myofascial pain syndromes

Summary

Summary: Muscular pain in numerous body regions that can be reproduced by pressure on trigger points, localized hardenings in skeletal muscle tissue. Pain is referred to a location distant from the trigger points. A prime example is the TEMPOROMANDIBULAR JOINT DYSFUNCTION SYNDROME.

Top Publications

  1. ncbi Pain relief by electrostimulation of myofascial trigger points: peripheral or central mechanisms?
    Till Sprenger
    Clin J Pain 23:638-9. 2007
  2. ncbi Superficial dry needling and active stretching in the treatment of myofascial pain--a randomised controlled trial
    Janet Edwards
    Acupunct Med 21:80-6. 2003
  3. ncbi Coexistence of fibromyalgia, temporomandibular disorder, and masticatory myofascial pain syndromes
    Berrin Leblebici
    Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Baskent University, Ankara, Turkey
    Rheumatol Int 27:541-4. 2007
  4. ncbi Endplate potentials are common to midfiber myofacial trigger points
    David G Simons
    Department of Physical Medicine and Rehabilitation, University of California Irvine, USA
    Am J Phys Med Rehabil 81:212-22. 2002
  5. ncbi Effect of botulinum toxin on endplate noise in myofascial trigger spots of rabbit skeletal muscle
    Ta Shen Kuan
    Department of Physical Medicine and Rehabilitation, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Republic of China
    Am J Phys Med Rehabil 81:512-20; quiz 521-3. 2002
  6. ncbi Acupuncture and dry needling in the management of myofascial trigger point pain: a systematic review and meta-analysis of randomised controlled trials
    Elizabeth A Tough
    Primary Care, Peninsula Medical School, Universities of Exeter and Plymouth, ITTC Building, Tamar Science Park, Plymouth PL6 8BX, UK
    Eur J Pain 13:3-10. 2009
  7. ncbi Needling therapies in the management of myofascial trigger point pain: a systematic review
    T M Cummings
    British Medical Acupuncture Society, London, England
    Arch Phys Med Rehabil 82:986-92. 2001
  8. ncbi Review of enigmatic MTrPs as a common cause of enigmatic musculoskeletal pain and dysfunction
    David G Simons
    Department of Rehabilitation Medicine, Emory University, 3176 Monticello Street, Atlanta, GA 20014 3535, USA
    J Electromyogr Kinesiol 14:95-107. 2004
  9. ncbi The myofascial trigger point region: correlation between the degree of irritability and the prevalence of endplate noise
    Ta Shen Kuan
    Department of Physical Medicine and Rehabilitation, College of Medicine, National Cheng Kung University, Tainan, Taiwan
    Am J Phys Med Rehabil 86:183-9. 2007
  10. ncbi Management of myofascial trigger point pain
    Peter Baldry
    Acupunct Med 20:2-10. 2002

Detail Information

Publications195 found, 100 shown here

  1. ncbi Pain relief by electrostimulation of myofascial trigger points: peripheral or central mechanisms?
    Till Sprenger
    Clin J Pain 23:638-9. 2007
  2. ncbi Superficial dry needling and active stretching in the treatment of myofascial pain--a randomised controlled trial
    Janet Edwards
    Acupunct Med 21:80-6. 2003
    ..The mean PPT and SFMPQ scores correlated significantly in G1 only, though no significant inter-group differences were demonstrated. Numbers of patients requiring further treatment following the trial were: 6 (G1); 12 (G2); 9 (G3)...
  3. ncbi Coexistence of fibromyalgia, temporomandibular disorder, and masticatory myofascial pain syndromes
    Berrin Leblebici
    Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Baskent University, Ankara, Turkey
    Rheumatol Int 27:541-4. 2007
    ..Our results indicate that coexistence of FM and TMD with MMP is high. Pain and tenderness in the masticatory muscles appear to be an important element in FM, so in some patients it may be the leading complaint...
  4. ncbi Endplate potentials are common to midfiber myofacial trigger points
    David G Simons
    Department of Physical Medicine and Rehabilitation, University of California Irvine, USA
    Am J Phys Med Rehabil 81:212-22. 2002
    ....
  5. ncbi Effect of botulinum toxin on endplate noise in myofascial trigger spots of rabbit skeletal muscle
    Ta Shen Kuan
    Department of Physical Medicine and Rehabilitation, College of Medicine, National Cheng Kung University, Tainan, Taiwan, Republic of China
    Am J Phys Med Rehabil 81:512-20; quiz 521-3. 2002
    ....
  6. ncbi Acupuncture and dry needling in the management of myofascial trigger point pain: a systematic review and meta-analysis of randomised controlled trials
    Elizabeth A Tough
    Primary Care, Peninsula Medical School, Universities of Exeter and Plymouth, ITTC Building, Tamar Science Park, Plymouth PL6 8BX, UK
    Eur J Pain 13:3-10. 2009
    ..However, the limited sample size and poor quality of these studies highlights and supports the need for large scale, good quality placebo controlled trials in this area...
  7. ncbi Needling therapies in the management of myofascial trigger point pain: a systematic review
    T M Cummings
    British Medical Acupuncture Society, London, England
    Arch Phys Med Rehabil 82:986-92. 2001
    ..To establish whether there is evidence for or against the efficacy of needling as a treatment approach for myofascial trigger point pain...
  8. ncbi Review of enigmatic MTrPs as a common cause of enigmatic musculoskeletal pain and dysfunction
    David G Simons
    Department of Rehabilitation Medicine, Emory University, 3176 Monticello Street, Atlanta, GA 20014 3535, USA
    J Electromyogr Kinesiol 14:95-107. 2004
    ..Specific research needs are noted. MTrPs are treatable and they deserve increased attention and consideration by research investigators and clinicians...
