Myofascial pain syndrome is a disorder characterized by persistent and at times severe pain of the muscles. The defining symptom of myofascial pain syndrome is the development of sensitive areas of muscle tenderness and pain caused by areas of tight muscle fibers known as myofascial trigger points. Within the article “Myofascial Pain Syndrome in the Elderly and Self-Exercise: A Single-Blind, Randomized, Control Group” it is explained that with increasing age “the prevalence of musculoskeletal pain is increased 40%-60%.” Thus, it is highly important to have constructive and effective ways of dealing with muscle pain of such caliber. Moreover, it is just as important to have research behind certain methods in order to educate the “at risk” population, …show more content…
The physical therapists who completed the actual treatment had nothing less than four years of clinical experience each. When ultrasound therapy was completed the session lasted for five minutes each time and was performed on an area of 40cm squared around the patient’s marked myofascial trigger points. The SEIB group used a durable silicone ball which was inflatable and therefore adjustable. In order to provide “tailored pressure” the individuals of the SEIB group were allowed to adjust the ball themselves with an air pump depending on how sensitive their myofascial trigger points happened to be. The sessions of SEIB therapy lasted for ten minutes each. In conclusion, after measurements were recorded for four weeks the evaluators came to the conclusion that researched “showed no significant differences between the SEIC and ultrasound groups” in the visual analog scale, the pain pressure threshold, or the cervical lateral flexion. The article does include graphs of the particular …show more content…
Accordingly, this article is incredibly significant for anyone suffering from this condition. Being able to successfully treat this condition from the comfort of the individual’s home without the need for trips to physical therapists or the expense of doctor visits could greatly improve the quality of life for someone diagnosed with myofascial pain syndrome. Moreover, the study was completed with an inexpensive, readily available inflatable silicone exercise ball so as to show it very well can be done without a large added expense. Hopefully this study and ones similar will help spread the fact that self-exercise at home can aid in the quality of life and day to day function in sufferers of myofascial pain
Walton A. 2007. Efficacy of myofascial release techniques in the treatment of primary Raynaud’s phenomenon. Journal of Bodywork and Movement Therapies. 12:274-280.
Musculoskeletal pain affects the bones, muscles, ligaments, tendons and nerves, its commonly but not always it is caused by physical injury, which can be widespread or localised in just one body part. Joint and muscle pain is the probably the number one symptom that prompts people to seek the help of health professionals like osteopaths.
These days muscle pain and spasms have become the most common complaint of many working men and women. To avoid this pain most of them rely upon spa’s to lessen their pain. One of the main techniques used in the spa’s to reduce muscle pain is heat therapy. This nonpharmacological technique helps in reducing the muscle pain as it vasodilates the muscle causing the blood flow to increase at the site of inflammation or injury (Mohammadpour et al. 2014). Due to an increase in the blood supply, the oxygen levels also rise which reduces the amount of inflammatory facilitators and triggers heat shock proteins. With the latest rehabilitation benefits, heat therapy is being used for curing many problems because of its positive feedback.
Controlled increases in physical stress through progressive resistive exercise cause muscle fibers to hypertrophy and become capable of generating greater force.3 Early emphasis is on restoring joint range of motion and muscle flexibility, however, resistive exercises are not delayed. The initial emphasis of muscle loading should be on endurance, accomplished with lower loads and higher repetitions. Progressive resistive exercises are initiated at the available range and progressed to new positions as wrist range of motion returns in all planes. Both the overload principle and the SAID Principle (Specific Adaptation to Imposed Demands) are important considerations in therapeutic exercise dosing.1,3,11 Within pain tolerance, dosing progressive resistive exercises that maintain a therapeutic stress level will encourage muscle tissue hypertrophy. Finding activities that produce the correct force and repetition, without injury, is the goal of the remobilization period. Starting with low force, moderate to high repetitions, and encouraging therapeutic rest following induced stress is important to both the overload principle and the SAID Principle. Additionally, it is important to prevent dosing resistive exercises that exceed optimal stress, which may result in injury. The patient’s response to therapeutic exercise should be assessed during, immediately following,
Fibromyalgia is an extremely disabling condition associated with chronic widespread musculoskeletal pain and reduced pain thresholds (Wolfe et al., 2010)(Kelley et al., 2011). Observational studies have shown that over a 12 month period 25% of men and women surveyed over the age of 65 will consult a primary care physician for musculoskeletal pain (Jordan et al., 2010). Overall, between 46% and 80% of people over the age of 65 report experiencing pain on a daily basis and 15% of women and 10% of men over 50 report widespread musculoskeletal pain (Soldato et al., 2007; Thomas et al., 2004). The Centers for Disease Control and Prevention estimated in xxxx that fibromyalgia patients generated $6000 per patient per year in healthcare costs where as another recent study of administrative claims found that fibromyalgia healthcare costs may exceed $18,000 per patient annually (Wolfe et al., 1997). In a population study of ten chronic diseases, fibromyalgia was highest ranked for healthcare not received in the previous year and in long-term disability, pain, and poor self-rated health by survey participants (Kasman and Badley, 2004).
