Ultrasonically Localised Piezoelectric Focused Shockwave Intervention on Excitation Points for the Treatment of Myofascial Pain Syndrome of the Low Back and Hip in 42 Cases
DOI:
https://doi.org/10.53469/jcmp.2025.07(03).47Keywords:
Myofascial pain syndrome, Provocative pain point, Shock wave, Ultrasound localisationAbstract
Objective: To observe the clinical effect of piezoelectric focused shock wave in the treatment of myofascial pain syndrome (myofascial pain syndrome). Methods: From February 2024 to April 2024, 42 patients with lumbogluteal myofascial pain syndrome (18 males and 24 females) were treated with piezoelectric focused shock wave. Age ranged from 21 to 67 years, with a median of 45. 50 years. The pain point was located by ultrasound and the shock wave was treated once. VAS, JOA score, Young’s modulus, strain ratio and area of pain point were compared before and after treatment. Results: 42 patients were followed up. After shock wave therapy, VAS and JOA scores of patients were significantly decreased, and the difference was statistically significant (P<0. 05). The Young’s modulus and area at the pain point were significantly reduced, and the difference was statistically significant (P<0. 05). The ratio of pain trigger point to normal tissue strain was significantly decreased, and the difference was not statistically significant (P>0. 05). Conclusion: Piezoelectric focused shockwave therapy after ultrasound localization of pain points can significantly improve the pain symptoms of patients, restore the ability of daily movement, and has a long-term effect, it is worthwhile to apply focused shockwave therapy to myofascial pain syndrome.
References
HUANG Qiangmin. Myofascial trigger points and myofascial pain syndromes [J]. The Journal of Cervicodynia and Lumbodynia, 2004, (05):360-362.
David G. Simons, Janet G. Travell. Myofascial origins of low back pain [J]. Postgraduate Medicine, 1983, 73(2):66-77.
ZHUANG Xiaoqiang. An overview of clinical research on myofascial pain trigger points [J]. Journal of Minimally Invasive Medicine, 2010, 5(5):487-489
Dinesh A. Kumbhare, Alyaa H. Elzibak, Michael D. Noseworthy. Assessment of Myofascial Trigger Points Using Ultrasound [J]. American Journal of Physical Medicine & Rehabilitation, 2016, 95: 72-80.
WU Xiaoming; ZHANG Lu. Application of ultrasound E imaging in cervical myofascial pain syndrome [J]. Chongqing medicine, 2023, 52(01): 50-53.
“Diagnostic Efficacy Criteria for Chinese Medicine Diseases” [J]. Journal of Traditional Chinese Medicine Management, 1994, 06:2-2
Joseph graciosa B, Salud. Musculoskeletal Section Original Research Article Signs and Symptoms of Myofascial Pain: an International Survey of Pain Management Providers and Proposed Preliminary Set of Diagnostic Criteria [J].
HAO Zhenmin, GUO Zhenning, DENG Yuguang, et al. Application of Musculoskeletal Ultrasound, SMI Combined with SWE in the Observation of the Changes of Relevant Muscle Characteristics in Patients with NLBP [J]. Imaging Science and Photochemistry, 2023, 41(01): 79-83.
DENG Zihui. Value of Strain Ratio and VTQ Parameters in the Qualitative Diagnosis of BI-RADS4 Breast Lesions [J]. Medical Innovation of China, 2023, 20(13): 131-135.
SHANG Mengmeng, et al. Value of strain ratio of compression elastography and virtual touch tissue quantification in the diagnosis of breast lesions [J]. Journal of Shandong University: Health Sciences, 2019, 57(06): 94-99.
RAN Qingzhi, LI Aoshuang, CHEN Hengwen, et al. A Randomized Controlled Trial of Myofascial Release Therapy in Patients with Chronic Nonspecific Lower Back Pain [J]. Chinese General Practice, 2024, 27(20): 2451-2457.
DU Zhun, DU Chunsheng, DUAN Weili, DENG Songwang. Impact of Total Laminectomy and Fenestration Decompression on JOA Score and Long-Term Prognosis of Patients with Lumbar Spinal Stenosis [J]. Clinical Medicine & Engineering 2024, 31(03): 307-308.
YE Qibin. Pathogenesis and prevention of lumbar muscle strain [J]. Medical Journal of the Chinese People’s Armed Police Force, 2017, 28(11): 1081-1084.
MU Zhiyou, ZOU Rui, LI Liang. Comparative Study on Rehabilitation Treatments of Alleviating Chronic Lumbar Muscle Strain (1) [J]. Journal of Beijing Sport University, 2014, 37(12): 67-71.
