Treatment and management of myofascial pain syndrome

被引：52

作者：

Urits, Ivan ^{[1
]}

Charipova, Karina ^{[2
]}

Gress, Kyle ^{[2
]}

Schaaf, Amanda L. ^{[3
]}

Gupta, Soham ^{[3
]}

Kiernan, Hayley C. ^{[3
]}

Choi, Paula E. ^{[4
]}

Jung, Jai Won ^{[2
]}

Cornett, Elyse ^{[5
]}

Kaye, Alan D. ^{[5
]}

Viswanath, Omar ^{[3
,4
,5
,6
]}

机构：

[1] Harvard Med Sch, Beth Israel Deaconess Med Ctr, Dept Anesthesia Crit Care & Pain Med, Boston, MA USA

[2] Georgetown Univ, Sch Med, Washington, DC USA

[3] Univ Arizona, Dept Anesthesiol, Coll Med Phoenix, Phoenix, AZ USA

[4] Creighton Univ, Dept Anesthesiol, Sch Med, Omaha, NE USA

[5] Louisiana State Univ Hlth Shreveport, Dept Anesthesiol, Shreveport, LA USA

[6] Valley Pain Consultants, Envis Phys Serv, Phoenix, AZ USA

来源：

BEST PRACTICE & RESEARCH-CLINICAL ANAESTHESIOLOGY | 2020年 / 34卷 / 03期

关键词：

myofasical pain syndrome; regional pain; chronic pain; alternative therapy; trigger point; TRIGGER-POINT INJECTION; BOTULINUM-TOXIN-A; ELECTRICAL NERVE-STIMULATION; LEVEL LASER THERAPY; DOUBLE-BLIND; UPPER TRAPEZIUS; LIDOCAINE INJECTION; BACK-PAIN; NECK PAIN; IN-VIVO;

D O I：

10.1016/j.bpa.2020.08.003

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Myofascial Pain Syndrome (MPS) is a regional pain disorder that affects every age-group and is characterized by the presence of trigger points (TrPs) within muscles or fascia. MPS is typically diagnosed via physical exam, and the general agreement for diagnostic criteria includes the presence of TrPs, pain upon palpation, a referred pain pattern, and a local twitch response. The prevalence of MPS among patients presenting to medical clinics due to pain ranges anywhere from 30 to 93%. This may be due to the lack of clear criteria and guidelines in diagnosing MPS. Despite the prevalence of MPS, its pathophysiology remains incompletely understood. There are many different ways to manage and treat MPS. Some include exercise, TrP injections, medications, and other alternative therapies. More research is needed to form uniformly-accepted diagnostic criteria and treatments. (C) 2020 Published by Elsevier Ltd.

引用

页码：427 / 448

页数：22

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