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Myofascial low back pain: a review.

Physical medicine and rehabilitation clinics of North America
November 1, 2010
Gerard A Malanga et al. (2 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the role of massage as an alternative treatment option for myofascial pain syndrome.

Results Summary

The abstract suggests that massage is one of several effective treatment options for myofascial pain syndrome, alongside pharmacologic and needling therapies, but does not provide specific data on its efficacy.

Population

Individuals with myofascial pain syndrome, particularly those with chronic pain disorders.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
comprehensive rehabilitation program
decrease
myofascial pain syndrome
patients with myofascial pain syndrome
-
should be treated with
#1
pharmacologic treatments
decrease
myofascial pain syndrome
patients with myofascial pain syndrome
-
include
#2
needling with or without anesthetic agents or nerve stimulation
decrease
myofascial pain syndrome
patients with myofascial pain syndrome
-
include
#3
massage
decrease
myofascial pain syndrome
patients with myofascial pain syndrome
-
include
#4
herbal medicines
decrease
myofascial pain syndrome
patients with myofascial pain syndrome
-
include
#5
repeated trigger point injections
no change
myofascial pain syndrome
patients with myofascial pain syndrome
-
should be avoided
#6
corticosteroids
no change
trigger points
patients with myofascial pain syndrome
-
should not be injected
#7
Abstract

Myofascial pain syndrome is a common nonarticular local musculoskeletal pain syndrome caused by myofascial trigger points located at muscle, fascia, or tendinous insertions, affecting up to 95% of people with chronic pain disorders. Clinically, myofascial pain syndrome can present as painful restricted range of motion, stiffness, referred pain patterns, and autonomic dysfunction. The underlying cause is often related to muscular imbalances, and following a thorough physical examination the condition should be treated with a comprehensive rehabilitation program. Additional treatment options include pharmacologic, needling with or without anesthetic agents or nerve stimulation, and alternative medicine treatments such as massage or herbal medicines. Repeated trigger point injections should be avoided, and corticosteroids should not be injected into trigger points.

Medical Subject Headings (MeSH)
ComorbidityFibromyalgiaGlucocorticoidsHumansMuscle ContractionMyofascial Pain SyndromesPhysical ExaminationRange of Motion, ArticularVitamin D Deficiency
Study Links
Quality Scores
SafetyNot Assessed
Efficacy70/10
Quality60/10
Citation Metrics
Total Citations42
Citations/Year2.8
Relative Citation Ratio1.70
NIH Percentile69.4%
Research Impact Scores
APT Score0.75
Weight Score1.11
Normalized Score0.60
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