  9. ncbi The myofascial trigger point region: correlation between the degree of irritability and the prevalence of endplate noise
    Ta Shen Kuan
    Department of Physical Medicine and Rehabilitation, College of Medicine, National Cheng Kung University, Tainan, Taiwan
    Am J Phys Med Rehabil 86:183-9. 2007
    ..This study was designed to investigate the correlation between the irritability of the myofascial trigger point (MTrP) and the prevalence of endplate noise (EPN) in the MTrP region of human skeletal muscle...
  10. ncbi Management of myofascial trigger point pain
    Peter Baldry
    Acupunct Med 20:2-10. 2002
    ..It is also important that the practitioner excludes certain biochemical disorders...
  11. ncbi A systematic, critical review of manual palpation for identifying myofascial trigger points: evidence and clinical significance
    Corrie Myburgh
    Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark
    Arch Phys Med Rehabil 89:1169-76. 2008
    ..To determine the reproducibility of manual palpation in identifying trigger points based on a systematic review of available literature...
  12. ncbi Dry needling of trigger points with and without paraspinal needling in myofascial pain syndromes in elderly patients
    Hyuk Ga
    Department of Family Medicine, Inha University College of Medicine, Incheon, South Korea
    J Altern Complement Med 13:617-24. 2007
    ..To compare the efficacies of dry needling of trigger points (TrPs) with and without paraspinal needling in myofascial pain syndrome of elderly patients...
  13. ncbi Effect of contrasting physical exercise interventions on rapid force capacity of chronically painful muscles
    Lars L Andersen
    National Research Centre for the Working Environment, Lersø Parkalle 105 DK 2100 Copenhagen Ø, Denmark
    J Appl Physiol (1985) 107:1413-9. 2009
    ..Potentially, the present method can be a useful clinical screening tool of muscle function in rehabilitation settings...
  14. ncbi Myofascial pain--an overview
    Eng Ching Yap
    Department of Rehabilitation Medicine, Tan Tock Seng Hospital, Singapore
    Ann Acad Med Singapore 36:43-8. 2007
    ..Early diagnosis and management may also help reduce psychosocial complications and financial burden of chronic pain syndrome...
  15. ncbi Evaluation of sympathetic vasoconstrictor response following nociceptive stimulation of latent myofascial trigger points in humans
    Y Kimura
    Laboratory for Experimental Pain Research, Center for Sensory Motor Interaction SMI, Department of Health Science and Technology, Aalborg University, Aalborg, DK 9220, Denmark
    Acta Physiol (Oxf) 196:411-7. 2009
    ....
  16. ncbi The spinal cord connections of the myofascial trigger spots
    Ta Shen Kuan
    Department of Physical Medicine and Rehabilitation, College of Medicine, National Cheng Kung University, Tainan, Taiwan, ROC
    Eur J Pain 11:624-34. 2007
    ..However, the sensory (afferent) and the motor (efferent) connections between an MTrP and the spinal cord still has never been fully studied...
  17. pmc Treatment of myofascial trigger points in patients with chronic shoulder pain: a randomized, controlled trial
    Carel Bron
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    BMC Med 9:8. 2011
    ..However, few studies have focused on MTrP therapy. The aim of this study was to assess the effectiveness of multimodal treatment of MTrPs in patients with chronic shoulder pain...
  18. ncbi Acupuncture needling versus lidocaine injection of trigger points in myofascial pain syndrome in elderly patients--a randomised trial
    Hyuk Ga
    Department of Family Medicine, Inha University College of Medicine, Incheon, Korea
    Acupunct Med 25:130-6. 2007
    ..To compare the efficacy of acupuncture needling and 0.5% lidocaine injection of trigger points in myofascial pain syndrome of elderly patients...
  19. ncbi Current studies on myofascial pain syndrome
    Ta Shen Kuan
    Department of Physical Medicine and Rehabilitation, College of Medicine, National Cheng Kung University, 138 Sheng Li Road, Tainan, 704, Taiwan
    Curr Pain Headache Rep 13:365-9. 2009
    ..Many methods have been used to treat myofascial pain, including laser therapy, shockwave therapy, and botulinum toxin type A injection...
  20. ncbi Local treatment of tendinopathies and myofascial pain syndromes with the 5-HT3 receptor antagonist tropisetron
    W Muller
    Hochrhein Institute of Rehabilitation Research, Bad Sackingen, Germany
    Scand J Rheumatol Suppl 119:44-8. 2004
    ..On the other hand, local injection of prilocaine alone exerted a shorter and weaker effect on the condition...
  21. ncbi Lesions of rat skeletal muscle after local block of acetylcholinesterase and neuromuscular stimulation
    S Mense
    Department of Anatomy and Cell Biology III, Heidelberg University, D 69 120 Heidelberg, Germany
    J Appl Physiol (1985) 94:2494-501. 2003
    ....
  22. ncbi Myofascial trigger points in subjects presenting with mechanical neck pain: a blinded, controlled study
    C Fernández-de-Las-Peñas
    Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos URJC, Alcorcon, Spain
    Man Ther 12:29-33. 2007
    ..All the examined muscles evoked referred pain patterns contributing to patients' symptoms. Active TrPs were more frequent in patients presenting with mechanical neck pain than in healthy subjects...
  23. ncbi Myofascial pain syndromes and their evaluation
    Maria Adele Giamberardino
    Ce S I, G d Annunzio Foundation, Department of Medicine and Science of Aging, Chieti University, via Carlo de Tocco n 3, Chieti, Italy
    Best Pract Res Clin Rheumatol 25:185-98. 2011
    ..article reviews the available published knowledge about the diagnosis, pathophysiology and treatment of myofascial pain syndromes from trigger points...
