The Use of complementary medical therapies in the management of myofascial pain disorders
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
Complementary medical therapies are commonly used for the treatment and management of myofascial pain. No universally accepted therapy for this condition exists; consequently, patients often seek alternative and complementary therapies. Many complementary treatments are available. This article focuses on acupuncture, biofeedback, ultrasound, lasers, and massage. Although anecdotally claimed as effective, most of these modalities have not been rigorously investigated because of poor research quality. Appropriate controls, sample sizes, and blinding measures are often lacking. Despite these issues, the trend toward efficacy exists and further examination is warranted.
- Eisenberg DM, Kessler RC, Foster C, et al.: Unconventional medicine in the United States. Prevalence, costs, and patterns of use. N Engl J Med 1993, 328:246–252. CrossRef
- Eisenberg DM, Davis RB, Ettner SL, et al.: Trends in alternative medicine use in the United states, 1990–1997. JAMA 1998, 280(18):1569–1575. CrossRef
- Berman BM, Swyers JP: Establishing a research agenda for investigating alternative medical interventions for chronic pain. Prim Care 1997, 24(4):743–758.
- Charles V, Furnham A: Why do patients turn to complementary medicine: an empirical study. J Clin Psychology 1996, 35:37–48.
- Eisenberg DM, Kessler RC, Van Rompay VI, et al.: Perceptions about complementary therapies relative to conventional therapies among adults who use both: results from a national survey. Ann Intern Med 2001, 135:344–351.
- Biosset M, Fitzcharles MA: Alternative medicine use by rheumatology patients in a universal health care setting. J Rheumatol 1994, 21:148–152.
- Rivner MH: The neurophysiology of myofascial pain syndrome. Curr Pain Headache Rep 2001, 5(5):432–440. CrossRef
- Gerwin RD: Classification, epidemiology, and natural history of myofascial pain syndrome. Curr Pain Headache Rep 2001, 5(5):412–420. CrossRef
- Travell JG, Simons DG: Myofascial Pain and Dysfunction: The Trigger Point Manual. Baltimore: Williams & Wilkins; 1983.
- Clauw DJ: Fibromyalgia: more than just a musculoskeletal disease. Am Fam Physician 1995, 52(3):843–851.
- Wolfe F, Smythe HA, Yunus MB, et al.: The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum 1990, 33:160–172. CrossRef
- Aaron L, Burke M, Buchwald D: Overlapping conditions among patients with chronic fatigue syndrome, fibromyalgia, and temporomandibular disorder. Arch Intern Med 2000, 160:221–227. This article investigates symptom differences and similarities among patients with fibromyalgia, muscle pain disorders, and chronic fatigue, and suggests that they may have an underlying pathology. CrossRef
- Wolfe F, Simons DG, Fricton J, et al.: The fibromyalgia and myofascial pain syndromes: a preliminary study of tender points and trigger points in persons with fibromyalgia, myofascial pain syndrome, and no disease. J Rheumatol 1992, 19(6):944–951.
- Plesh O, Wolfe F, Lane N: The relationship between fibromyalgia and temporomandibular disorders: prevalence and symptom severity. J Rheumatol 1996, 23:1948–1952.
- Sherman J, Turk D: Nonpharmacologic approached to the management of myofascial temporomandibular disorders. Curr Pain Headache Rep 2001, 5:421–31. CrossRef
- Aaron L, Burke M, Buchwald D: Overlapping conditions among patients with chronic fatigue syndrome, fibromyalgia, and temporomandibular disorder. Arch Intern Med 2000, 160:221–227. CrossRef
- Han SC, Harrison P: Myofascial pain syndrome and triggerpoint management. Reg Anesth 1997, 22(1):89–101. CrossRef
- Sherman JJ, Turk DC: Nonpharmacologic approaches to the management of myofascial temporomandibular disorders. Curr Pain Headache Rep 2001, 5:421–431. CrossRef
- Jaeger B, Reeves JL: Quantification of changes in myofascial trigger point sensitivity with pressure algometer following passive stretch. Pain 1986, 27:203–210. CrossRef
- Criscuolo CM: Interventional approaches to the management of myofascial pain syndrome. Curr Pain Headache Rep 2001, 5(5):407–411. CrossRef
- Lewit K: The needle effect in the relief of myofascial pain. Pain 1979, 83–90.
- Cummings TM, White AR: Needling therapies in the management of myofascial trigger point pain: a systematic review. Arch Phys Med Rehabil 2001, 82(7):986–992. This thorough systematic review investigates the use of needles in the treatment of myofascial pain. It concludes that needles are effective for pain reduction; however, no credible, inactive control intervention has been developed. CrossRef
- Han S, Harrison P: Myofascial pain syndrome and trigger point management. Reg Anesth 1997, 22(1):89–101. CrossRef
- Cheng Xinnong: Chinese Acupuncture and Moxibustion. Bejing: Foreign Languages Press; 1999.
