Cutar ciwo ta myofascial
| Cutar ciwo ta myofascial | |
|---|---|
| Sauran sunaye | Ciwon myofascial na yau da kullun, ciwon myo fascial da ciwon dysfunction (MPDS ko MFPDS) |
| Kyakkyawan | Rashin ƙwaƙwalwa |
| Binciken bambance-bambance | Giant cell arteritis, arthritis [1] |
| Cutar ciwo ta myofascial | |
|---|---|
Description (en)  | |
| Iri | medically unexplained physical symptom (en) myalgia (en) |
| Field of study (en) | rheumatology (en) physical medicine and rehabilitation (en) |
| Sanadi | trigger point (en) |
| Identifier (en) | |
| ICD-9-CM | 729.1 |
| ICD-10 | M791 |
| ICD-9 | 729.1 |
| MeSH | D009209 |
| Disease Ontology ID | DOID:431 |
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| Myofascial pain syndrome | |
|---|---|
| Other names | Chronic myofascial pain, myofascial pain and dysfunction syndrome (MPDS or MFPDS) |
| Specialty | Rheumatology |
| Differential diagnosis | Giant cell arteritis, arthritis[1] |
Page Samfuri:Reflist/styles.css has no content.Ciwo na Myofascial (MPS), wanda aka fi sani da ciwo na myofascial mai tsanani (CMP), ciwo ne wanda ke nuna ciwo mai tsanani a cikin Abubuwan da ke haifar da myofascial ("knots") da fascial (ƙwayoyin haɗin kai). Zai iya bayyana a kowane bangare na jiki. Alamomin maɓallin myofascial sun haɗa da: maɓallin maɓallin kulawa, haihuwar ciwo a kan palpation na maɓallin kunnawa, ƙarfafa tsoka a kan palpaction na maɓalli, ƙarancin ƙarfi na tsoka da ke ciki, ciwo da aka ambata, da iyakantaccen motsi bayan kusan sakan 5 na matsin lamba mai ci
An yi imanin cewa dalilin shine tashin hankali na tsoka ko spasms a cikin tsokoki da abin ya shafa.[1] Koyaya, shaidu masu tasowa sun nuna cewa ƙwayoyin fascial da halaye na biomechanical da neurophysiological na iya ba da gudummawa ga ci gaba da ci gaba da zafi na myofascial.[2] Binciken ya dogara ne akan alamun da kuma yiwuwar Nazarin barci.[1]
Magani na iya haɗawa da maganin zafi, maganin jiki, masu tsaron baki, kuma wani lokaci benzodiazepine.[1] Yana da sanannen sanadin ciwon temporomandibular.[1]
Alamomi da alamomi
[gyara sashe | gyara masomin]- Ciwon tsoka na yanki
- Abubuwan da ke haifar da ciwo (MTrPs)
Gabaɗaya, ciwon tsoka yana da ƙarfi, mai ciwo, kuma mai zurfi. Dangane da shari'ar da wurin ƙarfin zai iya kasancewa daga rashin jin daɗi mai sauƙi zuwa mai ban tsoro da "kamar walƙiya". Ana iya ganin maɗaura ko jin a ƙarƙashin fata. Ba za a warware shi da kansa ba, koda bayan kulawa ta farko kamar kankara, zafi, da hutawa.[3] An yi amfani da Electromyography (EMG) don gano aikin neuron na motsi mara kyau a yankin da abin ya shafa.[4]
A physical exam usually reveals palpable trigger points in affected muscles and taut bands corresponding to the contracted muscles. The trigger points are exquisitely tender spots on the taut bands.