  24. ncbi Myofascial pain syndromes in the maxillofacial area: a common but underdiagnosed cause of head and neck pain
    Leonidas Manolopoulos
    ENT Department, Hippokrateion General Hospital of Athens, Athens, Greece
    Int J Oral Maxillofac Surg 37:975-84. 2008
    b>Myofascial pain syndromes (MPS) are a large group of muscular disorders, characterized by the presence of hypersensitive spots called trigger points (TP). The maxillofacial region is a high-frequency area for developing TPs...
  25. ncbi Botulinum toxin for myofascial pain syndromes in adults
    Adriana Soares
    Department of Medicine, Universidade Federal de Sao Paulo, Belo Horizonte, Brazil
    Cochrane Database Syst Rev 4:CD007533. 2012
    ..Botulinum toxin is a protein produced by the bacterium Clostridium botulinum and is a potent neurotoxin that eventually inhibits muscle contractions. It is capable of selectively weakening painful muscles and interrupting the pain cycle...
  26. ncbi Effects of postural and visual stressors on myofascial trigger point development and motor unit rotation during computer work
    Jeffrey A Hoyle
    The Ergonomics Center of North Carolina, Edward P Fitts Department of Industrial and Systems Engineering, North Carolina State University, 3701 Neil St, Raleigh, NC 27607, USA
    J Electromyogr Kinesiol 21:41-8. 2011
    ..Findings suggest that MTrPs may be one causal pathway for pain during LLSEs and both postural and visual demands may play a role in muscle activation patterns, perhaps attributing to MTrP development and resultant discomfort...
  27. ncbi [Myofascial pain syndrome in the pelvic floor: a common urological condition]
    F Itza
    Unidad de Dolor, Clínica de Dolor Pélvico, Madrid, Espana
    Actas Urol Esp 34:318-26. 2010
    ..Myofascial pain syndrome in the pelvic floor is a very common condition in the urological field and is often ignored or misdiagnosed...
  28. ncbi An expansion of Simons' integrated hypothesis of trigger point formation
    Robert D Gerwin
    Johns Hopkins University Pain and Rehabilitation Medicine, Bethesda, MD 20814 2432, USA
    Curr Pain Headache Rep 8:468-75. 2004
    ..We propose an expansion of this hypothesis to account for new experimental data and established muscle pathophysiology...
  29. ncbi A proposed experimental model of myofascial trigger points in human muscle after slow eccentric exercise
    Kazunori Itoh
    Meiji University of Oriental Medicine, Kyoto, Japan
    Acupunct Med 22:2-12; discussion 12-3. 2004
    ..The purpose of this study was to develop an experimental model of myofascial trigger points to investigate their pathophysiology...
  30. ncbi Muscle trigger point therapy in tension-type headache
    Cristina Alonso-Blanco
    Department of Nursing, Universidad Rey Juan Carlos, Alcorcon, Madrid, Spain
    Expert Rev Neurother 12:315-22. 2012
    ..New studies are needed to further delineate the relationship between muscle TrP inactivation and tension-type headache...
  31. ncbi Myofascial trigger points show spontaneous needle EMG activity
    D R Hubbard
    Department of Neurosciences, University of California, San Diego
    Spine (Phila Pa 1976) 18:1803-7. 1993
    ..Mean EMG amplitude in the patient groups was significantly greater than in normals. The authors hypothesize that TrPs are caused by sympathetically activated intrafusal contractions...
  32. ncbi Myofascial pain syndromes in the upper extremity
    R D Gerwin
    Pain Treatment Center, Johns Hopkins University Medical Institutions, Baltimore, MD, USA
    J Hand Ther 10:130-6. 1997
    b>Myofascial pain syndromes of the upper extremity are common causes of pain that may follow trauma and are associated with acute or chronic musculoskeletal stress...
  33. ncbi Urologic myofascial pain syndromes
    Ragi Doggweiler-Wiygul
    Department of Urology, University of Tennessee, 1211 Union Avenue, Suite 340, Memphis, TN 38104, USA
    Curr Pain Headache Rep 8:445-51. 2004
    ..The referred pain syndrome can long outlast the initial event, making diagnosis difficult...
  34. ncbi Chronic shoulder pain of myofascial origin: a randomized clinical trial using ischemic compression therapy
    Guy Hains
    Private Practice, Trois Rivieres, Côte Richelieu, Trois Rivieres, Quebec, Canada
    J Manipulative Physiol Ther 33:362-9. 2010
    ..The aim of this clinical trial was to evaluate the effect of 15 myofascial therapy treatments using ischemic compression on shoulder trigger points in patients with chronic shoulder pain...
  35. ncbi Evidence of neuroaxonal degeneration in myofascial pain syndrome: a study of neuromuscular jitter by axonal microstimulation
    Chein Wei Chang
    Department of Physical Medicine and Rehabilitation, National Taiwan University College of Medicine and Hospital, No 1, Chang Te St, Taipei 100, Taiwan
    Eur J Pain 12:1026-30. 2008
    ..The mechanism of MPS is possibly implicated with the degeneration of motor neurons...
  36. ncbi Uncovering the biochemical milieu of myofascial trigger points using in vivo microdialysis: an application of muscle pain concepts to myofascial pain syndrome
    Jay P Shah
    Rehabilitation Medicine Department, Clinical Center, National Institutes of Health, Bethesda, MD 20892 1604 USA
    J Bodyw Mov Ther 12:371-84. 2008
    ..In this paper we relate the findings of elevated levels of sensitizing substances within painful muscle to the current theoretical framework of muscle pain and MTrP development...
