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A 2015 review concluded that the technique is ineffective for lower back pain, and the quality of research testing its effectiveness is poor. [12] Trigger point techniques claim to address myofascial trigger points, though the explanation of how this works is controversial. [9] [13] [14]
He published his first book in 1990 entitled, Pain and Myo-Fascial Sequences that described the myofascial sequences, and the reflected pain across the fascia. The key fusion points, diagonals, and movement patterns were then addressed in the 2002 book, Fascial Manipulation for Musculoskeletal Pain . [ 6 ]
At least one of the painful sites must be on the same side as the complaint of pain. Ib. Myofascial pain with limited opening: Myofascial pain as defined in Ia; Pain-free unassisted mandibular opening 40 mm; Maximum assisted opening (passive stretch) 5 mm greater than pain-free unassisted opening. Group II: disc displacements. IIa.
Myofascial pain syndrome is a focal hyperirritability in muscle that can strongly modulate central nervous system functions. Scholars distinguish this from fibromyalgia, which is characterized by widespread pain and tenderness and is described as a central augmentation of nociception giving rise to deep tissue tenderness that includes muscles ...
[55] [56] A 2011 Cochrane review found strong evidence that suggests there is no clinically meaningful difference between spinal manipulation therapy and other treatments for reducing pain and improving function for chronic low back pain. [57] A 2008 review found that with the possible exception of lower back pain, chiropractic manipulation has ...
A review recommended the usage of dry needling, compared to sham or placebo, for decreasing pain immediately after treatment and at 4 weeks in patients with upper quarter myofascial pain syndrome. However, the authors caution that "the limited number of studies performed to date, combined with methodological flaws in many of the studies ...
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