Erschienen in:
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
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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.