  37. ncbi Nociceptive and non-nociceptive hypersensitivity at latent myofascial trigger points
    Lian Tao Li
    Department of Rehabilitation, Qi Lu Hospital of Shandong University, Jinan, China
    Clin J Pain 25:132-7. 2009
    ..The aim of the study was to evaluate whether or not there exists nociceptive and non-nociceptive hypersensitivity at latent myofascial trigger points (MTrPs)...
  38. ncbi Attenuated skin blood flow response to nociceptive stimulation of latent myofascial trigger points
    Yang Zhang
    Laboratory for Experimental Pain Research, Center for Sensory Motor Interaction, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark
    Arch Phys Med Rehabil 90:325-32. 2009
    ....
  39. ncbi Botulinum toxin A for myofascial trigger point injection: a qualitative systematic review
    Kok Yuen Ho
    Pain Management Services, Department of Anaesthesia and Surgical Intensive Care, Singapore General Hospital, Outram Road, Singapore 169608, Singapore
    Eur J Pain 11:519-27. 2007
    ..The current evidence does not support the use of BTA injection in trigger points for myofascial pain. The data is limited and clinically heterogeneous...
  40. ncbi Referred pain from the trochlear region in tension-type headache: a myofascial trigger point from the superior oblique muscle
    Cesar Fernandez de Las Penas
    Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, Avenida de Atenas s n 28922, Alcorcon, Madrid, Spain
    Headache 45:731-7. 2005
    ..To our knowledge, MTrPs in the muscle tissues of the trochlear region, ie, the superior oblique muscle (SOM), have not been previously mentioned, and a referred pain pattern from this region has never been reported...
  41. ncbi Classification, epidemiology, and natural history of myofascial pain syndrome
    R D Gerwin
    Johns Hopkins University, Department of Neurology, 7830 Old Georgetown Road, Bethesda, MD 20814-2432, USA
    Curr Pain Headache Rep 5:412-20. 2001
    ..It is a treatable condition that can respond well to manual and injection techniques, but requires attention to postural, ergonomic, and structural factors, and toxic or metabolic factors that impair muscle function...
  42. ncbi The local and referred pain from myofascial trigger points in the temporalis muscle contributes to pain profile in chronic tension-type headache
    César Fernández-de-Las-Peñas
    Department of Physical Therapy of Universidad Rey Juan Carlos, Madrid, Spain
    Clin J Pain 23:786-92. 2007
    ..To assess the local and referred pain areas and pain characteristics evoked from temporalis muscle trigger points (TrPs) in chronic tension-type headache (CTTH)...
  43. ncbi Topographical mapping and mechanical pain sensitivity of myofascial trigger points in the infraspinatus muscle
    Hong You Ge
    Centre for Sensory Motor Interaction SMI, Department of Health Science and Technology, Aalborg University, Fredrik Bajers Vej 7 D 3, DK 9220 Aalborg, Denmark
    Eur J Pain 12:859-65. 2008
    ..To screen for the presence of latent and active myofascial trigger points (MTrPs) in patients with unilateral shoulder and arm pain and perform topographical mapping of mechanical pain sensitivity bilaterally in the infraspinatus muscles...
  44. ncbi A review of myofascial pain and fibromyalgia--factors that promote their persistence
    Robert D Gerwin
    Acupunct Med 23:121-34. 2005
    ..Sometimes, correction of an underlying cause of myalgia is all that is needed to resolve the condition...
  45. ncbi Test-retest reliability of myofascial trigger point detection in patients with rotator cuff tendonitis
    Abdullah M Al-Shenqiti
    Centre for Rehabilitation Science, University of Manchester, UK
    Clin Rehabil 19:482-7. 2005
    ..To investigate the test-retest reliability of the following clinical diagnostic characteristics of myofascial trigger points: taut band, spot tenderness, jump sign, pain recognition, referred pain and local twitch responses (LTRs)...
  46. ncbi Biochemicals associated with pain and inflammation are elevated in sites near to and remote from active myofascial trigger points
    Jay P Shah
    Rehabilitation Medicine Department, National Institutes of Health, Clinical Center, Bethesda, MD 20892, USA
    Arch Phys Med Rehabil 89:16-23. 2008
    ..To investigate the biochemical milieu of the upper trapezius muscle in subjects with active, latent, or absent myofascial trigger points (MTPs) and to contrast this with that of the noninvolved gastrocnemius muscle...
  47. ncbi Treatment of myofascial pain syndrome
    Chang Zern Hong
    Department of Physical Therapy, Hungkuang University, Shalu, Taichung, Taiwan
    Curr Pain Headache Rep 10:345-9. 2006
    ..It is also important to eliminate any perpetuating factors and provide adequate education and home programs to patients so that recurrent or chronic pain can be avoided...
  48. ncbi The impact of latent trigger points on regional muscle function
    Karen R Lucas
    RMIT University, Clinical Neuroscience Research Group, School of Health Sciences, PO Box 71, Bundoora, Melbourne, Victoria, Australia
    Curr Pain Headache Rep 12:344-9. 2008
    ..This article offers suggestions as to the mechanisms via which LTrP-related pathophysiology may explain the clinical examination findings associated with LTrP-containing and functionally related muscles...
  49. pmc High prevalence of shoulder girdle muscles with myofascial trigger points in patients with shoulder pain
    Carel Bron
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Geert Grooteplein 21, 6525 EX Nijmegen, The Netherlands
    BMC Musculoskelet Disord 12:139. 2011
    ..The aim of this observational study was to assess the prevalence of muscles with MTrPs and the association between MTrPs and the severity of pain and functioning in patients with chronic non-traumatic unilateral shoulder pain...
