
December 2018

Anatomical variants of dorsal scapular nerve in relation to the middle scalene muscle in Japanese population.

Medicine (Baltimore) 2018 Nov;97(47):e13349

Department of Anatomy.

Dorsal scapular nerve (DSN) block is often performed in Japanese pain clinics to treat neck pain and katakori (a unique symptom in Japanese population characterized by myofascial pain syndromes such as shoulder girdle pain). However, to the best of our knowledge, there are only a few studies regarding anatomical variations in DSN paths around the middle scalene muscle (MSM) in Japanese population. Thus, we conducted a cadaveric study to examine anatomical variations in DSN paths around the MSM in Japanese population. Read More

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http://dx.doi.org/10.1097/MD.0000000000013349DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6392864PMC
November 2018
17 Reads

Insights About the Neuroplasticity State on the Effect of Intramuscular Electrical Stimulation in Pain and Disability Associated With Chronic Myofascial Pain Syndrome (MPS): A Double-Blind, Randomized, Sham-Controlled Trial.

Front Hum Neurosci 2018 16;12:388. Epub 2018 Oct 16.

Post-Graduate Program in Medical Sciences, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.

There is limited evidence concerning the effect of intramuscular electrical stimulation (EIMS) on the neural mechanisms of pain and disability associated with chronic Myofascial Pain Syndrome (MPS). To provide new insights into the EIMS long-term effect on pain and disability related to chronic MPS (primary outcomes). To assess if the neuroplasticity state at baseline could predict the long-term impact of EIMS on disability due to MPS we examined the relationship between the serum brain-derived-neurotrophic-factor (BDNF) and by motor evoked potential (MEP). Read More

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http://dx.doi.org/10.3389/fnhum.2018.00388DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6232764PMC
October 2018
21 Reads
2.900 Impact Factor

Changes in Muscle Stiffness of the Trapezius Muscle After Application of Ischemic Compression into Myofascial Trigger Points in Professional Basketball Players.

J Hum Kinet 2018 Sep 15;64:35-45. Epub 2018 Oct 15.

Department of Sport Science, University School of Physical Education in Wroclaw; Wrocław, Poland.

The study aimed to assess the effects of compression trigger point therapy on the stiffness of the trapezius muscle in professional basketball players (Part A), and the reliability of the MyotonPRO device in clinical evaluation of athletes (Part B). Twelve professional basketball players participated in Part A of the study (mean age: 19.8 ± 2. Read More

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http://content.sciendo.com/view/journals/hukin/64/1/article-
Publisher Site
http://dx.doi.org/10.2478/hukin-2018-0043DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6231330PMC
September 2018
23 Reads

Does improvement towards a normal cervical sagittal configuration aid in the management of cervical myofascial pain syndrome: a 1- year randomized controlled trial.

BMC Musculoskelet Disord 2018 Nov 12;19(1):396. Epub 2018 Nov 12.

CBP Nonprofit (a spine research foundation), Eagle, ID, USA.

Background: There is a growing interest concerning the understanding of and rehabilitation of the sagittal configuration of the cervical spine as a clinical outcome. However, the literature on the topic specific to conservative treatment outcomes of patients with chronic myofascial cervical pain syndrome (CMCPS) has not adequately addressed the relationship between cervical sagittal alignment and improved pain, disability and range of motion.

Methods: A randomized controlled study with a 1-year follow-up. Read More

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https://bmcmusculoskeletdisord.biomedcentral.com/articles/10
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http://dx.doi.org/10.1186/s12891-018-2317-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233550PMC
November 2018
16 Reads

Effects of topical vs injection treatment of cervical myofascial trigger points on headache symptoms in migraine patients: a retrospective analysis.

J Headache Pain 2018 Nov 8;19(1):104. Epub 2018 Nov 8.

Headache Center, Geriatrics Clinic, Department of Medicine and Science of Aging and Ce.S.I.-Met, G. D'Annunzio University of Chieti, 66100, Chieti, Italy.

Background: In migraine patients with cervical myofascial trigger points whose target areas coincide with migraine sites (M + cTrPs), TrP anesthetic injection reduces migraine symptoms, but the procedure often causes discomfort. This study evaluated if a topical TrP treatment with 3% nimesulide gel has similar efficacy as the injection but produces lesser discomfort with higher acceptability by the patients.

Methods: Retrospective analysis of medical charts of M + cTrPs patients in the period January 2012-December 2016 at a single Headache Center. Read More

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http://dx.doi.org/10.1186/s10194-018-0934-3DOI Listing
November 2018
5 Reads

Health related quality of life improvement in chronic non-specific neck pain: secondary analysis from a single blinded, randomized clinical trial.

Health Qual Life Outcomes 2018 Nov 6;16(1):207. Epub 2018 Nov 6.

