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Trigger Point Injection: Research Studies & Treatment

What is Trigger Point Injection?

A trigger point injection is a procedure designed to reduce or relieve the back pain caused by trigger points, which are small knots that form in muscles or in the fascia tissue leading to pain caused by muscle irritation.

What is Myofascial Trigger Points?

Myofascial trigger point pain is defined as pain arising from one or more myofascial trigger points, which are hyper-irritable spots in the skeletal muscle that are associated with hypersensitive palpable nodules in taut bands.29

Trigger Point Injection Research Studies

체계적인 검토는 여러 연구 또는 논문을 수집하고 비판적으로 분석하는 문헌 검토 유형입니다. A systematic review by Cummings and White assessed the effectiveness of trigger point injection therapy for myofascial pain.29 The systematic review included a total of 23 randomized controlled trials in which all tested needle therapy to relieve myofascial pain.29 While the needling was effective, the positive effect of the therapy was more likely attributed to the needle of the placebo, not the drug injected. There was no pain improvement between direct needling or placebo.29

A systematic review is a type of literature review that collect and critically analyze multiple research studies or papers. Scott et al. studied the effectiveness of trigger point injections for chronic non-malignant musculoskeletal pain in their systematic review.31 Participants’ pain must have lasted more than 3 months to be included in the study.31 15 randomized controlled trials were included for the purpose of the study.31 Researchers found no evidence supporting the effectiveness or ineffectiveness of trigger point injections.31 

Trigger Point Injection Research Conclusion

In regards to pain relief, the three systematic reviews display no evidence for the effectiveness of trigger point injection therapy.  A trigger point injection may not provide pain improvement, but a recent study has shown that ASTR treatment can result in significant pain improvement. ASTR stands for Advanced Soft Tissue Release, a manual therapy specialty developed by Dr. Joesph Jacobs, DPT. ASTR takes a holistic approach to treating the source of soft tissue restriction in a way that is virtually pain-free and highly effective.

효과적인 통증 완화 치료

ASTR은 종종 통증의 원인이 되는 근육 불균형, 흉터 조직, 통증유발점, 근막 제한, 염증, 자세, 신체 역학을 해결하여 근육 및 관절 통증을 부드럽고 효과적이며 자연스러운 방식으로 치료합니다. ASTR은 증상뿐만 아니라 통증의 근본 원인을 해결하기 위해 전체적인 접근 방식을 취합니다. ASTR 치료는 근육 및 관절 통증에 대해 집에서 할 수 있습니다.

참조:

28. Cotchett MP, Landorf KB, Munteanu SE. Effectiveness of dry needling and injections of myofascial trigger points associated with plantar heel pain: a systematic review. J Foot Ankle Res. 2010;3:18.

29. Cummings TM, White AR. Needling therapies in the management of myofascial trigger point pain: a systematic review.Arch Phys Med Rehabil 2001;82:986-92. 

30. Xue CC, Helme RD, Gibson S, et al. 만성 근골격계 통증 환자의 아편유사제 소비에 대한 전기 침술의 효과: 무작위 대조 시험의 프로토콜. 시험. 2012;13:169. 도이:10.1186/1745-6215-13-169.

31.  Scott N. A., Guo B., Barton P. M., Gerwin R. D. Trigger point injections for chronic non-malignant musculoskeletal pain: a systematic review. Pain Medicine. 2009;10(1):54–69. doi: 10.1111/j.1526-4637.2008.00526.x. 

32. Ernst E, Canter PH. A systematic review of systematic reviews of spinal manipulation. Journal of the Royal Society of Medicine. 2006;99(4):192-196.

Effective Trigger Points Release: Self Tigger Points Release

ASTR은 예외적으로 다릅니다.

다양한 웹사이트에서 수집한 리뷰

5/5

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