Department of Human Health and Nutritional Science, University of Guelph, Guelph, ON, N1G 2W1, Canada.
Curr Pain Headache Rep. 2010 Oct;14(5):346-52. doi: 10.1007/s11916-010-0128-4.
Myofascial pain syndrome presents a significant physical and financial burden to society. In view of the aging demographics, myofascial pain promises to be an even greater challenge to health care in the future. Myofascial trigger points have been identified as important anatomic and physiologic phenomena in the pathophysiology of myofascial pain. While their pathophysiologic mechanisms are still unclear, emerging research suggests that trigger points may be initiated by neurogenic mechanisms secondary to central sensitization, and not necessarily by local injury. A variety of treatments are employed in the management of trigger points, including manual therapy, electrotherapy, exercise, and needle therapy. 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.
肌筋膜疼痛综合征给社会带来了巨大的身体和经济负担。鉴于人口老龄化，肌筋膜疼痛将来可能会对医疗保健构成更大的挑战。肌筋膜触发点已被确定为肌筋膜疼痛病理生理学中的重要解剖学和生理学现象。虽然其病理生理机制尚不清楚，但新兴研究表明，触发点可能是由于中枢敏化引起的神经源性机制引起的，而不一定是由局部损伤引起的。在触发点的管理中采用了多种治疗方法，包括手动治疗、电疗、运动和针疗。治疗性超声波具有很大的潜力，可以作为一种安全、经济有效且相对非侵入性的治疗选择，用于治疗和管理这种现代医学之谜。