  50. ncbi Myofascial trigger points and their relationship to headache clinical parameters in chronic tension-type headache
    César Fernández-de-Las-Peñas
    Universidad Rey Juan Carlos, Physical Therapy, Alcorcon, Madrid, Spain
    Headache 46:1264-72. 2006
    ....
  51. ncbi New views of myofascial trigger points: etiology and diagnosis
    David G Simons
    Emory University, Atlanta, GA, USA
    Arch Phys Med Rehabil 89:157-9. 2008
    ..This report seems to present an MRE image of the taut band that shows the chevron signature of the increased tension of the taut band compared with surrounding tissues...
  52. pmc Novel applications of ultrasound technology to visualize and characterize myofascial trigger points and surrounding soft tissue
    Siddhartha Sikdar
    Department of Electrical and Computer Engineering, George Mason University, 4400 University Dr, MS 1G5, Fairfax, VA 22030, USA
    Arch Phys Med Rehabil 90:1829-38. 2009
    ..To apply ultrasound (US) imaging techniques to better describe the characteristics of myofascial trigger points (MTrPs) and the immediately adjacent soft tissue...
  53. ncbi Myofascial trigger points and sensitization: an updated pain model for tension-type headache
    C Fernández-de-Las-Peñas
    Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, Madrid, Spain
    Cephalalgia 27:383-93. 2007
    ..In this updated pain model, TrPs would be the primary hyperalgesic zones responsible for the development of central sensitization in CTTH...
  54. ncbi Regional myofascial pain: diagnosis and management
    Mike Cummings
    Best Pract Res Clin Rheumatol 21:367-87. 2007
    ..The clinical evidence for and against the common therapeutic interventions used in the management of myofascial pain is reviewed in detail and some tentative conclusions are reached with respect to needling therapies...
  55. ncbi Dry needling to a key myofascial trigger point may reduce the irritability of satellite MTrPs
    Yueh Ling Hsieh
    Department of Physical Therapy, Hungkuang University, Salu, Taichung, Taiwan
    Am J Phys Med Rehabil 86:397-403. 2007
    ..To investigate the changes in pressure pain threshold of the secondary (satellite) myofascial trigger points (MTrPs) after dry needling of a primary (key) active MTrP...
  56. pmc Reproduction of overall spontaneous pain pattern by manual stimulation of active myofascial trigger points in fibromyalgia patients
    Hong You Ge
    Department of Health Science and Technology, Aalborg University, Fredrik Bajersvej 7, Aalborg, DK 9220, Denmark
    Arthritis Res Ther 13:R48. 2011
    ..The current study investigated whether the overall spontaneous FM pain pattern can be reproduced by local and referred pain from active MTPs located in different muscles...
  57. ncbi Multiple active myofascial trigger points reproduce the overall spontaneous pain pattern in women with fibromyalgia and are related to widespread mechanical hypersensitivity
    Cristina Alonso-Blanco
    Departments of Health Sciences II, Universidad Rey Juan Carlos, Avenida de Atenas s n, Alcorcon, Madrid, Spain
    Clin J Pain 27:405-13. 2011
    ....
  58. ncbi The predetermined sites of examination for tender points in fibromyalgia syndrome are frequently associated with myofascial trigger points
    Hong You Ge
    Laboratory for Musculoskeletal Pain and Motor Control, Center for Sensory Motor Interaction SMI, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark
    J Pain 11:644-51. 2010
    ..Overall spontaneous pain intensity and pain pattern were recorded before manual identification of MTrPs. Local and referred pain pattern from active MTrPs were drawn following manual palpation at TP sites...
  59. ncbi Prevalence of myofascial trigger points in fibromyalgia: the overlap of two common problems
    Hong You Ge
    Laboratory for Musculoskeletal Pain and Motor Control, Center for Sensory Motor Interaction SMI, Department of Health Science and Technology, Aalborg University, Fredrik Bajersvej 7 D3, Aalborg, DK 9220, Denmark
    Curr Pain Headache Rep 14:339-45. 2010
    ..The considerable overlap of MTrPs and FM in pain characteristics and pathophysiology suggests that FM pain is largely due to MTrPs...
  60. ncbi New trends in the treatment and management of myofascial pain syndrome
    John Z Srbely
    Department of Human Health and Nutritional Science, University of Guelph, Guelph, ON, N1G 2W1, Canada
    Curr Pain Headache Rep 14:346-52. 2010
    ..Therapeutic ultrasound demonstrates significant potential as a safe, cost-effective, and relatively noninvasive therapeutic alternative in the treatment and management of this modern day medical enigma...
  61. ncbi Clinical precision of myofascial trigger point location in the trapezius muscle
    V M Sciotti
    New York Chiropractic College, Seneca Falls, NY 13148, USA
    Pain 93:259-66. 2001
    ....
  62. ncbi Effectiveness of ropivacaine trigger points inactivation in the prophylactic management of patients with severe migraine
    Juan M Garcia-Leiva
    Instituto de Neurociencias, Universidad de Granada, Granada, Spain
    Pain Med 8:65-70. 2007
    ..Tenderness and referred pain have been described in migraine and involved in its pathogenesis. The present study was performed to evaluate the prophylactic effectiveness of ropivacaine injections during a 12-week period...
  63. ncbi Myofascial trigger points in early life
    Mu Jung Kao
    Department of Physical Medicine and Rehabilitation, Taipei City Hospital, Taipei, Taiwan
    Arch Phys Med Rehabil 88:251-4. 2007
    ..To determine whether latent myofascial trigger points (MTPs) can be identified in healthy infants and in healthy adult subjects...
