Effect of treatment on trigger points.

Current Pain and Headache Reports
Javid Majlesi, Halil Unalan

Abstract

Patients with muscle pain complaints commonly are seen by clinicians treating pain, especially pain of musculoskeletal origin. Myofascial trigger points merit special attention because its diagnosis requires examinations skills and its treatment requires specific techniques. If undiagnosed, the patients tend to be overinvestigated and undertreated, leading to chronic pain syndrome. Patients with myofascial pain syndrome present primarily with painful muscle(s) and restricted range of motion of the relevant joint. Palpable painful taut bands are named trigger points and are the main and pathognomonic finding on physical examination. Eliciting local twitch response and referred pain requires experience and examination skills. It may be useful to classify the patient as having acute or chronic, and as having primary or secondary, myofascial pain so the decision on the details of treatment can be curtailed to the needs of each patient. Effective treatment modalities are local heat and cold, stretching exercises, spray-and-stretch, needling, local injection, and high-power pain threshold ultrasound.

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Citations

May 5, 2011·Current Pain and Headache Reports·Maria Adele GiamberardinoRaffaele Costantini
Sep 5, 2012·Current Pain and Headache Reports·Ryan R Ramsook, Gerard A Malanga
Jan 1, 2013·Pain Management·Mehul J DesaiAndrew Nava
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Nov 19, 2011·Best Practice & Research. Clinical Rheumatology·Maria Adele GiamberardinoRaffaele Costantini
Aug 10, 2011·Physical Medicine and Rehabilitation Clinics of North America·Elana M ObersteinAviva Hopkins
Mar 1, 2015·PM & R : the Journal of Injury, Function, and Rehabilitation·Jay P ShahLynn Gerber
Nov 10, 2015·The Clinical Journal of Pain·Lars Arendt-NielsenCésar Fernández-de-Las-Peñas
Dec 13, 2016·The Journal of Orthopaedic and Sports Physical Therapy·Sara Pérez-PalomaresRosa Magallón-Botaya
Oct 5, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·María José Guzmán-PavónCelia Álvarez-Bueno
Dec 1, 2019·Journal of Neural Transmission·Giannapia AffaitatiMaria Adele Giamberardino
Aug 28, 2021·International Journal of Environmental Research and Public Health·Wilawan Kanhachon, Yodchai Boonprakob

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