Management of Myofascial Pain Syndrome in Armed Force Personnel: Two Novel Therapeutic Approach
Lt Col Sonu Singh, Brig. L C Pandey, Lt Col A S Kalra
Citation Information :
Singh LC, Pandey BL, Kalra LC. Management of Myofascial Pain Syndrome in Armed Force Personnel: Two Novel Therapeutic Approach. Indian J Phy Med Rehab 2016; 27 (4):113-120.
Myofascial pain syndrome is one of the commonest pain syndromes now a days. Its pathophysiology is not fully documented or understood. Goal of treatment is to release the pain and discomfort of myofascial pain syndrome.
Methods
This was a multicentric prospective study comprising 70 patients who had been diagnosed clinically with myofascial pain syndrome in the neck, shoulder or back. Cases were randomly divided into two treatment groups. First group (36 cases) were treated with physiotherapy modalities (extracorporeal shock wave therapy and ultrasound therapy as combination therapy) and patients in second group (34 cases) were treated with trigger point injection. In both the groups patients were advised stretching exercises as soon as pain decreases.
Results
Pain was substantially decreased in both the treatment groups but results were early and comparatively better in patients treated by trigger point injection group. Stretching exercises were helpful in regaining strength and also helpful in decreasing recurrence of pain.
Prevalence of myofascial pain in general internal medicine practice. West J Med 1989;151:157-60.
Comorbidity of fibromyalgia and cervical myofascial pain syndrome. Clin Rheumatol 2010;29:405-11.
An expansion of Simons’ integrated hypothesis of trigger point formation. Curr Pain Headache Rep 2004;8:468-75.
Review of enigmatic MTrPs as a common cause of enigmatic musculoskeletal pain and dysfunction. J Electromyogr Kinesiol 2004;14:95-107.
Myofascial pain syndrome and trigger-point management. Reg Anesth 1997;22:89-101.
Interrater reliability of palpation of myofascial trigger points in three shoulder muscles. J Man Manip Ther 2007;15:203-15.
A distinct pattern of myofascial findings in patients after whiplash injury. Arch Phys Med Rehabil 2008;89:1290-1293.
A study of 96 subjects examined both for fibromylagia and myofascial pain. J Musculoskeletal Pain 1995;3(supple 1).
Myofascial trigger point pain in the neck and shoulder girdle; report of 100 cases treated by injection of normal saline. Northwest Med J 1955;54:980-4.
Topographical mapping and mechanical pain sensitivity of myofascial trigger points in the infraspinatus muscle. Eur J Pain 2008.12:859-65.
Myofascial trigger points in persistent posttraumatic shoulder pain. South Med J 1984;77:1277-80.
The effectiveness of non-invasive treatments for active myofascial trigger point pain: a systematic review of the literature. Int J Osteopath Med 2006;9:120-36.
Immediate effects of various physical therapeutic modalities on cervical myofascial pain and triggerpoint sensitivity. Arch Phys Med Rehabil 2002;83:1406-14.
Immediate effect of ultrasound and ischemic compression techniques for the treatment of trapezius latent myofascial trigger points in healthy subjects: a randomized controlled study. J Manipulative Physiol Ther 2009;32:515-20.
Bias and precision in Visual Analogue Scales: a randomized controlled trial. Am J Epidemiol 1999;150:1117-27.
Development of a shoulder pain and disability index. Arthritis Care Res 1991;4:143-9.
The clinical appearance of low back disorders in the city of Gothenburg, Sweden. Acta Ortho Scand. Suppl 1969;118:42-5.
Conservative management of mechanical neck pain: a systematic review, BMJ 1996;313:1291-6.
Randomized controlled study of the antinociceptive effect of ultrasound on trigger point sensitivity; novel applications in myofascial therapy? Clin Rehabil 2007;21:411-7.
Thermal ultrasound decreases tissue stiffness of trigger points in upper trapezius muscles. Physiother Theory Pract 2010;26:167-72.
Pain 1998;77:73-9.
Comparison between superficial and deep acupuncture in the treatment of the shoulder's myofascial pain: a randomized and controlled study. Acupunct Electrother Res 2001;26:229-38.
Needling therapies in the management of myofascial trigger point pain: a systematic review. Arch Phys Med Rehabil 2001; 82: 986-92.