  64. ncbi Myofascial trigger points are very prevalent in patients with chronic tension-type headache: a double-blinded controlled study
    Christian Couppe
    Department of Neurology, Danish Headache Center, University of Copenhagen, Glostrup Hospital, Denmark
    Clin J Pain 23:23-7. 2007
    b>Myofascial pain syndromes due to trigger points (TrPs) are clinical entities, but more evidence is needed to evaluate TrP palpation...
  65. ncbi Central representation of hyperalgesia from myofascial trigger point
    David M Niddam
    Brain Research Center, National Yang Ming University, Taipei, Taiwan
    Neuroimage 39:1299-306. 2008
    ..We speculate that suppressed hippocampal activity might reflect stress-related changes in relation to chronic pain as an effective physical and emotional stressor...
  66. ncbi The role of myofascial trigger points in musculoskeletal pain syndromes of the head and neck
    César Fernández-de-Las-Peñas
    Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Avenida de Atenas s n, 28922 Alcorcon, Madrid, Spain
    Curr Pain Headache Rep 11:365-72. 2007
    ..Additional studies are needed to delineate more information on the relation between muscle TrPs and musculoskeletal pain syndromes of the head and neck...
  67. ncbi Variability of criteria used to diagnose myofascial trigger point pain syndrome--evidence from a review of the literature
    Elizabeth A Tough
    Peninsula Medical School, Universities of Exeter and Plymouth, UK
    Clin J Pain 23:278-86. 2007
    ..Experts were defined as being either researchers investigating MTrP pain syndrome or the "authority" the researchers cited as a source of reference for MTrP pain syndrome diagnosis...
  68. ncbi Referred pain from trapezius muscle trigger points shares similar characteristics with chronic tension type headache
    César Fernández-de-Las-Peñas
    Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation of Universidad Rey Juan Carlos, Alcorcon, Madrid, Spain
    Eur J Pain 11:475-82. 2007
    ..Our results suggest that spatial summation of perceived pain and mechanical pain sensitivity exists in CTTH patients...
  69. ncbi Ability of magnetic resonance elastography to assess taut bands
    Qingshan Chen
    Biomechanics Laboratory, Division of Orthopedic Research, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
    Clin Biomech (Bristol, Avon) 23:623-9. 2008
    ..This study explores the ability of magnetic resonance elastography to localize and investigate the mechanical properties of myofascial taut bands on the basis of their effects on shear wave propagation...
  70. pmc Treatment of myofascial trigger points in common shoulder disorders by physical therapy: a randomized controlled trial [ISRCTN75722066]
    Carel Bron
    Research Centre for Allied Health Sciences, Centre for Quality of Care Research, Radboud University Medical Centre, Nijmegen, The Netherlands
    BMC Musculoskelet Disord 8:107. 2007
    ..In addition we investigate the recurrence rate during a one-year-follow-up period...
  71. ncbi Myofascial trigger point development from visual and postural stressors during computer work
    D Treaster
    The Biodynamics Laboratory, The Ohio State University, 1971 Neil Ave, 210 Baker Systems, Columbus, OH 43210, USA
    J Electromyogr Kinesiol 16:115-24. 2006
    ..5 cycles). These significant differences between conditions were found for the right trapezius but not for the left. The findings suggest that high visual stress may be involved in the development of the myofascial pain response...
  72. ncbi Myofascial pain syndromes and their evaluation
    Robert Bennett
    Oregon Health and Science University, SNORD 219, Portland, OR 97239 2941, USA
    Best Pract Res Clin Rheumatol 21:427-45. 2007
    ..Although myofascial pain syndromes have been described in the medical literature for about the last 100 years, it is only recently that ..
  73. ncbi Immediate effect of ultrasound and ischemic compression techniques for the treatment of trapezius latent myofascial trigger points in healthy subjects: a randomized controlled study
    F Javier Montañez Aguilera
    Department of Physical Therapy, Universidad CEU Cardenal Herrera, Valencia, Spain
    J Manipulative Physiol Ther 32:515-20. 2009
    ..The purpose of this study was to determine immediate effects of ischemic compression (IC) and ultrasound (US) for the treatment of myofascial trigger points (MTrPs) in the trapezius muscle...
  74. ncbi Demographics features, clinical findings and functional status in a group of subjects with cervical myofascial pain syndrome
    Nilay Sahin
    Department of Physical Medicine and Rehabilitation, Meram Faculty of Medicine, Selcuk University, Turkey
    Agri 20:14-9. 2008
    ....
  75. ncbi Contribution of the local and referred pain from active myofascial trigger points in fibromyalgia syndrome
    Hong You Ge
    Laboratory for Musculoskeletal Pain and Motor Control, Center for Sensory Motor Interaction SMI, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark
    Pain 147:233-40. 2009
    ..Active MTrPs may serve as one of the sources of noxious input leading to the sensitization of spinal and supraspinal pain pathways in FMS...
  76. ncbi Effects of treatment of peripheral pain generators in fibromyalgia patients
    Giannapia Affaitati
    Pathophysiology of Pain Laboratory, Ce S I, G d Annunzio Foundation, Department of Medicine and Science of Aging, Chieti University, via Carlo de Tocco n 3, Chieti, Italy
    Eur J Pain 15:61-9. 2011
    ..Female patients with (1) FS+myofascial pain syndromes from trigger points (n=68), or (2) FS+joint pain (n=56) underwent evaluation of myofascial/joint ..
  77. ncbi Myofascial pain syndrome and its suggested role in the pathogenesis and treatment of fibromyalgia syndrome
    Helgard P Meyer
    University of Pretoria, Private Bag X 396, Pretoria 0001, South Africa
    Curr Pain Headache Rep 6:274-83. 2002
    ..The purpose of this review is to present clinically relevant data regarding myofascial pain syndrome and to discuss its possible role in the pathophysiology and optimal treatment of fibromyalgia syndrome...
