Skip to main content
Erschienen in: Current Pain and Headache Reports 7/2013

01.07.2013 | Myofascial Pain (R Gerwin, Section Editor)

Targeting Myofascial Taut Bands by Ultrasound

verfasst von: Kisha Thomas, Hariharan Shankar

Erschienen in: Current Pain and Headache Reports | Ausgabe 7/2013

Einloggen, um Zugang zu erhalten

Abstract

Myofascial pain syndrome (MPS) is a frequent diagnosis in chronic pain and is characterized by tender, taut bands known as trigger points. The trigger points are painful areas in skeletal muscle that are associated with a palpable nodule within a taut band of muscle fibers. Despite the prevalence of myofascial pain syndrome, diagnosis is based on clinical criteria alone. A growing body of evidence that suggests that taut bands are readily visualized under ultrasound-guided exam, especially when results are correlated with elastography, multidimensional imaging, and physical exam findings such as local twitch response. The actual image characteristic in B mode appears to be controversial. Ultrasonography provides an objective modality to assist with diagnosis and treatment of trigger points in the future.
Literatur
1.
Zurück zum Zitat Bonica JJ. Myofascial pain syndrome. In: Loeser JD, editor. Bonica's management of pain. Philadelphia, PA: Lippincott Williams & Wilkins; 2001. p. 450–70. Bonica JJ. Myofascial pain syndrome. In: Loeser JD, editor. Bonica's management of pain. Philadelphia, PA: Lippincott Williams & Wilkins; 2001. p. 450–70.
2.
Zurück zum Zitat Russel IJ. Myofascial pain syndrome and fibromyalgia syndrome. In: Benzon H, editor. Raj's practical management of pain. Philadelphia: Mosby Elsevier; 2008. p. 455–77.CrossRef Russel IJ. Myofascial pain syndrome and fibromyalgia syndrome. In: Benzon H, editor. Raj's practical management of pain. Philadelphia: Mosby Elsevier; 2008. p. 455–77.CrossRef
3.
Zurück zum Zitat Bron C, Dommerholt JD. Etiology of myofascial trigger points. Curr Pain Headache Rep. 2012;16:439–44.PubMedCrossRef Bron C, Dommerholt JD. Etiology of myofascial trigger points. Curr Pain Headache Rep. 2012;16:439–44.PubMedCrossRef
4.
Zurück zum Zitat Simons DG. New views of myofascial trigger points: etiology and diagnosis. Arch Phys Med Rehabil. 2008;89:157–9.PubMedCrossRef Simons DG. New views of myofascial trigger points: etiology and diagnosis. Arch Phys Med Rehabil. 2008;89:157–9.PubMedCrossRef
5.
Zurück zum Zitat Simons DG, Travell JG, Simons LS. Travell and Simons’ myofascial pain and dysfunction: the trigger point manual. Pennsylvania: Williams & Wilkins; 1999. Simons DG, Travell JG, Simons LS. Travell and Simons’ myofascial pain and dysfunction: the trigger point manual. Pennsylvania: Williams & Wilkins; 1999.
6.
Zurück zum Zitat Kuan TS, Hong CZ, Chen JT, et al. The spinal cord connections of the myofascial trigger spots. Eur J Pain. 2007;11:624–34.PubMedCrossRef Kuan TS, Hong CZ, Chen JT, et al. The spinal cord connections of the myofascial trigger spots. Eur J Pain. 2007;11:624–34.PubMedCrossRef
7.
Zurück zum Zitat Shah JP, Gilliams EA. Uncovering the biochemical milieu of myofascial trigger points using in vivo microdialysis: an application of muscle pain concepts to myofascial pain syndrome. J Body Mov Ther. 2008;12:371–84.CrossRef Shah JP, Gilliams EA. Uncovering the biochemical milieu of myofascial trigger points using in vivo microdialysis: an application of muscle pain concepts to myofascial pain syndrome. J Body Mov Ther. 2008;12:371–84.CrossRef
8.
Zurück zum Zitat Shah JP, Danoff JV, Desai MJ, et al. Biochemicals associated with pain and inflammation are elevated in sites near to, and remote from active myofascial trigger points. Arch Phys Med Rehabil. 2008;89:16–23.PubMedCrossRef Shah JP, Danoff JV, Desai MJ, et al. Biochemicals associated with pain and inflammation are elevated in sites near to, and remote from active myofascial trigger points. Arch Phys Med Rehabil. 2008;89:16–23.PubMedCrossRef
9.
Zurück zum Zitat Hong CZ, Simons DG. Pathophysiologic and electrophysiologic mechanisms of myofascial trigger points. Arch Phys Med Rehabil. 1998;79:863–72.PubMedCrossRef Hong CZ, Simons DG. Pathophysiologic and electrophysiologic mechanisms of myofascial trigger points. Arch Phys Med Rehabil. 1998;79:863–72.PubMedCrossRef
10.
Zurück zum Zitat Lucas N, Macaskill P, Irwig L, et al. Reliability of physical examination for diagnosis of myofascial trigger points: a systematic review of the literature. Clin J Pain. 2009;25:80–9.PubMedCrossRef Lucas N, Macaskill P, Irwig L, et al. Reliability of physical examination for diagnosis of myofascial trigger points: a systematic review of the literature. Clin J Pain. 2009;25:80–9.PubMedCrossRef
11.
Zurück zum Zitat Cosgrove DO, Meire HB, Lim A, et al. Ultrasound: general principles. In: Adam A, editor. Grainger and Allison's diagnostic radiology. Philadelphia, PA: Churchill Livingstone Elsevier; 2008. p. 75–7. Cosgrove DO, Meire HB, Lim A, et al. Ultrasound: general principles. In: Adam A, editor. Grainger and Allison's diagnostic radiology. Philadelphia, PA: Churchill Livingstone Elsevier; 2008. p. 75–7.
13.
Zurück zum Zitat Chen Q, Bensamoun S, Basford JR, et al. Identification and quantification of myofascial taut bands with magnetic resonance elastography. Arch Phys Med Rehabil. 2007;88:1658–61.PubMedCrossRef Chen Q, Bensamoun S, Basford JR, et al. Identification and quantification of myofascial taut bands with magnetic resonance elastography. Arch Phys Med Rehabil. 2007;88:1658–61.PubMedCrossRef
