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Pain Management Strategies and Alternative Therapies
Published in Nazar N. Amso, Saikat Banerjee, Endometriosis, 2022
Manual therapy techniques include trigger point release for myofascial pain, soft tissue mobilization and massage and stretching. Trigger point release is carried out with internal or external pressure applied to trigger points in the pelvic floor muscles and the patient could be taught to self-administer trigger point release at home or with their partner; this also helps with deconditioning and leads the way in improving sexual function. Relaxation techniques delivered by the therapist or the psychologist in the team complement those therapies and improve the overall outcomes.
Temporomandibular Joint Disorders
Published in R James A England, Eamon Shamil, Rajeev Mathew, Manohar Bance, Pavol Surda, Jemy Jose, Omar Hilmi, Adam J Donne, Scott-Brown's Essential Otorhinolaryngology, 2022
‘Clicking joint’ is common, and it is now accepted as a variation of normal. Clinical examination may elicit muscle tenderness or direct joint tenderness and reduction of interincisal opening. Physical limitation and lack of joint glide can indicate occlusion of the upper joint space. Muscle tenderness will guide to a diagnosis of myofascial pain.
Low Back Pain
Published in Benjamin Apichai, Chinese Medicine for Lower Body Pain, 2021
Myofascial pain: The same manifestations between lumbar facet joint disorder and myofascial pain: Localized areas of muscle pain.Gets worse with muscle stretching.Muscle stiff.Reduced range of motion.The different manifestations between lumbar facet joint disorder and myofascial pain: Myofascial pain has trigger points are that are nodules on the lumbar muscle, while facet joint pain has tender spots only near the spine.
Investigating the impacts of working at home among office workers with neck pain on health status, depression and sleep quality during the COVID-19 pandemic
Published in International Journal of Occupational Safety and Ergonomics, 2023
The job scope of office workers mostly includes computer use, interviews, presentations and phone calls. It includes prolonged static posture and repetitive writing and reading activities in inappropriate positions. According to studies, a person spends three-quarters of her/his working time sitting. Decreased physical activity and working at the computer for a long time cause occupational safety problems and constitute an important risk factor for musculoskeletal systems [5]. The most common work-related musculoskeletal disorders (MSDs) were reported as lower back pain (LBP) and neck and shoulder pain [6]. Although the prevalence of neck pain is 12–34% in the general population, it has been reported that the 12-month prevalence of those working at a computer exceeds 50–60% [5]. Moretti et al. [7], in their study of 51 mobile office workers, found that 41.2% of them had LBP and 23.5% of them had neck and other pains. Myofascial pain syndrome is one of the neck pain reasons. Myofascial pain syndrome is a chronic musculoskeletal pain characterized by taut bands of muscles which are painful to palpation of muscles. The taut bands are also defined as trigger points. The exact aetiology is unknown. Postural factors, ergonomic features, overuse of the muscles or microtraumas may be the reasons [8]. A review about myofascial trigger points emphasized that myofascial trigger points may be related to MSDs, especially as a source in workplaces [9].
Dorsal dry needling to the pronator quadratus muscle is a safe and valid technique: A cadaveric study
Published in Physiotherapy Theory and Practice, 2023
Albert Pérez-Bellmunt, Carlos López-de-Celis, Jacobo Rodríguez-Sanz, César Hidalgo-García, Joseph M. Donnelly, Simón A Cedeño-Bermúdez, César Fernández-de-las-Peñas
The pronator quadratus (PQ) is a deep flat muscle covering the distal ends of the ulna and radius anteriorly. It originates from the anterior surface of the distal ulna and inserts onto the distal aspect of the anterior surface of the radius proximal to the wrist (Standring, 2016). This muscle is an important pronator of the forearm and also contributes to stability of the distal radio-ulnar joint. Therefore, due to its function, this muscle is susceptible to repetitive overload that may lead to development of myofascial pain. In fact, patients with TrPs in the PQ clinically report difficulty in using scissors for cutting heavy cloth, handling tools while gardening, or using tools that require stability and a forceful grasp. Similarly, injuries in the lower portion of the forearm, e.g., distal radius fracture, could also affect the PQ muscle (Donnelly, 2019). Interestingly, the pain referral pattern from the PQ muscle was not described by Simons, Travell, and Simons (1999). The pain referral pattern from the PQ was described by Hwang, Kang, and Kim (2005) in an experimentally induced pain model. These authors reported that PQ muscle referred pain pattern spreads both proximally and distally along the medial aspect of the forearm mimicking ulnar or median nerve sensory distributions (Hwang, Kang, and Kim, 2005).
Temporomandibular disorders and neck pain in primary headache patients: a retrospective machine learning study
Published in Acta Odontologica Scandinavica, 2023
Martina Ferrillo, Mario Migliario, Nicola Marotta, Francesco Fortunato, Marino Bindi, Federica Pezzotti, Antonio Ammendolia, Amerigo Giudice, Pier Luigi Foglio Bonda, Alessandro de Sire
The diagnosis of TMD involves Axis I for the clinical examination and Axis II for the pain-related disability. Thus, Axis I classifies TMD into three groups:Group I. Muscle diagnoses: (a) myofascial pain; (b) myofascial pain with limited openingGroup II. Disc displacements: (a) disc displacement with reduction; (b) disc displacement without reduction, with limited opening; (c) disc displacement without reduction, without limited opening.Group III. Arthralgia, osteoarthritis, osteoarthrosis: (a) arthralgia; (b) osteoarthritis of the temporomandibular joint; (c) osteoarthrosis of the temporomandibular joint.