  78. pmc Discrepancy between prevalence and perceived effectiveness of treatment methods in myofascial pain syndrome: results of a cross-sectional, nationwide survey
    Johannes Fleckenstein
    Multidisciplinary Pain Centre, Department of Anaesthesiology, University of Munich, Munich, Germany
    BMC Musculoskelet Disord 11:32. 2010
    ..In this study we investigated how physicians on the basis of prescription behaviour evaluate the effectiveness of treatment options in their management of myofascial pain...
  79. ncbi A distinct pattern of myofascial findings in patients after whiplash injury
    Thierry Ettlin
    Reha Rheinfelden Rehabilitation Center, Rheinfelden, Switzerland
    Arch Phys Med Rehabil 89:1290-3. 2008
    ..To identify objective clinical examinations for the diagnosis of whiplash syndrome, whereby we focused on trigger points...
  80. ncbi Multiple active myofascial trigger points and pressure pain sensitivity maps in the temporalis muscle are related in women with chronic tension type headache
    César Fernández-de-Las-Peñas
    Facultad de Cienciasde la Salud, Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation of Universidad Rey Juan Carlos, Madrid, Spain
    Clin J Pain 25:506-12. 2009
    ....
  81. ncbi Myofascial trigger points in children with tension-type headache: a new diagnostic and therapeutic option
    Celina von Stülpnagel
    Department of Pediatric Neurology and Developmental Medicine, Dr von Haunersches Kinderspital, Ludwig Maximilians University Munich, 80337 Munich, Germany
    J Child Neurol 24:406-9. 2009
    ..Trigger point-specific physiotherapy seems to be an effective therapy in these children. Further prospective and controlled studies in a larger cohort are warranted...
  82. ncbi Myofascial trigger points, neck mobility and forward head posture in unilateral migraine
    C Fernández-de-Las-Peñas
    Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, and Department of Neurology, Fundacion Hospital Alcorcon, Madrid, Spain
    Cephalalgia 26:1061-70. 2006
    ..Active TrPs located ipsilateral to migraine headaches might be a contributing factor in the initiation or perpetuation of migraine...
  83. ncbi Electrophysiological assessment of acupuncture points
    Mu Jung Kao
    China Medical University and the Department of Physical Medicine and Rehabilitation, Taipei City Hospital, Taipei, Taiwan
    Am J Phys Med Rehabil 85:443-8. 2006
    ..This study was designed to assess the occurrence of end plate noise (EPN) in an acupuncture point (AcP)...
  84. ncbi Myofascial pain disorders: theory to therapy
    Anthony H Wheeler
    Pain and Orthopedic Neurology, Charlotte Spine Center, Charlotte, North Carolina 28207, USA
    Drugs 64:45-62. 2004
    ..Chronic myofascial pain is usually a product of both physical and psychosocial influences that complicate convalescence...
  85. ncbi Needle electromyographic activity of myofascial trigger points and control sites in equine cleidobrachialis muscle--an observational study
    Joanne Macgregor
    Equine Veterinary Clinic, Greyfriars Farm, Puttenham, Guildford, UK
    Acupunct Med 24:61-70. 2006
    ..The objective of this study was to explore the electromyographic (EMG) and other characteristics of myofascial trigger points in equine muscle, and to compare them with normal muscle tissue...
  86. ncbi Myofascial trigger points
    Elizabeth Demers Lavelle
    Department of Anesthesiology, Albany Medical Center, 43 New Scotland Avenue, Albany, NY 12208, USA
    Anesthesiol Clin 25:841-51, vii-iii. 2007
    ..The etiology, pathophysiology, and treatment of myofascial trigger points are addressed in this article...
  87. ncbi Reliability of physical examination for diagnosis of myofascial trigger points: a systematic review of the literature
    Nicholas Lucas
    School of Biomedical and Health Sciences, University of Western Sydney, Auckland, New Zealand
    Clin J Pain 25:80-9. 2009
    ..Trigger points are promoted as an important cause of musculoskeletal pain. There is no accepted reference standard for the diagnosis of trigger points, and data on the reliability of physical examination for trigger points are conflicting...
  88. ncbi Signs and symptoms of the myofascial pain syndrome: a national survey of pain management providers
    R N Harden
    Center for Pain Studies, Rehabilitation Institute of Chicago, Illinois 60611, USA
    Clin J Pain 16:64-72. 2000
    ..The goal of this study was to assess clinical consensus regarding whether myofascial pain syndrome (MPS) is a legitimate and distinct diagnosis as well as the signs and symptoms characterizing MPS...
  89. ncbi Effectiveness of a home program of ischemic pressure followed by sustained stretch for treatment of myofascial trigger points
    W P Hanten
    School of Physical Therapy, Texas Woman s University, 1130 MD Anderson Blvd, Houston, TX 77030, USA
    Phys Ther 80:997-1003. 2000
    ..The purpose of this study was to determine the effectiveness of a home program of ischemic pressure followed by sustained stretching for the treatment of myofascial TPs...
  90. ncbi Interventional approaches to the management of myofascial pain syndrome
    C M Criscuolo
    Division of Pain Medicine, Department of Anesthesiology, University of Nebraska Medical Center, 984455 Nebraska Medical Center, Omaha, NE 68198 4455, USA
    Curr Pain Headache Rep 5:407-11. 2001
    Interventional therapies are a valuable addition to our armamentarium when treating myofascial pain syndromes. When combined with other therapies, interventional techniques can be an effective adjunct in the multidisciplinary management ..
