Anthony J Lisi1,2,3, Paula Breuer4, Rollin M Gallagher5,6,7, Eric Rodriguez8, Michelle I Rossi8,9, Kenneth Schmader10,11, Joel D Scholten12,2, Debra K Weiner8,9,13,14,15. 1. VA Connecticut Healthcare System. 2. Rehabilitation and Prosthetics Services, Veterans Health Administration. 3. University of Bridgeport College of Chiropractic. 4. University of Pittsburgh Medical Center Centers for Rehab Services. 5. Departments of Psychiatry. 6. Department of Anesthesiology, University of Pennsylvania. 7. Pain Service, Philadelphia VA Medical Center. 8. Division of Geriatric Medicine, Department of Medicine, University of Pittsburgh School of Medicine. 9. Geriatric Research, Education & Clinical Center (GRECC), VA Pittsburgh Healthcare System. 10. Durham VA Medical Center, GRECC. 11. Department of Medicine, Duke University Medical Center, Division of Geriatrics. 12. Washington DC VA Medical Center. 13. Department of Psychiatry. 14. Anesthesiology. 15. Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, PA.
Abstract
OBJECTIVE: To present an algorithm of sequential treatment options for managing myofascial pain (MP) in older adults, along with a representative clinical case. METHODS: A modified Delphi process was used to synthesize evidence-based recommendations. A multidisciplinary expert panel developed the algorithm, which was subsequently refined through an iterative process of input from a primary care physician panel. RESULTS: We present an algorithm and supportive materials to help guide the care of older adults with MP, an important contributor to chronic low back pain (CLBP). Addressing any perpetuating factors should be the first step of managing MP. Patients should be educated on self-care approaches, home exercise, and the use of safe analgesics when indicated. Trigger point deactivation can be accomplished by manual therapy, injection therapy, dry needling, and/or acupuncture. CONCLUSIONS: The algorithm presented gives a structured approach to guide primary care providers in planning treatment for patients with MP as a contributor to CLBP. Wiley Periodicals, Inc.
OBJECTIVE: To present an algorithm of sequential treatment options for managing myofascial pain (MP) in older adults, along with a representative clinical case. METHODS: A modified Delphi process was used to synthesize evidence-based recommendations. A multidisciplinary expert panel developed the algorithm, which was subsequently refined through an iterative process of input from a primary care physician panel. RESULTS: We present an algorithm and supportive materials to help guide the care of older adults with MP, an important contributor to chronic low back pain (CLBP). Addressing any perpetuating factors should be the first step of managing MP. Patients should be educated on self-care approaches, home exercise, and the use of safe analgesics when indicated. Trigger point deactivation can be accomplished by manual therapy, injection therapy, dry needling, and/or acupuncture. CONCLUSIONS: The algorithm presented gives a structured approach to guide primary care providers in planning treatment for patients with MP as a contributor to CLBP. Wiley Periodicals, Inc.
Authors: Una E Makris; Robin T Higashi; Emily G Marks; Liana Fraenkel; Thomas M Gill; Janna L Friedly; M Carrington Reid Journal: Pain Med Date: 2017-07-01 Impact factor: 3.750
Authors: Robert D Vining; Zacariah K Shannon; Stacie A Salsbury; Lance Corber; Amy L Minkalis; Christine M Goertz Journal: J Manipulative Physiol Ther Date: 2019-12-19 Impact factor: 1.437