...c regimen, prolonged hospitalization, cost, workload on medical team, mortality rate. Moreover, unproductive assessment tool existence leads us to look for other evaluation criteria for pain. This study will aid in adding original information about the presented pain assessment tools and will demonstrate their effectiveness and ability to assess the level of pain in non-communicative patients comparing to The Critical-Care Pain Observation Tool (CPOT)
As adults grow older a substantial number of people experience pain and cognitive impairment. Assessment’s of their pain become more complex as patient’s cognitive abilities decline, patient’s losing their ability to express themselves, and not understanding their pain (Chatterjee, 2012). Dementia is one the many cognitive impairments elders might go through. It is a progressive brain disease and can be classified as mild, moderate, or severe according to the level of cognitive impairment. Cognitive impairment can affect a person’s ability to describe their pain, understand the assessment questions that are asked, recall painful events, and rate their pain on a numeric scale 0-10 (Wilsons et al, 2006). Observation assessments like the Abbey
Hasenbring, M.I., Rusu, A.C., & Turk, D.C. (2012). From Acute to Chronic Back Pain: risk factors, mechanisms, and clinical implications: Oxford: OUP Oxford.
...amount of pain) is a great teaching tool for the patient who is able to self-report (Nevius & D’Arcy, 2008). This will put the patient and nurse on the same level of understanding regarding the patient’s pain. The patient should also be aware of the added information included with the pain scale: quality, duration, and location of the pain. During patient teaching, it should be noted that obtaining a zero out of ten on the pain scale is not always attainable after a painful procedure. A realistic pain management goal can be set by the patient for his pain level each day.
"Physical Therapy." Mayo School of Health Sciences. Mayo Clinic, 25 June 2013. Web. 7 Nov. 2013.
Anterior knee pain plagues the athletic community, the most common being runner’s knee or patellofemoral pain syndrome (PFPS). One point or another in an athlete’s career they have experienced this kind of pain. When comparing between male and female athletes and who has the higher chance of knee pain, female athletes have a higher prevalence than male athletes (Dolak KL). There are several different mechanisms of patellofemoral pain a few being: pes planus,an increased Q angle, weak, tight or an imbalance in the quadriceps or hip muscles. Recently in my clinic site as the spring sports such as, baseball, soccer and track and field the athlete’s perform a lot of squatting, running, and kneeling which load the patellofemoral joint. We are now starting to see several and treat several athletes with patellofemoral knee pain. Each of them experiencing the pain from a different mechanism. As an athletic trainer we want to treat not only the symptoms, but the mechanism of injury to prevent further injuries down the road. If patellofemoral pain syndrome is not properly treated it can develop into chronic diseases such as chondromalacia or arthritis, maybe eventually leading to a total knee plan. (Lee SE) Treatment while the athletes are young and symptoms aren’t severe is key to preventing further injury.
The use of ultrasound has led to a considerable analysis of diverse numbers of health conditions associated with medical procedures. It is for this reason that the New Zealand Medical Journal should consider ultrasound as the best nomination for the most important piece of medical equipment in use. Ultrasound is used to diagnose many types of illnesses such as Appendicitis, Kidney Stones and a variation of cancers.
in soft tissue mobilization pressure.” Medicine and Science in Sports and Exercise. April 1999: 531-5.
Physical therapy is a fun and exciting healthcare profession that helps people. It is all about helping other people who have problems with their body, muscles, joints and other parts of their body. Patients includes accident victims and individuals with disabling conditions such as low back pain, arthritis, heart disease, fractures, head injuries, and cerebral palsy. Physical therapy will perform an evaluation of your problem or difficulty. They evaluate your problem by performing tests and measures to assess the problem. These tests includes muscle strength, joint motion, sensory and neurological, coordination, balance, observation, palpation, flexibility, postural screening, movement analysis, and special tests are designed for a particular problem. Next, they develop a treatment plan and goals and then manage the appropriate treatment to aid in recovery of a problem or dysfunction. Physical therapists are able to treat their patients by using many different treatments depending on the type of injury. Some of the treatments are electrical stimulation, hot and cold packs, infrared and ultrasound to reduce swelling or relieve pain. These treatments are used to help decrease pain and increase movement and function. Therapeutic exercises instructions will help restore strength, movement, balance, or skill as a guide towards full functional recovery. Physical therapy provides "hands on techniques" like massage or joint mobilizations skills to restore joint motion or increase soft tissue flexibility. They will focus on basic skills such as getting out of bed, walking safely with crutches or a walker, moving specific joints and muscles of the body. Physical therapists treatment includes patient education to teach them how to deal with a current problem and how to prevent the problem in the future. Such documentation is used to track the patient's progress, and identify areas requiring more or less attention. They encourage patients to use their own muscles. Their main goal is to improve how an individual functions at work and home.
Medical study is a combination of clinical experience and scientific research, which requires proof and evidence. These two components can help physiotherapists with diagnosis, provide treatments for patients and making clinical decision. However, what are the ways for individuals to testify the effectiveness of these methods and treatments? Is there scientific evidence proving the information is correct and up to date? How helpful and appropriate are these methods and treatments to the patients? Hence evidence-based practice is necessary. It has a strong impact in physiotherapy, to ensure researches are more focused and relevant to physiotherapists and as a guiding principle to practice and treatment of patients.