Alcalá de Henares University, Physiotherapy in Women's Health Research Group Department of Physiotherapy, Physiotherapy Faculty, University of Alcalá, Carretera Madrid - Barcelona, km 33,600, E-28871 Alcalá de Henares, Madrid, Spain.

Background: Chronic non-specific neck pain is related to limited cervical mobility, impaired function, neck muscles myofascial pain syndrome, and stress at work. The aforementioned factors are strongly related and may lead to a negative impact on health-related quality of life. There are some effective conservative Physical therapy interventions for treating chronic non-specific neck pain. Read More

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https://hqlo.biomedcentral.com/articles/10.1186/s12955-018-1
Publisher Site
http://dx.doi.org/10.1186/s12955-018-1032-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6219051PMC
November 2018
20 Reads

ACR Appropriateness Criteria Postmenopausal Subacute or Chronic Pelvic Pain.

J Am Coll Radiol 2018 Nov;15(11S):S365-S372

Specialty Chair, University of Toronto and Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

Pelvic pain is common in both reproductive age and postmenopausal women, and the major etiologies change throughout the life cycle. Chronic pain is defined as lasting for at least 6 months. There are many gastrointestinal and urinary disorders associated with chronic pain in this age group, which are not discussed in this guideline. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15461440183116
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http://dx.doi.org/10.1016/j.jacr.2018.09.023DOI Listing
November 2018
20 Reads

Ultrasound guided erector spinae plane block relieves lower cervical and interscapular myofascial pain, a new indication.

J Clin Anesth 2019 03 19;53:74. Epub 2018 Oct 19.

Maltepe University Faculty of Medicine, Division of Algology, Department of Anesthesiology, Istanbul, Turkey.

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https://linkinghub.elsevier.com/retrieve/pii/S09528180183125
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http://dx.doi.org/10.1016/j.jclinane.2018.10.008DOI Listing
March 2019
29 Reads

Scoping review of systematic reviews of complementary medicine for musculoskeletal and mental health conditions.

BMJ Open 2018 Oct 15;8(10):e020222. Epub 2018 Oct 15.

Population Health Sciences, Bristol Medical School, Bristol, UK.

Objective: To identify potentially effective complementary approaches for musculoskeletal (MSK)-mental health (MH) comorbidity, by synthesising evidence on effectiveness, cost-effectiveness and safety from systematic reviews (SRs).

Design: Scoping review of SRs.

Methods: We searched literature databases, registries and reference lists, and contacted key authors and professional organisations to identify SRs of randomised controlled trials for complementary medicine for MSK or MH. Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2017-02022
Publisher Site
http://dx.doi.org/10.1136/bmjopen-2017-020222DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196876PMC
October 2018
9 Reads

Myofascial trigger points in migraine and tension-type headache.

J Headache Pain 2018 Sep 10;19(1):84. Epub 2018 Sep 10.

Headache Diagnostic Laboratory, Danish Headache Center and Department of Neurology, Rigshospitalet Glostrup, Faculty of Health Sciences, University of Copenhagen, Glostrup, Denmark.

Background: A myofascial trigger point is defined as a hyperirritable spot in skeletal muscle that is associated with a hypersensitive palpable nodule in a taut band. It has been suggested that myofascial trigger points take part in chronic pain conditions including primary headache disorders. The aim of this narrative review is to present an overview of the current imaging modalities used for the detection of myofascial trigger points and to review studies of myofascial trigger points in migraine and tension-type headache. Read More

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http://dx.doi.org/10.1186/s10194-018-0913-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6134706PMC
September 2018
14 Reads

A randomized controlled trial to study the effect of gross myofascial release on mechanical neck pain referred to upper limb.

Int J Health Sci (Qassim) 2018 Sep-Oct;12(5):51-59

Department of Orthopedic Physiotherapy, KLEU Institute of Physiotherapy, Belagavi, Karnataka, India.

Objective: Mechanical neck pain (NP) with referred pain to upper limb is a common problem and often leads to functional impairment of common activities of daily living. The present study is undertaken to study and compare the effect of gross myofascial release (MFR) of upper limb and neck alone with conventional physiotherapy against only conventional treatment in subjects with mechanical NP referred to upper limb in terms of cervical endurance, pain, range of motion, and function.

Methods: Design: This was a experimental study; a total of 40 subjects clinically diagnosed with mechanical NP along with referred pain between the age group of 20 and 50 years. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6124822PMC
September 2018
2 Reads

Effects of sternocleidomastoid muscle and suboccipital muscle soft tissue release on muscle hardness and pressure pain of the sternocleidomastoid muscle and upper trapezius muscle in smartphone users with latent trigger points.

