The role of extracorporeal shock wave therapy in the combined restorative treatment of the patients presenting with myofascial pain syndrome

Close metadata

The myofascial pain syndromes (MPS) is ranked among the most frequent clinical manifestations of acute and chronic pain in the lumbar region. The authors of the article undertook the analysis of scientific publications from the Pubmed, Medline, and Scopus databases that appeared during the recent years. The analysis has demonstrate that extracorporeal shock wave therapy (ESWT) can be considered as a method of choice to be used in the framework of the complex programs of the treatment and rehabilitation of the condition of interest. The specific etiopathogenetic features of ESWT are considered in terms of the contemporary views with special reference to their influence on the choice of the treatment strategies and concrete methods for the treatment of the myofascial pain syndromes. It is shown that extracorporeal shock wave therapy makes it possible to enhance the blood flow and circulation and increase the permeability of cell membranes thereby facilitating the activation of the regenerative processes in the structural elements of the vertebral-motor segment undergoing the dystrophic changes. Moreover, ESWT produces the anti-inflammatory effects and causes muscle relaxation. There is strong evidence of the possibility to use such modern modalities of manual needs tlomethods of ESWT and manual therapy in patients with MFBS that requires further research. The expected effects of the combined application of extracorporeal shock wave therapy and manual therapy for the treatment of the patients presenting with myofascial pain syndrome remain to be verified in the further studies.

Keywords:

myofascial pain syndromes

extracorporeal shockwave therapy

manual therapy

Authors:

Kostenko E.V.

Poliklinika vosstanovitel'nogo lecheniia #7;
Kafedra nevrologii i neĭrokhirurgii Rossiĭskogo gosudarstvennogo meditsinskogo universiteta;
Kafedra nevrologii Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

Zuev D.S.

Moscow Research and Practical Centre for Medical Rehabilitation, Restorative and Sports Medicine, Moscow Health Department, Moscow, Russia

Zaytseva T.N.

Federal State Budgetary Educational Institution of Higher Professional Education «Russian Medical Academy of Continuous Professional Education», Ministry of Public Health of the Russian Federation, Barrikadnaya str. 2/1-1, Moscow, Russian Federation, 125993

List of references:

