Book Review: Myofascial Pain Syndromes: The Travell Trigger Point Tapes

The Sternocleidomastoid (SCM) muscle may develop myofascial trigger points and the physical manifestation of pain and signs and symptoms due to these trigger points is commonly referred to as SCM syndrome. The diagnosis of SCM syndrome can be onerous as non-specific signs and symptoms associated with SCM syndrome may vary in presentation. The subject in this case report had post-acceleration-deceleration induced injury to SCM with hypertrophy of sternocleidomastoid muscle on the left side. The patient reported pain over the left SCM muscle, forehead, around the ipsilateral eye, over the cheek, the tip of the chin, sternoclavicular joint and deep in the throat upon. The patient was ascribed various diagnosis before a definitive diagnosis was made. The patient underwent three trigger point injections under ultrasound guidance, last one with BOTOX, and reported long-lasting pain relief. Overall with intensive physical therapy and trigger point injections the acute symptoms resolved. Key words: Sternocleidomastoid syndrome, myofascial pain syndromes, trigger points, ultrasound, Botox

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An Audit of the Effectiveness of Acupuncture on Musculoskeletal Pain in Primary Health Care

Acupuncture in Medicine ◽

10.1136/aim.20.1.35 ◽

2002 ◽

Vol 20 (1) ◽

pp. 35-38 ◽

Cited By ~ 8

Author(s):

Elisa Kam ◽

Guy Eslick ◽

Ian Campbell

Keyword(s):

General Practice ◽

Musculoskeletal Pain ◽

Myofascial Pain ◽

Acupuncture Treatment ◽

Trigger Point ◽

Myofascial Pain Syndromes ◽

Length Of Treatment ◽

Pain Syndromes ◽

Primary Health ◽

Inflammatory Drugs

Little is known about the use of acupuncture in general practice. We performed a retrospective review of the use of acupuncture in relieving musculoskeletal pain, a condition that is commonly encountered in general practice. A sample of 116 patient records was reviewed, from which 92 patients (mean age 52 years; 64% female) met the inclusion criterion of musculoskeletal pain. Information obtained included age, sex, diagnosis, duration of the problem, length of treatment (weeks), number of treatments, duration of each treatment (minutes), number of needles used, level of benefit obtained from the treatment, and recurrence of pain. There were many different conditions encountered. We found an association between the general practitioner using fewer needles and patients experiencing greater pain relief. This could be a reflection of treating myofascial pain syndromes, which often appear to respond well to a single needle in the key trigger point. Overall, we found that sixty-nine percent of patients had a good or excellent response to acupuncture treatment. We recommend acupuncture as a treatment option for patients who do not respond to the usual therapies (non-steroidal anti-inflammatory drugs) for musculoskeletal conditions.

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In Reply: Chronic and Complex Myofascial Pain Syndromes in Chronic Abdominal Wall Pain

Mayo Clinic Proceedings ◽

10.1016/j.mayocp.2019.03.003 ◽

2019 ◽

Vol 94 (5) ◽

pp. 917-918

Author(s):

Amrit K. Kamboj ◽

Patrick Hoversten ◽

Amy S. Oxentenko

Keyword(s):

Abdominal Wall ◽

Myofascial Pain ◽

Myofascial Pain Syndromes ◽

Abdominal Wall Pain ◽

Pain Syndromes ◽

Chronic Abdominal Wall Pain

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Dinamics of somatosensory generated potentials in myofascial pain syndromes

Kazan medical journal ◽

10.17816/kazmj84059 ◽

2001 ◽

Vol 82 (5) ◽

pp. 336-340

Author(s):

G. A. Ivanichev ◽

A. V. Ovchinnikov

Keyword(s):

Nervous System ◽

Myofascial Pain ◽

Pain Syndrome ◽

Myofascial Pain Syndromes ◽

Pain Syndromes ◽

Antinociceptive System

In pronounced pain syndrome the most important functional shifts (the generators of pathologically increased excitement) by recording somatosensory generated potentials arc revealed at higher levels than in slight tenderness. At the same time in slight painfulness tenderness a great number of the generators of mild activity arc found, showing insufficient activity of antinociceptive system. After treatment a number of the generators of pathologically increased excitement decrease, at the same time the migration to the caudal parts of nervous system occurs. The neurophysiologic basis for possible worsening myofascial pain syndromes is created.

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