Myofascial Pain Syndromes– Trigger Points
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چکیده
During the past few months, several new studies, reviews and case studies on myofascial pain syndrome [MPS] and myofascial trigger points [TrPs] have been published. Myofascial pain syndrome and TrPs are increasingly being recognized not only in the United States, but also in Europe. Testa and colleagues [Milan, Italy] published an excellent review article detailing the clinical signs that lead to the diagnosis of MPS. Chaitow and Delany published a review article in an orthopedic journal, which may indicate an increasing acceptance of the concepts of MPS and TrPs by a medical discipline that previously has expressed little or no interest in the subject matter. Three other articles emphasized that MPS needs to be included in the differential diagnostic process of radiculopathy, dental pain, and pelvic pain, respectively. New referred pain patterns were described from TrPs in the iliopsoas muscle causing knee pain and in the splenius capitis muscle causing tinnitus. Several articles on the use of botulinum toxin and MPS appeared in the literature. Following the integrated TrP hypothesis that suggests that excessive release of acetylcholine at the motor endplate leads to the formation of TrPs, the use of botulinum toxin is likely to increase particularly for persistent MPS that has not responded well to other TrP therapy (1). After 10 years of preparing this review of the pertinent literature on MPS and TrPs, David Simons welcomes the assistance of physical therapist Jan Dommerholt in preparing this review column. Each article review indicates whether it is prepared by Simons [DGS] or Dommerholt [JD].
منابع مشابه
Urologic myofascial pain syndromes.
Treatment of pain of urogenital origin, chronic pelvic pain syndrome, can be frustrating for patients and physicians. The usual approaches do not always produce the desired results. Visceral pain from pelvic organs and myofascial pain from muscle trigger points share common characteristics. Referred pain from myofascial trigger points can mimic visceral pain syndromes and visceral pain syndrome...
متن کاملMyofascial Pain Syndrome: A Treatment Review
Myofascial pain syndrome (MPS) is defined as pain that originates from myofascial trigger points in skeletal muscle. It is prevalent in regional musculoskeletal pain syndromes, either alone or in combination with other pain generators. The appropriate evaluation and management of myofascial pain is an important part of musculoskeletal rehabilitation, and regional axial and limb pain syndromes. ...
متن کاملMyofascial Trigger Points: Pathophysiology and Treatment
The aim of this article is to review the possible mechanisms related to the pathophysiology and treatment of myofascial trigger points with the technique of dry needling. Muscles in general and myofascial trigger points (MTrP‟s) are a major source of persistent pain (Travell 1983). Myofascial pain is often associated with MTrP‟s in muscles, tendons and fascia (Sola 1990, Simons 1999).It is char...
متن کاملMyofascial pain syndromes and their evaluation.
This article reviews the available published knowledge about the diagnosis, pathophysiology and treatment of myofascial pain syndromes from trigger points. Furthermore, epidemiologic data and clinical characteristics of these syndromes are described, including a detailed account of sensory changes that occur at both painful and nonpainful sites and their utility for diagnosis and differential d...
متن کاملInternational Rehabilitation Medicine Association Myofascial Pain Syndrome Due to Trigger Points
متن کامل
Myofascial Pain Syndromes from Trigger Points
Myofascial pain syndrome (MPS) constitutes a substantial portion of the pain spectrum, acute and chronic, as both the primary cause of disability, and as a complication arising from other problems such as failed low back surgery, cervical whiplash, overuse, or repetitive strain syndrome. MPS is a very specific type of muscular pain, and is not to be confused with fibromyalgia. It is common afte...
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تاریخ انتشار 2004