Medicine (Baltimore) 2018 Sep;97(36):e12133

Department of Physical Therapy, College of Nursing, Healthcare Sciences and Human Ecology, Dong-Eui University, Busan, Republic of Korea.

Few studies have been performed regarding the reduction of pain in the upper trapezius (UT) muscle by applying interventions to the sternocleidomastoid (SCM) muscle, which is innervated by the same nerves.The purpose of this study was to investigate the effects of soft tissue release intervention on the SCM and suboccipital muscles with regard to muscle hardness and pressure pain threshold (PPT) of the SCM and UT muscles in smartphone users with latent myofascial trigger points (MTrPs) in the UT muscle.Seventeen smartphone users (5 men and 12 women) with latent MTrPs in the UT muscle participated in the study. Read More

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http://dx.doi.org/10.1097/MD.0000000000012133DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133398PMC
September 2018
25 Reads

Safety and Efficacy of PrabotulinumtoxinA (Nabota) Injection for Cervical and Shoulder Girdle Myofascial Pain Syndrome: A Pilot Study.

Toxins (Basel) 2018 Sep 3;10(9). Epub 2018 Sep 3.

Department of Rehabilitation Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon 21431, Korea.

Myofascial pain syndrome is a common painful condition encountered in the general population. Previous studies evaluating the efficacy of botulinum toxin for the treatment of myofascial pain syndrome are limited, with variable results. This prospective study investigated the efficacy and safety of direct injection of Prabotulinumtoxin A (Nabota) into painful muscle groups for cervical and shoulder girdle myofascial pain. Read More

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http://www.mdpi.com/2072-6651/10/9/355
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http://dx.doi.org/10.3390/toxins10090355DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6162536PMC
September 2018
15 Reads

Comparative study of shockwave therapy and low-level laser therapy effects in patients with myofascial pain syndrome of the trapezius.

Rheumatol Int 2018 Nov 31;38(11):2045-2052. Epub 2018 Aug 31.

Medical and Health Science Center, University of Debrecen, Debrecen, Hungary.

The objective of the study was to compare the effects of shockwave therapy and laser therapy on pain, neck functionality, and quality of life in patients with myofascial pain syndrome of the trapezius. 61 patients (> 18 years) were randomly allocated to two treatment groups: (1) 31 patients received soft laser therapy once daily in a 3-week period for a total of 15 sessions, (2) 30 patients received shockwave therapy once in a week for 3 weeks, totalling 3 treatments. Resting pain and pain tolerance were assessed by a 100 mm visual analogue scale; functional status and quality of life were measured by specific questionnaires (Neck Disability Index, SF-36) before and after the 3-week therapy and at the 15th week follow-up visit. Read More

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http://link.springer.com/10.1007/s00296-018-4134-x
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http://dx.doi.org/10.1007/s00296-018-4134-xDOI Listing
November 2018
17 Reads

A critical overview of the current myofascial pain literature - July 2018.

J Bodyw Mov Ther 2018 07 27;22(3):673-684. Epub 2018 Jun 27.

China Medical University, Taichung, Taiwan. Electronic address:

In the current issue of this clinical overview, we are pleased to include several basic research studies ranging from the differentiation of radicular and non-radicular low back pain based on the presence of trigger points (TrPs) to the role of TrPs in patients with osteoarthritis, the diagnostic criteria of TrP, the accurate placement of needles in the piriformis muscle with dry needling (DN), and the reliability of TrP identification, among others. As usual, there are many new DN studies, but also several review papers, and manual TrP research. Contributing authors come from as many as 15 different countries! Read More

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https://linkinghub.elsevier.com/retrieve/pii/S13608592183016
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http://dx.doi.org/10.1016/j.jbmt.2018.06.005DOI Listing
July 2018
13 Reads

A new biofeedback approach for the control of masseter and temporal myalgia: Utilization of an awake posterior interocclusal device.

Cranio 2018 Aug 11:1-7. Epub 2018 Aug 11.

b Head of the Orofacial Pain Team of the Dentistry Division, Hospital das Clínicas and collaborator professor of the Department of Neurology of the Medical School , University of São Paulo , São Paulo, Brazil.

Objective: To evaluate the improvement in reducing the pain of patients diagnosed with masticatory myofascial pain and bruxism when undergoing treatment with a partial posterior interocclusal device for the management and control of awake bruxism through biofeedback.

Methods: Sixty patients were evaluated during the following periods: pretreatment, 7, 30, and 90 days. The evaluation was carried out by measuring the reduction in pain using clinical and numerical scales. Read More

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http://dx.doi.org/10.1080/08869634.2018.1503991DOI Listing
August 2018
3 Reads

Low-frequency high-intensity versus medium-frequency low-intensity combined therapy in the management of active myofascial trigger points: A randomized controlled trial.