Desai MJ, Saini V, Saini S. Myofascial pain syndrome: a treatment review. Pain Ther. 2013;2(1):21-36. https://doi.org/10.1007/s40122-013-0006-y
Podchufarova EV, Yakhno NN. Bol’ v spine. M.: GEOTAR-Media; 2013. (In Russ.)
Sola AE, Rodenberger ML, Gettys BB. Incidence of hypersensitive areas in posterior shoulder muscles; a survey of two hundred young adults. Am J Phys Med. 1955;34(6):585-590.
Simons DG, Travell JG. Myofascial origins of low back pain. Postgrad Med. 2016;73(2):81-92. https://doi.org/10.1080/00325481.1983.11697757
Simons DG. Review of enigmatic MTrPs as a common cause of enigmatic musculoskeletal pain and dysfunction. J Electromyogr Kinesiol. 2004;14(1):95-107. https://doi.org/10.1016/j.jelekin.2003.09.018
Sahin N, Karatas O, Ozkaya M, Cakmak A, Berker E. Demographics features, clinical findings and functional status in a group of subjects with cervical myofascial pain syndrome. Agri. 2008;20(3):14-19.
Jackson T, Chen H, Iezzi T, Yee M, Chen F. Prevalence and correlates of chronic pain in a random population study of adults in Chongqing, China. Clin J Pain. 2014;30(4):346-352. https://doi.org/10.1097/AJP.0b013e31829ea1e3
Jerdes SF. Nespetsificheskaya bol’ v nizhney chasti spiny. Clinical guidelines for district general practitioners and general practitioners. M. 2008. (In Russ.)
Karateev AE, Nasonov EL, Yakhno NN, Ivashkin VT, CHichasova NV, Alekseeva LI, Kukushkin YuA, Karpov MA, Evseev ML, Danilov AB, Vorob’eva OV, Amelin AV, Novikova DS, Drapkina OM, Kopenkin SS, Abuzarova GR. Clinical guidelines «Rational use of nonsteroidal anti-inflammatory drugs (NSAIDs) in clinical practice». Sovremennaya revmatologiya. 2015;9(1):4-34. (In Russ.) https://doi.org/10.14412/1996-7012-2015-1-4-23
Ritzwoller DP, Crounse L, Shetterly S, Rublee D. The association of comorbidities, utilization and costs for patients identified with low back pain. BMC Musculoskelet Disord. 2006;7:72. https://doi.org/10.1186/1471-2474-7-72
Gitbinder OG. Mycosis role in formation of muscle pain syndromes and ways of their correction. Prikladnaya kineziologiya. 2007;8-9:56. (In Russ.)
Kostenko EV. Nespetsificheskiy bolevoy sindrom v nizhney chasti spiny (klinika, diagnostika, reabilitatsiya). Izbrannye lektsii po meditsinskoy reabilitatsii. Razumov A.N., Turova E.A., Koryshev V.I., editors. Tambov: Julis; 2016. (In Russ.)
Kukushkin ML, Tabeeva GR, Podchufarova EV. Bolevoy sindrom: patofiziologiya, klinika, lechenie. Clinical guidelines. Yakhno N.N., editor. M.: IMA-PRESS; 2014. (In Russ.)
Kostenko EV, Kuznetsova AL. The role of chondroprotectors in the complex therapy of nonspecific pain in the lower back. Spravochnik poliklinicheskogo vracha. 2013;6:10-15 (In Russ.)
Karatzanis AD, Psychogios G, Waldfahrer F, Kapsreiter M, Zenk J, Velegrakis GA, Iro H. Management of locally advanced laryngeal cancer. J Otolaryngol Head Neck Surg. 2014;43:4. https://doi.org/10.1186/1916-0216-43-4
Simons DG. New views of myofascial trigger points: etiology and diagnosis. Arch Phys Med Rehabil. 2008;89(1):157-159. https://doi.org/10.1016/j.apmr.2007.11.016
Karlov VA. Nevrologiya. Guidelines for doctors. M.: Meditsinskoe informatsionnoe agentstvo; 2011. (In Russ.)
Ivanichev GA. Manual’naya terapiya. Guide, atlas. Kazan; 1997. (In Russ.)
Ivanichev GA, Kruglov VN, Ivanichev VG. Pathogenetic aspects of the formation and manifestation of classic pain muscle syndromes. Manualʹnaia terapiia. 2006;2:47-54. (In Russ.)
Trevell DG, Simons DG. Myofascial pain. Book 1. M.: Meditsina; 1989. (In Russ.)
Bogacheva LA, Snetkova EP. Back pain: clinic, pathogenesis, principles of reference (experience in outpatient department of back pain). Bol’. 2005;4:26-30. (In Russ.)
Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, Mannion AF, Reis S, Staal JB, Ursin H, Zanoli G; COST B13 Working Group on Guidelines for Chronic Low Back Pain. Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J. 2006;15(suppl 2):192-300. https://doi.org/10.1007/s00586-006-1072-1
Russo RB. Diagnosis of low back pain: role of imaging studies. Clin Occup Environ Med. 2006;5(3):571-589, vi. https://doi.org/10.1016/j.coem.2006.05.003
Roudsari B, Jarvik JG. Lumbar spine MRI for low back pain: indications and yield. AJR Am J Roentgenol. 2010;195(3):550-559. https://doi.org/10.2214/AJR.10.4367
Parfenov VA, Bojko AN, Kostenko EV, Lebedeva AV. Nespetsificheskaya bol’ v nizhney chasti spiny. Guidelines. M. 2014. (In Russ.)
Egorov IV. Myofascial pain: from Virchow’s to our days. Neurology, neuropsychiatry, psychosomatics. 2014;3:75-79. (In Russ.) https://doi.org/10.14412/2074-2711-2014-3-75-79
Kostenko EV. Efficiency of complex therapy of myofascial pain syndromes at lumbar level: applications extracorporeal shock wave therapy and tizanidinum. Meditsinskii alfavit. 2016;1(1):34-40. (In Russ.)
Kostenko EV, Rassulova MA, Turova EA, YUrova OV, Grishina MI, Polyakova NM, Eneeva MA. Ekstrakorporal’naya udarno-volnovaya terapiya v kompleksnoy terapii miofastsial’nogo bolevogo sindroma na poyasnichno-kresttsovom urovne. Guidelines. M. 2015. (In Russ.)
Dadasheva MN, Agafonov BV, Shevtsova NN. Algorithm for the treatment of myofascial pain. Trudnyi patsient. 2013;11:11:47-50. (In Russ.)
Muller-Ehrenberg H, Ramon S, Schaden W, et al. Importance of the Correct Use of Extracorporeal Shockwave Therapy. Arch Phys Med Rehabil. 2017;98(10):2100-2101. https://doi.org/10.1016/j.apmr.2017.04.028
Jeon JH, Jung YJ, Lee JY, Choi JS, Mun JH, Park WY, Seo CH, Jang KU.The effect of extracorporeal shock wave therapy on myofascial pain syndrome. Ann Rehabil Med. 2012;36(5):665-674. https://doi.org/10.5535/arm.2012.36.5.665
Ji HM, Kim HJ, Han SJ. Extracorporeal shock wave therapy in myofascial pain syndrome of upper trapezius. Ann Rehabil Med. 2012;36(5):675-680. https://doi.org/10.5535/arm.2012.36.5.675
Moghtaderi A, Khosrawi S, Dehghan F. Extracorporeal shock wave therapy of gastroc-soleus trigger points in patients with plantar fasciitis: A randomized, placebo-controlled trial. Adv Biomed Res. 2014;3:99. https://doi.org/10.4103/2277-9175.129369
Gür A. Comparison of the Effectiveness of Two Different Extracorporeal Shock Wave Therapy Regimens in the Treatment of Patients With Myofascial Pain Syndrome. Arch Rheumatol. 2014;29(3):186-193. https://doi.org/10.5606/ArchRheumatol.2014.3738
Gerber LH, Shah J, Rosenberger W, Armstrong K, Turo D, Otto P, Heimur J, Thaker N, Sikdar S. Dry Needling Alters Trigger Points in the Upper Trapezius Muscle and Reduces Pain in Subjects With Chronic Myofascial Pain. PM R. 2015;7(7):711-718. https://doi.org/10.1016/j.pmrj.2015.01.020
Paige NM, Miake-Lye IM, Booth MS, Beroes JM, Mardian AS, Dougherty P, Branson R, Tang B, Morton SC, Shekelle PG. Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain: Systematic Review and Meta-analysis. JAMA. 2017;317(14):1451-1460. https://doi.org/10.1001/jama.2017.3086
Strunk RG, Hawk C. Effects of chiropractic care on dizziness, neck pain, and balance: a single-group, preexperimental, feasibility study. J Chiropr Med. 2009;8(4):156-164. https://doi.org/10.1016/j.jcm.2009.08.002
Botwin KP, Sharma K, Saliba R, Patel BC. Ultrasound-guided trigger point injections in the cervicothoracic musculature: a new and unreported technique. Pain Physician. 2008;11(6):885-889.
Rubinstein SM, van Middelkoop M, Assendelft WJ, de Boer MR, van Tulder MW. Spinal manipulative therapy for chronic low-back pain: an update of a Cochrane review. Spine (Phila Pa 1976). 2011;36(13):825-846. https://doi.org/10.1097/BRS.0b013e3182197fe1
Esin RG, Fayzullin RI, Rogozhin AA, Devlikamova FI. Klinicheskaya miologiya. Kazan’: Fen; 2003. (In Russ.)

Close metadata