Effectiveness of Trigger Point Dry Needling Compared to Therapeutic Ultrasound in Patients with Low Back Pain.
Back pain is one of the most common health complaints in the United States and around the world. Back pain affects 8 out of 10 people at some point during their lives.1 One quarter of the US adult population describes having low back pain at least one day over a three month period; 7.6% of the population reported severe acute low back pain in a one year period. 2 In a survey conducted by the National Institute of Health Statistics, 28.4% population reported low back pain as the leading source of pain. 3
Low-back pain is also the most common cause of job-related disability and a leading contributor to missed work.4, 5, 6
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Deep dry needling and paraspinal dry needling also reduces pain from myofascial trigger points. 13 Despite the effectiveness of dry needling there are inconsistent research studies about trigger point diagnosis through palpation and physical examination.14
Myofascial trigger points (MTrPs) are widely accepted by clinicians and researchers as a primary source of regional neuro-musculoskeletal pain.15, 16 Travell and Simons define MTrPs as ‘hyperirritable points located in taut bands of skeletal muscle, which when compressed, produce a referred pain characteristic of that muscle and a pain that the subject recognizes.15, 17 MTrPs are theorized to develop in muscle tissue in response to injury. Studies have shown that MTrPs are commonly seen in acute and chronic pain conditions, and in nearly all orthopedic conditions. 18,19
Two of the more popular models described in the literature include the myofascial trigger point model and the radiculopathy model.20, 21, 22, 23 Janet Travell MD pioneered the use of MTrP injections that eventually led to the development of the trigger point model of dry needling. The trigger point model specifically targets MTrPs as the clinical manifestation of myofascial pain syndrome (MPS).20, 23 Myofascial trigger points may consist of multiple contraction knots, which are theorized to be present, secondary to an excessive release of acetylcholine (ACh)
Low back pain is the second reason that Americans see their doctor, second only to colds and flu.
Back pain and the perception of pain is a common symptom with multiple causes. According to Porth (2011), at least 2/3’s of people will have one or more
When a patient tries to work through the aches and pains of either rehab or activities of daily life, they can develop pinpoint pain in their muscle due to compensation patterns that may hinder their performance. These pinpoint pains are commonly referred to as either active or latent trigger points. Active trigger points are known as highly localized, hyperirritable, taut bands of skeletal muscle fibers that can be felt by the patient without any palpation; while latent trigger points are pain-free until stimulated with palpation (Morihisa,Eskew, McNamara, & Young, 2016). These trigger points have been seen to be the cause of up to 85% of patients with the chief complaint of muscular pain (Unverzagt, Berglund, & Thomas, 2015). It is because of this that recent research on a technique called dry needling, has recently taken the sports medicine field by storm.
Chronic lower back pain is on the rise in not only America, but is on the rise in the world. According to a study by the Annals of Rheumatic Diseases in 2010, approximately one in ten people suffer from lower back pain, which makes lower back pain the leading cause of disability in the world (http://ard.bmj.com/content/early/2014/02/14/annrheumdis-2013-204428). This rate is on the rise and should be extremely alarming as common activities, including working a desk job, can contribute to chronic lower back pain. While there are many different methods to treat chronic lower back pain, including physical therapy, therapeutic
An estimated eighty percent of the population suffers at least one episode of back pain in their life, and in as many as fifty
“Pain” Assessment“Pain”, written in conjunction with Dr. Ricard Sesek and other members of the Industrial and Systems Engineering Department at Auburn University, detects and analyzes problems experienced with the lower back from workers across the world. Low back pain (LBP) is a common and oppressive musculoskeletal disorder (MSD) with lifetime pervasiveness estimates ranging from approximately 40–80%. LBP was observed to be the greatest contributor unersal disability in terms of years lived with disability, as well as the sixth highest contributor to “overall burden” when measured in disability-adjusted life years of all 291 conditions studied, according to data extracted from the 2010 Global Burden of Disease study. A 2016 study recently
Low back pain is presumed to occur in 85-90% of the adult population at least onset throughout an individual’s lifespan (Bono, 2004). The core as described by Akuthota et al (2008) is a muscular box with the abdominals in the front, paraspinals and gluteals in the rear, the diaphragm at the top, and the pelvic floor and hip girdle musculature at the bottom. Within the “box” multiple muscles help to stabilize the spine and pelvis as well as transmit forces through the kinetic chain. Without the stability provided by the core musculature the spine would become unstable with forces less the 90 N when loaded anteriorly, which is considerably less than the weight of the torso (Akuthota, Ferreiro, Moore & Fredericson, 2008). The muscles and joints
Back pain is one of the leading causes of disability in America with over half of working, adult Americans admitting to having had back pain symptoms. Back pain causes millions of Americans to lose time at work and it costs them millions of dollars spent on pain relief and medical care. If you suffer from back pain Frisco TX, then you know how debilitating it can be.
A number of risk factors for chronic low back pain have been identified, including older age, previous back problems, depression, anxiety and dissatisfaction with work and life situation. In a survey of a group of primary care patients with back / leg pain could be after 4 weeks to find an explanatory diagnosis in only about 13%. What matters instead is that in each case exclude treatable serious causes for symptoms, for a terms of this patients in the age groups under 20 and over 50 years. Important differential diagnoses are:
7.7% or 35 million people seek a chiropractor to relieve lower back pain and find relief. Chiropractors work with patients who have experienced all types of trauma to their spines. Not all back pain is due to accidents or sports injuries. Many people suffer from medical conditions like scoliosis or degenerative disks that can cause severe pain. Back Pain Treatment in Lexington KY will contribute to patients find relief to some of their most common back pain problems.
Bones, joints and muscles are the body parts that are most susceptible to wear and tear due to constant usage. Back aches, especially on the lower region called lumbago is a common health problem that affects people of all ages and is the leading cause of disability according to the World Health Organization. The pain vary in severity and intensity, and most can be alleviated by home remedies for lower back pain.
The reason for the increase in back pain cases is due to the lack of knowledge. The fact is that people simply do not realize that their poor posture is leading to developing pain in the area. Often, they do not take the problem seriously. Lack of knowledge and avoiding immediate treatment leads to chronic back pain problems.
In the United States, low back pain is singled out as the most common reason for time lost at work after the common cold, the third most common condition leading to surgical procedures, and the fifth most common reason for hospital visits (United States Department of Health and Human Services (HHS), Healthy People 2020, n.d.). Reports show that musculoskeletal disorders account for approximately$240 billion in the United States annual healthcare expenditure, with over $100 billion going to treat low back pain alone (Crow & Willis, 2009).
Back pain is one of the most common reasons people go to the doctor or miss work and a leading cause of disability worldwide. Most people have back pain at least once. Fortunately, you can take measures to prevent or relieve most back pain. If prevention fails, simple home treatment and proper body mechanics often will help your back pain within a few weeks and keep it functional for the long haul. Surgery is rarely needed to treat back pain.
Low Back Pain is a major health concern and socio-economic problem across the globe (Zimmerspine, 2008). Research indicates that LBP likely to affect between 60-80% of the entire population at some point in their lives (Balgué, 2012). Studies have found that LBP is the second most common reason, after the common cold, for clinical visits in the United States of America (Magee, 2009). Nice (2008) report that LBP is very common in working-age adults between the ages of 40-60 years old. More recently, Browning and Missouri-Columbia, (2011) report a younger and broader age-range with likely sufferers said to be aged between 30-60 years old. Daily low back pain which lasts longer than one week can affect 17.6% of the working public and is the cause