14.
Zurück zum Zitat Chen Q, Basford J, An KN. Ability of magnetic resonance elastography to assess taut bands. Clin Biomech. 2008;23:623–9.CrossRef Chen Q, Basford J, An KN. Ability of magnetic resonance elastography to assess taut bands. Clin Biomech. 2008;23:623–9.CrossRef
15.
Zurück zum Zitat • Sikdar S, Shah JP, Gebreab T, et al. Novel applications of ultrasound technology to visualize and characterize myofascial trigger points and surrounding soft tissue. Arch Phys Med Rehabil. 2009;90:1829–38. This is the first to detect the biochemical products in the trigger point.PubMedCrossRef • Sikdar S, Shah JP, Gebreab T, et al. Novel applications of ultrasound technology to visualize and characterize myofascial trigger points and surrounding soft tissue. Arch Phys Med Rehabil. 2009;90:1829–38. This is the first to detect the biochemical products in the trigger point.PubMedCrossRef
16.
Zurück zum Zitat • Turo D, Otto P, Shah JP, et al. Ultrasonic characterization of the upper trapezius muscle in patients with chronic neck pain. Ultrason Imaging. 2013;35:173–87. This is an interesting paper presenting a study building on previous research using ultrasound imaging and elastography to further explore characteristics of active trigger points in comparison with healthy muscle.PubMedCrossRef • Turo D, Otto P, Shah JP, et al. Ultrasonic characterization of the upper trapezius muscle in patients with chronic neck pain. Ultrason Imaging. 2013;35:173–87. This is an interesting paper presenting a study building on previous research using ultrasound imaging and elastography to further explore characteristics of active trigger points in comparison with healthy muscle.PubMedCrossRef
17.
Zurück zum Zitat Gerwin RD, Duranleau D. Ultrasound identification of the myofascial trigger point. Muscle Nerve. 1997;20:767–8.PubMed Gerwin RD, Duranleau D. Ultrasound identification of the myofascial trigger point. Muscle Nerve. 1997;20:767–8.PubMed
18.
Zurück zum Zitat • Shankar H, Reddy S. Two- and three-dimensional ultrasound imaging to facilitate detection and targeting of taut bands in myofascial pain syndrome. Pain Med. 2012;13:971–5. This report describes the 3-dimensional image characteristics of trigger points.PubMedCrossRef • Shankar H, Reddy S. Two- and three-dimensional ultrasound imaging to facilitate detection and targeting of taut bands in myofascial pain syndrome. Pain Med. 2012;13:971–5. This report describes the 3-dimensional image characteristics of trigger points.PubMedCrossRef
19.
Zurück zum Zitat Kim DS, Jeong TY, Kim YK, Chang WH, Yoon JG, Lee SC. Usefulness of a myofascial trigger point injection for groin pain in patients with chronic prostatitis/chronic pelvic pain syndrome: a pilot study. Arch Phys Med Rehabil. 2013;94:930–6 [Epub Dec 21, 2012].PubMedCrossRef Kim DS, Jeong TY, Kim YK, Chang WH, Yoon JG, Lee SC. Usefulness of a myofascial trigger point injection for groin pain in patients with chronic prostatitis/chronic pelvic pain syndrome: a pilot study. Arch Phys Med Rehabil. 2013;94:930–6 [Epub Dec 21, 2012].PubMedCrossRef
20.
Zurück zum Zitat Rha DW, Shin JC, Kim YK, et al. Detecting local twitch responses of myofascial trigger points in the lower-back muscles using ultrasonography. Arch Phys Med Rehabil. 2011;92:1576–80.PubMedCrossRef Rha DW, Shin JC, Kim YK, et al. Detecting local twitch responses of myofascial trigger points in the lower-back muscles using ultrasonography. Arch Phys Med Rehabil. 2011;92:1576–80.PubMedCrossRef
21.
Zurück zum Zitat Shankar H, Cummings C. Ultrasound imaging of embedded shrapnel facilitates diagnosis and management of myofascial pain syndrome. Pain Pract. Published online Oct 24, 2012. Available at: http://onlinelibrary.wiley.com/ Shankar H, Cummings C. Ultrasound imaging of embedded shrapnel facilitates diagnosis and management of myofascial pain syndrome. Pain Pract. Published online Oct 24, 2012. Available at: http://​onlinelibrary.​wiley.​com/​
22.
Zurück zum Zitat Botwin KP, Sharma K, Saliba R, Patel BC. Ultrasound-guided trigger point injections in the cervicothoracic musculature: a new and unreported technique. Pain Phys. 2008;11:885–9. Botwin KP, Sharma K, Saliba R, Patel BC. Ultrasound-guided trigger point injections in the cervicothoracic musculature: a new and unreported technique. Pain Phys. 2008;11:885–9.
23.
Zurück zum Zitat • Niraj G. Ultrasound-guided pulsed radiofrequency treatment of myofascial pain syndrome: a case series. Br J Anaesth. 2012;109:645–6. This study describes the role of real time ultrasound guided pulsed frequency radio ablation for treatment of trigger points in patients with refractory myofascial pain.PubMedCrossRef • Niraj G. Ultrasound-guided pulsed radiofrequency treatment of myofascial pain syndrome: a case series. Br J Anaesth. 2012;109:645–6. This study describes the role of real time ultrasound guided pulsed frequency radio ablation for treatment of trigger points in patients with refractory myofascial pain.PubMedCrossRef
Metadaten
Titel
Targeting Myofascial Taut Bands by Ultrasound
verfasst von
Kisha Thomas
Hariharan Shankar
Publikationsdatum
01.07.2013
Verlag
Springer US
Erschienen in
Current Pain and Headache Reports / Ausgabe 7/2013
Print ISSN: 1531-3433
Elektronische ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-013-0349-4

