preview

Myofascial Pain

Decent Essays

BODY:
Myofascial pain has an association with Tension Type Headache, leading to a hypothesis that manual therapy to treat myofascial trigger points, through trigger point release, relieves Tension Type Headache.
Various studies have been performed to determine the efficacy of myofascial trigger point release on relieving tension type headache intensity, frequency and duration. These studies have relied on subjective pain measurement such as a visual analogue scale (VAS) or the McGill Pain Questionnaire to determine effectiveness of a treatment as biochemical evidence in the form of precise molecular identification remains unclear.

Definitions:

Myofascial Trigger Point:
Muscle referred pain is clinically expressed as myofascial trigger points …show more content…

The severity of MTrPs can be assessed through evaluation of pressure pain threshold (PPT) of a MTrP. PPT is inversely proportional to the severity, i.e. The higher the threshold, the less severe the MTrP.
There are several manual therapies used in the treatment of MTrP including ischemic compression, strain & counter strain, muscle energy techniques, traverse friction massage, spray and stretch, dry needling, ultrasound and thermotherapy. This review will only focus on trigger point pressure release as a means for MTrP treatment.
To assess the effects of massage treatments on pressure pain threshold (PPT), Albert F. Moraska conducted a randomized, placebo controlled trial on people with myofascial pain syndrome …show more content…

Subjects were randomly chosen into 3 groups of 6: one group receiving twice weekly massage for 6 weeks; one group to receive twice weekly sham ultrasound sessions for 6 weeks; one wait list control group that participated during the first and last assessments only.
During the assessments, the therapist used an Algometer to determine pressure (Newtons/CM²).

Moraska, A. F. et al found myofascial trigger point release to be effective in increasing Pressure Pain Thresholds, (decreasing myofascial tenderness), at myofascial trigger points.
In a randomized, placebo-controlled trial, immediate and continued improvement in PPT at MTrPs was observed in individuals with myofascial pain expressed as TTH. Gains in PPT of similar magnitude to the first session were also observed after the 12th massage treatment even though a significantly higher baseline was established. The present study underscores MTrP responsiveness to treatment yet also shows that attaining full resolution of trigger point pain may require multiple treatment sessions.(A. F. Moraska, Schmiege, Mann, Butryn, & Krutsch, 2017)

Interaction of Trigger Points and Tension Type

Get Access