International Journal of Physical Medicine & Rehabilitation
Open Access

Various techniques in muscle trigger point (MTrP) management

3^rd International Conference and Exhibition on Physical Medicine & Rehabilitation

May 18-20, 2015 San Antonio, USA

Fadhel Abdul

Posters-Accepted Abstracts: Int J Phys Med Rehabil

Abstract :

Introduction: Myofascial Pain Syndrome (MPS) is one of the most common, non-articular forms of musculoskeletal pain. In a chronic pain centre 85% of 283 consecutive patients received a primary diagnosis of MPS. MPS is associated with â??â??hyperirritable spotsâ??â?? or â??â??trigger pointsâ??â?? (MTrPs) within palpable taut bands of skeletal muscle or fascia that are painful on compression. These can give rise to characteristic referred pain, tenderness, and autonomic nervous system symptoms. Muscles with active MTrPs are tenderer and mechanically sensitive than normal muscle, which do not contain MTrPs. Of numerous treatment approaches, physical therapy (PT), including Ischaemic Compression and Myofascial Release, currently provides the most promise and symptomatic improvement. MTrP Injections (with or without local anaesthetics), spray and stretch and TENS have all shown benefit, while less stimulatory interventions, such as laser and ultrasound, have not convincingly been shown to be beneficial. Objectives: To give an overview to the pain rehabilitation professionals about clinical reasoning behind the practical implementation of various MTrP therapy techniques such as Ischeamic compression, cross friction massage, myofascial release, positional release technique, muscle energy technique and INIT using a systemic review and video demonstration. Conclusion: It will help the audience in guiding towards correct implication of the proper therapy based assessment.