HE Tai, DENG Yiqian, TANG Yuhua. 135 cases of lumbar muscle strain treated by small-needle knife fasciotomy method [J]. Hunan Journal of Traditional Chinese Medicine, 2008, (03): 59-61.
LI Ruifen, SHI Xiangdong. Comparative study on the efficacy of electroacupuncture in the treatment of lumbar muscle strain injury [J]. Shanghai Medical & Pharmaceutical Journal, 2012, 33(08): 33-34.
NIU Yingying, BI Debo. Progress in the clinical study of myofasciitis [J]. Xinjiang Journal of Traditional Chinese Medicine, 2023, 41(04): 134-137.
LIN Yewu, JING Yajun, YUAN Shiguo. Advances in the study of local treatment of provocative pain points in myofascial pain syndromes [J]. Modern Journal of Integrated Traditional Chinese and Western Medicine, 2019, 28(13): 1474-1478.
Zhou Mingming, Xie Bing, Guo Ling, Wang Yangkun, Peng Yunqiu. Research Progress of Cervical and Shoulder Myofascial Pain Syndrome [J]. Asia-Pacific Traditional Medicine, 2023, 19(06): 240-245.
HU Yumei, ZHAO Ruicheng. Clinical observation on the treatment of 32 cases of pyriformis syndrome with magnetic circular needle stimulating pain point percussion [J]. Hunan Journal of Traditional Chinese Medicine, 2023, 39(06): 72-74, 78.
ZHANG Peiqin, HUANG Fang, LAI Biyu, et al. Clinical observation on 30 cases of post-stroke shoulder pain treated by stabbing and blood-letting therapy at provocative pain points [J]. Hunan Journal of Traditional Chinese Medicine, 2022, 38(09): 66-68, 113.
CHENG Shu, LIU Jianqi, HU Xiaogang. Advances in the treatment of myofascial trigger point syndrome [J]. Chinese Journal of Rehabilitation Medicine, 2017, 32(04): 487-491.
WANG Xiaoxiao, LI Qun, YANG Chao. Mechanism of Osteoking in Improving Energy Metabolism in Rats with Myofascial Pain Syndrome Based on cAMP/PKA/PGC1αSignaling Pathway [J]. Chinese Journal of Experimental Traditional Medical Formula, 2023, 24:54-62.
Philip Tehanb Jeremy Lewisa. A blinded pilot study investigating the use of diagnostic ultrasound for detecting active myofascial trigger points [J]: 1-6.
WANG Guanyu, Advances in ultrasound studies of myofascial pain trigger points [J]. Medical Equipment 2019, 32(08): 193-194.
Zhang Qing, et al. Efficacy of Extracorporeal Shockwave Therapy on Pa [J]. ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2020.
WANG Jiangshan. Advances in extracorporeal shockwave pain therapy [J]. Chinese Journal of Rehabilitation Medicine, 2011, 08:788-791
Xing Gengyan, Zhang Zhijie, Liu Yajun. Chinese guidelines for extracorporeal shock wave therapy for bone and muscle diseases (2023 edition) [J]. Chinese Journal of the Frontiers of Medical Science, 2023, 15(09): 1-20.
PENG Z. Disseminated shock wave treatment for lumbar muscle strain in 30 cases [J]. Chinese Manipulation and Rehabilitation Medicine, 2019, 22 (02):
XI Jingqi, LI Hongyu. Research Overview of Extracorporeal Shock Wave Therapy for Myofascial Pain Syndrome [J]. Journal of Liaoning University of Traditional Chinese Medicine, 2023, 06(04):123-126
ZHOU Diyuan, TAO huihong, YANG Yaoqin. Anti-inflammatory and Analgesic Mechanism of Extracorporeal Shock Wave on Musculoskeletal Pain [J]. Journal of Practical Orthopaedics, 2017, 23(07): 618-621, 625.
Tognolo Lucrezia, Giordani Federico, Biz Carlo, et al. Myofascial points treatment with focused extracorporeal shock waves (f-ESW) for plantar fasciitis: an open label randomized clinical trial. [J]. European journal of physical and rehabilitation medicine, 2021, 58(1).
Dong Hongran, Wang Peng, Chen Songhua. Progress in diagnosis andtreatment of chronic soft tissue pain [J]. Chinese Journal of Convalescent Medicine, 2021, 30(02): 127-130.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Daixin Yang, Qing Sun
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