- Stux G, Hammerschlag R: Clinical Acupuncture: Scientific Basis. New York: Springer; 2001. This book covers the effects of acupuncture in clinical and animal research settings. The authors combine information from Asian and Western researchers and provide compelling arguments for the neurologic basis of acupuncture analgesia. This reference contains important information for any acupuncture researcher.
- Melzack R, Stillwell D, Fox E: Trigger points and acupuncture points for pain: correlations and implications. Pain 1977, 3:3–23. CrossRef
- Melzack R: Myofascial trigger points: relation to acupuncture and mechanisms of pain. Arch Phys Med Rehabil 1981, 62(3):114–117.
- Vincent C, Lewith G: Placebo controls for acupuncture studies. J Royal Soc of Med 1995, 88:199–202.
- Leibing E, Leonhardt U, Koster G, et al.: Acupuncture treatment of chronic low-back pain: a randomized, blinded, placebo-controlled trial with 9-month follow-up. Pain 2002, 96:189–196. This article investigates acupuncture treatment for chronic low-back pain and concludes that sham acupuncture is as effective as traditional acupuncture. Adequate sample size and power calculations were addressed, making this a high-quality study. CrossRef
- Goddard G, Karibe H, McNeill C, Villafuerte E: Acupuncture and sham acupuncture reduce muscle pain in myofascial pain patients. J Orofac Pain 2002, 16(1):71–76.
- Birch S, Jamison RN: Controlled trial of Japanese acupuncture for chronic myofascial neck pain: assessment of specific and nonspecific effects of treatment. Clin J Pain 1998, 14(3):248–255. CrossRef
- Fargas-Babjak A: Acupuncture, transcutaneous electrical nerve stimulation, and laser therapy in chronic pain. Clin J Pain 2001, 17(suppl 4):S105-S113. This review article covers various complimentary therapies for chronic pain. Caveats for acupuncture, transcutaneous electrical nerve stimulation, lasers, and electrical nerve stimulation research are discussed and systematic reviews in these fields are investigated.
- Kleinhenz J, Streitberger K, Windeler J, et al.: Randomized clinical trial comparing the effects of acupuncture and a newly designed placebo needle in rotator cuff tendonitis. Pain 1999, 83:235–241. CrossRef
- Crider AB, Glaros AG: A meta-analysis of EMG biofeedback treatment of temporomandibular disorders. J Orofascial Pain 1999, 13(1):29–37.
- Glaros AG: Awareness of physiologic responding under stress and non-stress conditions in temporomandibular disorders. Biofeedback Self Regul 1996, 12:261–272. CrossRef
- Eposito CJ, Veal SJ, Farman AG: Alleviation of myofascial pain with ultrasonic therapy. J Prosthet Dent 1984, 51(1):106–108.
- Weber DC, Brown AW: Physical Medicine and Rehabilitation. Philadelphia: WB Saunders; 1996.
- Falconer J, Hayes KW, Chang RW: Therapeutic ultrasound in the treatment of musculoskeletal conditions. Arthritis Care Res 1990, 3:85–91.
- Esenyel M, Caglar N, Aldemir T: Treatment of myofascial pain. Am J Phys Med Rehabil 2000, 79(1):48–52. CrossRef
- Gam A, Warming S, Larsen L, et al.: Treatment of myofascial trigger-points with ultrasound combined with massage and exercise-a randomized controlled trial. Pain 1998, 77:73–39. CrossRef
- Beckerman H, de Bie RA, Bouter LM, et al.: The efficacy of laser therapy for musculoskeletal and skin disorders: a criteriabased meta-analysis of randomized clinical trials. Phys Ther 1992, 72:483–491.
- Ramsey SM: Holistic manual therapy techniques. Primary Care 1997, 24(4):759–786.
- Wiesinger GF, Quittan M, Ebenbichler G, et al.: Benefit and costs of passive modalities in back pain outpatients: a descriptive study. Eur J Phys Med Rehab 1997, 7:182–186.
- Pioro-Boisset M, Esdaile JM, Fitzchareles MA: Alternative medicine use in fibromyalgia. Arthritis Care Res 1996, 9(1):13–17. CrossRef
- Ernst E, Fialka V: The clinical effectiveness of massage therapy-a critical review. Forsch Komplementarmed 1994, 1:226–232. CrossRef
- Barnes J: Myofascial Release: A Comprehensive Evaluatory and Treatment Approach. Paoli: MFR Seminars; 1990.
- Ernst E: Massage therapy for low back pain: a systematic review. J Pain and Symptom Manage 1999, 17(1):65–69. CrossRef
- The Use of complementary medical therapies in the management of myofascial pain disorders
Current Pain and Headache Reports
Volume 6, Issue 5 , pp 370-374
- Cover Date
- Print ISSN
- Online ISSN
- Current Medicine Group
- Additional Links