Physiother Res Int 2018 Oct 10;23(4):e1737. Epub 2018 Aug 10.

Department of Basic Science, School of Physical Therapy, Cairo University, Giza, Egypt.

Background: Electrotherapeutic modalities have proven to be one of the best therapeutic options for myofascial pain syndrome, targeting the myofascial trigger points (MTrPs). Combined therapy (CT) is described with paucity in literature as the application of ultrasound (US) and electrical stimulating current concurrently and at the same site.

Aim: The aim was to compare between low-frequency, high-intensity burst transcutaneous electrical nerve stimulation CT (burst-TENS-CT) and medium-frequency, low-intensity amplitude modulated frequency CT (AMF-CT) on upper trapezius active MTrPs (A-MTrPs). Read More

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http://doi.wiley.com/10.1002/pri.1737
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http://dx.doi.org/10.1002/pri.1737DOI Listing
October 2018
6 Reads

Approach to cervicogenic dizziness: a comprehensive review of its aetiopathology and management.

Authors:
K Devaraja

Eur Arch Otorhinolaryngol 2018 Oct 9;275(10):2421-2433. Epub 2018 Aug 9.

Department of Otorhinolaryngology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, 576104, India.

Purpose: Though there is abundant literature on cervicogenic dizziness with at least half a dozen of review articles, the condition remains to be enigmatic for clinicians dealing with the dizzy patients. However, most of these studies have studied the cervicogenic dizziness in general without separating the constitute conditions. Since the aetiopathological mechanism of dizziness varies between these cervicogenic causes, one cannot rely on the universal conclusions of these studies unless the constitute conditions of cervicogenic dizziness are separated and contrasted against each other. Read More

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http://link.springer.com/10.1007/s00405-018-5088-z
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http://dx.doi.org/10.1007/s00405-018-5088-zDOI Listing
October 2018
8 Reads

Change of hyoid bone position in patients treated for and resolved of myofascial pain.

Cranio 2018 Jul 31:1-17. Epub 2018 Jul 31.

a MedCenter TMJ, PC , Houston , TX , USA.

Objective: The purpose of this study was to investigate change in hyoid bone position for patients suffering from myofascial pain and to evaluate the modified hyoid triangle as a three-dimensional cephalometric modality for measuring hyoid position.

Methods: Pre- and post-treatment CBCT scans for 30 female patients resolved of myofascial pain were reviewed by a blinded investigator using the modified hyoid triangle. Changes in dimensions of the hyoid triangle were analyzed with the t-test for paired comparisons. Read More

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http://dx.doi.org/10.1080/08869634.2018.1493178DOI Listing
July 2018
4 Reads

The prevalence of myofascial trigger points in neck and shoulder-related disorders: a systematic review of the literature.

BMC Musculoskelet Disord 2018 Jul 25;19(1):252. Epub 2018 Jul 25.

Centre for Health, Activity and Rehabilitation Research (CHARR), School of Physiotherapy - University of Otago, PO Box 56, Dunedin, 9054, New Zealand.

Background: Neck and shoulder disorders may be linked to the presence of myofascial trigger points (MTrPs). These disorders can significantly impact a person's activities of daily living and ability to work. MTrPs can be involved with pain sensitization, contributing to acute or chronic neck and shoulder musculoskeletal disorders. Read More

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http://dx.doi.org/10.1186/s12891-018-2157-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6060458PMC
July 2018
3 Reads

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.

PM R 2018 Jul 19. Epub 2018 Jul 19.

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

Background: Work-related neck disorders are among the most common dysfunctions in office workers. Understanding cervical myofascial mechanical characteristics that differentiate symptomatic from asymptomatic office workers is crucial for the understanding of musculoskeletal dysfunctions in workers with neck pain.

Objective: To assess the effect of moderate work-related neck disorders on head posture and stiffness and perceived pain threshold of the upper trapezius (UT) and sternocleidomastoid (SCM) muscles. Read More

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http://dx.doi.org/10.1016/j.pmrj.2018.07.002DOI Listing
July 2018
6 Reads

High- versus low-energy extracorporeal shock-wave therapy for myofascial pain syndrome of upper trapezius: A prospective randomized single blinded pilot study.

Medicine (Baltimore) 2018 Jul;97(28):e11432

Department of Rehabilitation Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Republic of Korea.

Background: To compare the efficacy of high- and low-energy extracorporeal shock wave therapy (ESWT) for patients with myofascial pain syndrome (MPS) of the upper trapezius.

Methods: Thirty patients (3 men, 27 women) were randomly assigned to receive either high-energy ESWT (0.210 mJ/mm) or low-energy ESWT (0. Read More

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http://dx.doi.org/10.1097/MD.0000000000011432DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6076058PMC
July 2018
29 Reads