Pain Management Using Myofascial Approach when other Treatment Failed - 06/07/18

Doi : 10.1016/S1047-9651(18)30352-8

Satiko Tomikawa Imamura, MD, PhD ^a,^b,^⁎, Andrew A. Fischer, MD, PhD ^d,^e, Marta Imamura, MD ^a,^b, Manoel Jacobsen Teixeira, MD, PhD ^c, Tchia Yeng Lin, MD ^a,^b, Helena Seguchi Kaziyama, MD ^a,^b, Ronaldo Jorge Azze, MD, PhD ^b, Marco Martins Amatuzzi, MD, PhD ^b
^a From the Physical Medicine and Rehabilitation Division, Paulo, Brazil
^b Department of Orthopaedics and Traumatology of Hospital das Clinicas, Paulo, Brazil
^c The Pain Clinic, São Paulo, Brazil
^d The Physical Medicine and Rehabilitation Service, Veterans Affairs Medical Center, Bronx
^e The Department of Rehabilitation Medicine, Mount Sinai School of Medicine, City University of New York, New York, New York

^*Address reprint requests to: Satiko Tomikawa Imamura, MD, PhD, Division of Physical Medicine and Rehabilitation, Department of Orthopaedics and Traumatology, Hospital das Clínicas, University of São Paulo School of Medicine, Rua Dr. Ovídio Pires de Campos, 333 CEP: 05403-010, São Paulo, BrazilDivision of Physical Medicine and RehabilitationDepartment of Orthopaedics and TraumatologyHospital das ClínicasUniversity of São Paulo School of MedicineRua Dr. Ovídio Pires de Campos, 333São PauloCEP: 05403-010Brazil

Resumen

Original research on three chronic musculoskeletal conditions which include failed back surgery, reflex sympathetic dystrophy, and cumulative trauma disorder are presented. Data demonstrates that myofascial pain syndrome frequently plays an important role in the genesis of pain in the above conditions. Treatment results improve substantially when myofascial approach is utilized in those cases in which conventional therapeutic interventions fail. Significant reduction of pain and decreased tenderness are achieved using Fischer’s needling and infiltration technique, followed by specific physical therapy that consists of heat, electric stimulation, stretching, and relaxation exercises. The correction of the perpetuating and predisposing factors that cause myofascial pain syndrome is important for long term results.

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