Proximal myofascial pain in patients with distal complex regional pain syndrome of the upper limb

Adi Dor, Jean-Jacques Vatine, Leonid Kalichman

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Background Patients suffering from complex regional pain syndrome (CRPS) endure myofascial-related pain in at least 50% of cases. Aims To evaluate the association of upper limb CRPS with myofascial pain in muscles that might influence arm or hand pain, and to evaluate whether the paraspinal skin and subcutaneous layers’ tenderness and allodynia are associated with CRPS. Methods A case-control study comprising 20 patients presenting with upper limb CRPS, and 20 healthy controls matched for sex and age, were evaluated in the thoracic paraspinal area and myofascial trigger points (MTrPs) (infraspinatus, rhomboids, subclavius, serratus posterior superior and pectoralis minor) via a skin rolling test. Results The prevalence of MTrPs in the affected extremity of the subjects was significantly higher than in the right limb of the controls: 45% exhibited active and latent MTrPs in the infraspinatus muscle (χ2 = 11.613, p = 0.001); 60% in active and latent MTrPs in the subclavius muscle (χ2 = 17.143, p 
Original languageEnglish GB
Pages (from-to)547-554
Number of pages8
JournalJournal of Bodywork and Movement Therapies
Volume23
Issue number3
DOIs
StatePublished - Jul 2019

Keywords

  • Complex regional pain syndrome
  • Myofascial pain
  • Trigger points
  • Thorax

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