Weitere Artikel der Ausgabe 7/2013

Current Pain and Headache Reports 7/2013 Zur Ausgabe

Uncommon Headache Syndromes (J Ailani, Section Editor)

Hypnic Headache: A Review of 2012 Publications

Uncommon Headache Syndromes (J Ailani, Section Editor)

Glossopharyngeal Neuralgia

Childhood and Adolescent Headache (S Evers, Section Editor)

The Efficacy of Triptans in Childhood and Adolescence Migraine

Fibromyalgia (M Peres, Section Editor)

Cognitive Impairment in Fibromyalgia

Blutdrucksenkung schon im Rettungswagen bei akutem Schlaganfall?

31.05.2024 Apoplex Nachrichten

Der optimale Ansatz für die Blutdruckkontrolle bei Patientinnen und Patienten mit akutem Schlaganfall ist noch nicht gefunden. Ob sich eine frühzeitige Therapie der Hypertonie noch während des Transports in die Klinik lohnt, hat jetzt eine Studie aus China untersucht.

Ähnliche Überlebensraten nach Reanimation während des Transports bzw. vor Ort

29.05.2024 Reanimation im Kindesalter Nachrichten

Laut einer Studie aus den USA und Kanada scheint es bei der Reanimation von Kindern außerhalb einer Klinik keinen Unterschied für das Überleben zu machen, ob die Wiederbelebungsmaßnahmen während des Transports in die Klinik stattfinden oder vor Ort ausgeführt werden. Jedoch gibt es dabei einige Einschränkungen und eine wichtige Ausnahme.

Nicht Creutzfeldt Jakob, sondern Abführtee-Vergiftung

29.05.2024 Hyponatriämie Nachrichten

Eine ältere Frau trinkt regelmäßig Sennesblättertee gegen ihre Verstopfung. Der scheint plötzlich gut zu wirken. Auf Durchfall und Erbrechen folgt allerdings eine Hyponatriämie. Nach deren Korrektur kommt es plötzlich zu progredienten Kognitions- und Verhaltensstörungen.

Häusliche Gewalt in der orthopädischen Notaufnahme oft nicht erkannt

28.05.2024 Häusliche Gewalt Nachrichten

In der Notaufnahme wird die Chance, Opfer von häuslicher Gewalt zu identifizieren, von Orthopäden und Orthopädinnen offenbar zu wenig genutzt. Darauf deuten die Ergebnisse einer Fragebogenstudie an der Sahlgrenska-Universität in Schweden hin.

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.