OBJECTIVE To offer the basic data about the causes and distribution of hand tingling, symptoms and physical findings, and pressure pain threshold in desk workers. METHODS Five physiatrists participated in the screening test composed of history and physical examination. A total of 876 desk workers were evaluated and of them 37 subjects with hand tingling were selected. For further analyzing, d...

Background: Myofascial pain syndrome is a significant source of mechanical pain. The aim of this study was to investigate the effects of arm movement on reaction time in females with latent and active upper trapezius myofascial trigger point. Methods: In this interventional study, a convenience sample of fifteen women with one active MTP, fifteen women with one latent MTP in the upper trapez...

BACKGROUND Dry needling at distant myofascial trigger points is an effective pain management in patients with myofascial pain. However, the biochemical effects of remote dry needling are not well understood. This study evaluates the remote effects of dry needling with different dosages on the expressions of substance P (SP) in the proximal muscle, spinal dorsal horns of rabbits. METHODS Male ...

INTRODUCTION The additive effect of tense pelvic-floor holding patterns, trauma, inflammation, or pelvic organ disease can overload the muscles, stimulating the development of myofascial trigger points and pelvic floor hypertonus. The increased tenderness and tension in these muscles may refer pain into the lower back, abdomen, or perineum, or it may cause urethral, vaginal, or anal symptoms by...

BACKGROUND During the Croatian War of Independence, 1991-1995, Croatian soldiers were exposed to traumatic and stressful events. Certain number of soldiers who took part in the war, developed depression and posttraumatic stress disorder (PTSD). Stress is one of the etiological factors in the development of myofascial pain (MPS), although the mechanism of these processes is not entirely understo...

This article considers specific treatment approaches and the role of etiological mechanisms in terms of clinical feature characteristics of MTrPs: increased muscle tension, pain and tenderness, painful stretch range of motion, initiating causes of MTrPs. Final sections note additional treatments that are currently used, and summarize the etiological and clinical distinctions between MTrPs and f...

Shoulder problems are common, with a 1-year prevalence ranging from 4.7% to 46.7% and a lifetime prevalence of 6.7% to 66.7%.Many different structures give rise to shoulder pain, including the structures in the subacromial space, such as the subacromial bursa, the rotator cuff, and the long head of biceps, and are presented in various lessons. Muscle and specifically myofascial trigger points (...

This paper provides an overview of the current state of knowledge regarding the history, pathophysiology, mechanisms of pain production, and proposed methods of treatment of myofascial trigger points. Despite the increasing body of published literature on this subject, many fundamental questions remain unanswered. This paper aims to give the therapist a greater understanding of the current know...