肌筋膜疼痛综合征：治疗综述。
Myofascial pain syndrome: a treatment review.
机构信息
Pain Medicine and Non-Operative Spine Services, The George Washington University Medical Center, 2131K Street, NW Washington, DC, 20037, USA,
出版信息
Pain Ther. 2013 Jun;2(1):21-36. doi: 10.1007/s40122-013-0006-y. Epub 2013 Feb 12.
Abstract
Myofascial pain syndrome (MPS) is defined as pain that originates from myofascial trigger points in skeletal muscle. It is prevalent in regional musculoskeletal pain syndromes, either alone or in combination with other pain generators. The appropriate evaluation and management of myofascial pain is an important part of musculoskeletal rehabilitation, and regional axial and limb pain syndromes. This article reviews the current hypotheses regarding the treatment modalities for myofascial trigger points and muscle pain. Through a critical evidence-based review of the pharmacologic and nonpharmacologic treatments, the authors aim to provide clinicians with a more comprehensive knowledge of the interventions for myofascial pain.
摘要
肌筋膜疼痛综合征（MPS）定义为源自骨骼肌肌筋膜触发点的疼痛。它在区域性肌肉骨骼疼痛综合征中很常见，无论是单独存在还是与其他疼痛源结合存在。对肌筋膜疼痛的适当评估和管理是肌肉骨骼康复以及区域性轴向和肢体疼痛综合征的重要组成部分。本文综述了目前关于肌筋膜触发点和肌肉疼痛治疗方式的假说。通过对药物和非药物治疗的循证批判性综述，作者旨在为临床医生提供更全面的肌筋膜疼痛干预措施知识。
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本文引用的文献
1
Duloxetine in the management of chronic musculoskeletal pain.
Ther Clin Risk Manag. 2012;8:267-77. doi: 10.2147/TCRM.S17428. Epub 2012 Jun 19.
2
Use of botulinum toxin A for treatment of myofascial pain and dysfunction.
J Oral Maxillofac Surg. 2012 May;70(5):1243-5. doi: 10.1016/j.joms.2012.01.015.
3
Botulinum toxin for myofascial pain syndromes in adults.
Cochrane Database Syst Rev. 2012 Apr 18(4):CD007533. doi: 10.1002/14651858.CD007533.pub2.
4
The effects of pressure release, phonophoresis of hydrocortisone, and ultrasound on upper trapezius latent myofascial trigger point.
Arch Phys Med Rehabil. 2012 Jan;93(1):72-7. doi: 10.1016/j.apmr.2011.08.001. Epub 2011 Oct 7.
5
Botulinum type A toxin complex for the relief of upper back myofascial pain syndrome: how do fixed-location injections compare with trigger point-focused injections?
Pain Med. 2011 Nov;12(11):1607-14. doi: 10.1111/j.1526-4637.2011.01163.x. Epub 2011 Jun 21.
6
Comparison the efficacy of phonophoresis and ultrasound therapy in myofascial pain syndrome.
Rheumatol Int. 2011 Sep;31(9):1203-8. doi: 10.1007/s00296-010-1419-0. Epub 2010 Mar 31.
7
Discrepancy between prevalence and perceived effectiveness of treatment methods in myofascial pain syndrome: results of a cross-sectional, nationwide survey.
BMC Musculoskelet Disord. 2010 Feb 11;11:32. doi: 10.1186/1471-2474-11-32.
8
Identifying and treating myofascial pain syndrome.
Phys Sportsmed. 1997 Feb;25(2):67-75. doi: 10.3810/psm.1997.02.1674.
9
Efficacy and side effects of diclofenac patch in treatment of patients with myofascial pain syndrome of the upper trapezius.
J Pain Symptom Manage. 2010 Jan;39(1):116-25. doi: 10.1016/j.jpainsymman.2009.05.016. Epub 2009 Oct 12.
10
[Comparison of non-invasive and invasive techniques in the treatment of patients with myofascial pain syndrome].
Agri. 2009 Jul;21(3):104-12.
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