  91. ncbi Comparison between newer local anesthetics for myofascial pain syndrome management
    A Th Zaralidou
    Department of Anesthesiology, Pain Clinic, AHEPA University Hospital, Thessaloniki, Greece
    Methods Find Exp Clin Pharmacol 29:353-7. 2007
    b>Myofascial pain syndromes are characterized by the presence of painful loci within muscles, tendons or ligaments, called trigger points. Infiltration of these points with local anesthetics is often used as a treatment modality...
  92. ncbi Contribution of myofascial trigger points to migraine symptoms
    Maria Adele Giamberardino
    Headache Center, Department of Medicine and Science of Aging, G D Annunzio University Ce S I, G d Annunzio Foundation, Chieti, Italy
    J Pain 8:869-78. 2007
    ..Cervical TrPs with referred areas in migraine sites thus contribute substantially to migraine symptoms, the peripheral nociceptive input from TrPs probably enhancing the sensitization level of central sensory neurons...
  93. ncbi Prognostic factors for neuroreflexotherapy in the treatment of subacute and chronic neck and back pain: a study of predictors of clinical outcome in routine practice of the Spanish National Health Service
    Francisco Kovacs
    Scientific Department, Fundacion Kovacs, Madrid, Spain
    Spine (Phila Pa 1976) 32:1621-8. 2007
    ..Prospective cohort follow-up study...
  94. ncbi Future perspectives: pathogenesis of chronic muscle pain
    Roland Staud
    Department of Medicine, University of Florida College of Medicine, Gainesville, FL 32610 0221, USA
    Best Pract Res Clin Rheumatol 21:581-96. 2007
    ....
  95. ncbi Electromyographically guided trigger point injections in the cervicothoracic musculature of obese patients: a new and unreported technique
    Kenneth P Botwin
    Deuk Spine Institute, Titusville, FL, USA
    Pain Physician 10:753-6. 2007
    ..In the cervicothoracic spine, a misguided or misplaced injection can result in a pneumothorax. Here, we review an electromyographically guided trigger point injection technique to avoid this potential pitfall...
  96. ncbi [Myofascial pain syndrome]
    Peter Reilich
    Friedrich Baur Institut an der Neurologischen Klinik, Klinikum der Universitat Munchen
    MMW Fortschr Med 149:44-6. 2007
  97. ncbi Effects of dry needling at tender points for neck pain (Japanese: katakori): near-infrared spectroscopy for monitoring muscular oxygenation of the trapezius
    Shizuo Jimbo
    Department of Orthopaedic Surgery, Rishiri Island Central Hospital, Hokkaido, Japan
    J Orthop Sci 13:101-6. 2008
    ..The purpose of this study was to investigate the effects of tender point dry needling to the trapezius muscles and the resultant changes in muscular hemodynamics...
  98. ncbi Induction of muscle cramps by nociceptive stimulation of latent myofascial trigger points
    Hong You Ge
    Laboratory for Experimental Pain Research, Center for Sensory Motor Interaction SMI, Department of Health Science and Technology, Aalborg University, Fredrik Bajers Vej 7 D 3, 9220, Aalborg, Denmark
    Exp Brain Res 187:623-9. 2008
    ..These results suggest that latent MTrPs could be involved in the genesis of muscle cramps. Focal increase in nociceptive sensitivity at MTrPs constitutes one of the mechanisms underlying muscle cramps...
  99. ncbi Effectiveness and cost-effectiveness analysis of neuroreflexotherapy for subacute and chronic low back pain in routine general practice: a cluster randomized, controlled trial
    Francisco M Kovacs
    Departamento Cientifico, Fundacion Kovacs, Unidad de Investigacion, Gerencia de Atención Primaria, Insalud Balears, Palma de Mallorca, Spain
    Spine (Phila Pa 1976) 27:1149-59. 2002
    ..A cluster randomized, controlled trial was performed...
  100. doi On the impossibility of trigger point-acupoint equivalence: a commentary on Peter Dorsher's analysis
    Stephen Birch
    J Altern Complement Med 14:343-5. 2008
  101. ncbi Can classical acupuncture points and trigger points be compared in the treatment of pain disorders? Birch's analysis revisited
    Peter T Dorsher
    Department of Physical Medicine and Rehabilitation, Mayo Clinic, Jacksonville, Florida 32224, USA
    J Altern Complement Med 14:353-9. 2008
    ..Moreover, Birch concluded that no more than 40% of the acupuncture points examined by Melzack et al. correlated clinically for the treatment of pain (correlation was more like 18%-19%)...

Research Grants6

  1. Mechanisms of Acupuncture Analgesia
    Richard Harris; Fiscal Year: 2006
    ..There is a strong institutional commitment to see the applicant succeed in this task due to a tremendous need for well-trained clinical investigators in alternative and complementary medicine. ..
  2. Peripheral and Central Mechanism of Pain in Patients with Fibromyalgia
    ROLAND M STAUD; Fiscal Year: 2010
    ..Either way, we will provide evidence that will characterize the role of local anesthesia, placebo analgesia, or both. Thus patients with FM and other similar pain syndromes may strongly benefit from the results of our study. ..
  3. MECHANISM OF PAIN IN PATIENTS WITH FIBROMYALGIA SYNDROME
    Roland Staud; Fiscal Year: 2008
    ..In addition, our findings may contribute to the understanding of pain mechanisms related to other chronic pain disorders. ..
  4. Chronic Prostatitis Collaborative Research Network
    Rodney Anderson; Fiscal Year: 2007
    ..abstract_text> ..
  5. Osteopuncture for OA-Associated Knee Pain & Disability
    Debra Weiner; Fiscal Year: 2005
    ..In addition, mechanisms of action will be explored, and the impact of osteopuncture on health care costs determined. ..
  6. Functional Impact of PENS for 65+ Chronic Low Back Pain
    Debra Weiner; Fiscal Year: 2006
    ....