Causes
[gyara sashe | gyara masomin]The causes of MPS are not fully documented or understood. At least one study rules out trigger points: "The theory of myofascial pain syndrome (MPS) caused by trigger points (TrPs) ... has been refuted. This is not to deny the existence of the clinical phenomena themselves, for which scientifically sound and logically plausible explanations based on known neurophysiological phenomena can be advanced."[5] Some systemic diseases, such as connective tissue disease, can cause MPS. Poor posture and emotional disturbance might also instigate or contribute to MPS.[6]
Diagnosis
[gyara sashe | gyara masomin]Diagnosis is generally based on the symptoms and possible sleep studies.[1]
Comparison with fibromyalgia
[gyara sashe | gyara masomin]Myofascial pain syndrome (MPS) is commonly confused with fibromyalgia (FM) as their presentation is similar. However, fibromyalgia is typically associated with fatigue, depression and cognitive dysfunction. The anatomic distribution and characteristic of the pain also differ. While the fibromyalgia pain is generalized, bilateral and typically involving muscles above and below the waist, the MPS pain affects a particular region of the body such as the mandible or the shoulders. The MTrPs found in MPS present overt palpable nodular structures within the muscle, while aside from tenderness, the trigger points in FM are indistinguishable from surrounding tissue. [4]
However, there are some challenges distinguishing these syndromes:[4]
- Difficulty differentiating FM trigger points from myofascial trigger points
- Poor reliability in detecting taut bands
- MPS may become generalized over time thus mimicking FM
Treatment
[gyara sashe | gyara masomin]Massage therapy using trigger-point release techniques may be effective in short-term pain relief.[7] Physical therapy involving gentle stretching and exercise may be useful for recovering full range of motion and motor coordination. Once the trigger points are gone, muscle strengthening exercise can begin, supporting long-term health of the local muscle system.[8]
Myofascial release, which involves gentle fascia manipulation and massage, may improve or remediate the condition.[9]
A systematic review concluded that dry needling for the treatment of myofascial pain syndrome in the lower back appeared to be a useful adjunct to standard therapies, but that clear recommendations could not be made because the published studies were small and of low quality.[10]
Posture evaluation and ergonomics may provide relief in the early stages of treatment.[8] Gentle, sustained stretching exercises within a comfortable range of motion have been shown to lessen symptoms. Regular, non-intense activity is also encouraged.[11]
Manazarta
[gyara sashe | gyara masomin]- 1 2 3 4 5 6 7 "Myofascial Pain Syndrome - Dental Disorders". Merck Manuals Professional Edition. Retrieved 27 May 2019.
- ↑ Gromakovskis, V (2025). "Exploring fascia in myofascial pain syndrome: an integrative model of mechanisms". Frontiers in Pain Research. 6. doi:10.3389/fpain.2025.1712242. PMC 12597954 Check
|pmc=value (help). PMID 41221343 Check|pmid=value (help). - ↑ Mayo Clinic Staff (3 Dec 2009). "Myofascial pain syndrome: Symptoms". Retrieved 8 May 2011.
- 1 2 3 Bourgaize S, Newton G, Kumbhare D, Srbely J (April 2018). "A comparison of the clinical manifestation and pathophysiology of myofascial pain syndrome and fibromyalgia: implications for differential diagnosis and management" (PDF). The Journal of the Canadian Chiropractic Association. 62 (1): 26–41. PMC 6160895. PMID 30270926.
- ↑ Quintner JL, Bove GM, Cohen ML (March 2015). "A critical evaluation of the trigger point phenomenon". Rheumatology. Rheumatology (Oxford). 2015 Mar;54(3):392-9. doi: 10.1093/rheumatology/keu471. Epub 2014 Dec 3. 54 (3): 392–399. doi:10.1093/rheumatology/keu471. PMID 25477053.
- ↑ Fricton JR, Kroening R, Haley D, Siegert R (December 1985). "Myofascial pain syndrome of the head and neck: a review of clinical characteristics of 164 patients". Oral Surgery, Oral Medicine, and Oral Pathology. 60 (6): 615–623. doi:10.1016/0030-4220(85)90364-0. PMID 3865133.
- ↑ de las Peñas CF, Campo MS, Carnero JF, Page JC (Jan 2005). "Manual therapies in myofascial trigger point treatment: a systematic review". Journal of Bodywork and Movement Therapies. 9 (1): 27–34. doi:10.1016/j.jbmt.2003.11.001.
- 1 2 Starlanyl & Copeland 2001.
- ↑ Harris RE, Clauw DJ (October 2002). "The use of complementary medical therapies in the management of myofascial pain disorders". Current Pain and Headache Reports. 6 (5): 370–374. doi:10.1007/s11916-002-0078-6. PMID 12357980. S2CID 41632904.
- ↑ Furlan AD, van Tulder MW, Cherkin DC, Tsukayama H, Lao L, Koes BW, Berman BM (January 2005). "Acupuncture and dry-needling for low back pain". The Cochrane Database of Systematic Reviews. 2011 (1). doi:10.1002/14651858.CD001351.pub2. PMC 12145953 Check
|pmc=value (help). PMID 15674876. - ↑ Borg-Stein J, Simons DG (March 2002). "Focused review: myofascial pain". Archives of Physical Medicine and Rehabilitation. 83 (3 Suppl 1): S40–S47. doi:10.1053/apmr.2002.32155. PMID 11973695.