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Physiotherapy Update in the Management of Musculoskeletal Pain
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Physiotherapy Update in the Management of Musculoskeletal Pain

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Anesthesiology".

Deadline for manuscript submissions: 1 February 2025 | Viewed by 4122

Special Issue Editor

Prof. Dr. Daniel Pecos-Martín

E-Mail Website
Guest Editor
Physiotherapy and Pain Research Group, University of Alcalá, Department of Physical Therapy, 28805 Alcalá de Henares, Spain
Interests: musculoskeletal pain; shoulder musculoskeletal disorders; oncology pain management; manual therapy, dry needling; therapeutic exercises; pain neuroscience education
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

According to the International Society for the Study of Pain (IASP), musculoskeletal pain is a serious problem affecting millions of people around the world, encompassing many types of pain such as neck pain, low back pain, temporomandibular pain, shoulder pain, chronic widespread pain, etc.

Although musculoskeletal pain can affect bones, tendons, muscles, nerves and ligaments, it is complex and its source is often difficult to identify.  Musculoskeletal pain is a diagnostic and therapeutic problem.

In recent years, Physiotherapy is a discipline that has developed significantly in the field of pain in an attempt to provide an adequate response to the musculoskeletal alterations proposed by patients in clinical practice.

Musculoskeletal ultrasound, manual therapy, invasive procedures and therapeutic exercise or pain education are tools that have been developed from scientific evidence for the management of musculoskeletal pain.

This special issue aims to bring together the latest advances in the assessment and treatment of musculoskeletal pain from the perspective of physiotherapy. This includes reviews, meta-analyses, original works on the assessment and treatment of musculoskeletal pain.

Prof. Dr. Daniel Pecos-Martín
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • musculoskeletal pain
  • diagnosis
  • musculoskeletal ultrasound
  • dry needling
  • manual therapy
  • therapeutic exercise
  • pain education

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Published Papers (3 papers)

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Research

12 pages, 220 KiB  
Article
Adverse Reactions to Dry Needling Therapy: Insights from Polish Physiotherapy Practice
by Robert Trybulski, Adrian Kużdżał, Marek Kiljański, Kamil Gałęziok, Filip Matuszczyk, Adam Kawczyński and Filipe Manuel Clemente
J. Clin. Med. 2024, 13(23), 7032; https://doi.org/10.3390/jcm13237032 - 21 Nov 2024
Viewed by 529
Abstract
Background/Objectives: The current study aimed to characterize the adverse reactions associated with dry needling (DN) treatments reported by Polish physiotherapists, with a secondary objective of investigating whether the level of DN experience influences the occurrence of these adverse effects. Methods: A [...] Read more.
Background/Objectives: The current study aimed to characterize the adverse reactions associated with dry needling (DN) treatments reported by Polish physiotherapists, with a secondary objective of investigating whether the level of DN experience influences the occurrence of these adverse effects. Methods: A total of 102 Polish physiotherapists, all with regular DN practice, participated in an ad hoc online survey. The participants were categorized by their level of experience in DN treatment: 44 with 0–2 years, 43 with 3–6 years, and 15 with more than 7 years of experience. The survey consisted of 27 questions focused on both mild and severe adverse effects resulting from DN treatments. Results: The results showed that in the short term (over the past week), minor bleeding was the most commonly reported mild adverse effect (70%), followed closely by slightly pain during treatment (68%). Slight pain following treatment was also reported by 52% of respondents. No significant relationship was found between experience with dry needling (DN) and the reporting of mild adverse effects, with the exception of tingling (X(2) = 10.958; p = 0.004). In the retrospective analysis of the past month, most respondents reported experiencing bleeding between one and three times (49%), while bruising occurred one to three times in 44% of cases. Similarly, 44% of respondents noted pain after treatment one to three times, and 47% experienced pain during DN at this frequency. A significant interaction with DN experience was observed in the frequency of drowsiness reported over the past month (X(10) = 19.735; p = 0.032). Conclusions: Severe adverse effects were extremely rare in clinical practice: pneumothorax and shock were each reported by 3% of respondents, nerve palsy by 14%, infection by 2%, and hospitalization by 1%. In conclusion, this study suggests that most adverse effects are mild, typically involving bleeding and slight pain during or after treatment. Additionally, DN experience does not appear to be a significant factor influencing the type or prevalence of these adverse effects. Full article
(This article belongs to the Special Issue Physiotherapy Update in the Management of Musculoskeletal Pain)
13 pages, 1931 KiB  
Article
Correlations between the Frankfort Plane and the Presence of Myofascial Trigger Points in Posterior Cervical Musculature: An Exploratory Study
by Darío Sánchez-Guilabert and Ángel Martínez-Carrasco
J. Clin. Med. 2024, 13(12), 3614; https://doi.org/10.3390/jcm13123614 - 20 Jun 2024
Viewed by 984
Abstract
Neck pain is a pathology with a high impact in terms of physical disability in modern society. The position of the head is related to neck pain. The Frankfort plane determines the position of the skull in space. The profile photograph of the [...] Read more.
Neck pain is a pathology with a high impact in terms of physical disability in modern society. The position of the head is related to neck pain. The Frankfort plane determines the position of the skull in space. The profile photograph of the subjects was used to determine the Frankfort plane and to study its degree of inclination. Myofascial pain syndrome is one of the most common causes of musculoskeletal pain. Trigger points are hyperirritable spots located in a palpable taut band of skeletal muscle that is painful on compression or stretch and causes a local twitch in response to snapping or palpation of the band. Objectives: The aim of this study was to analyze the relationship between the Frankfort plane and the presence of myofascial trigger points causing cervical myofascial pain. Methods: This is a cross-sectional descriptive observational study. All subjects underwent a photographic study to determine the degree of Frankfort plane inclination, and the posterior cervical musculature was palpated to find myofascial trigger points that were measured with a pressure algometer in three cervical locations on the right and left sides. Results: Our study included 47 subjects who had suffered at least one episode of cervical pain in their lifetimes. The mean age was 22.3 ± 2.9 years. Statistically significant results were found in the first right location and sports practice (p = 0.007), in the second right location and gender (p = 0.0097), in the second right location and sports practice (p = 0.0486), in the third right location and gender (p = 0.0098), and in the first, second, and third left locations and gender (p = 0.0083; p = 0.024; p = 0.0016, respectively). In the correlation between the Frankfort plane and the presence of myofascial trigger points, all locations were positive, with the first right location being statistically significant (p = 0.048). Conclusions: A positive relationship was found between the Frankfort plane and the presence of myofascial trigger points. The greater the angle of the Frankfort plane, the less the myofascial pain. Full article
(This article belongs to the Special Issue Physiotherapy Update in the Management of Musculoskeletal Pain)
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12 pages, 660 KiB  
Article
Efficacy of Transcutaneous 4.4 MHz Radiofrequency Diathermy versus Therapeutic Ultrasound for Pain Relief and Functional Recovery in Patients with Knee Osteoarthritis: A Randomized Controlled Study
by Yookyung Jang, Lee Gyeong Je, Sunhee Lee, Donghyun Na, Hyekyung Shin, Jong Bum Choi and Jae Chul Koh
J. Clin. Med. 2023, 12(18), 6040; https://doi.org/10.3390/jcm12186040 - 18 Sep 2023
Cited by 2 | Viewed by 1924
Abstract
Knee osteoarthritis (KOA) is a prevalent common cause of disability and pain among adults. Transcutaneous radiofrequency (RF) diathermy and therapeutic ultrasound (US) are commonly employed treatments for addressing musculoskeletal conditions. This study aims to evaluate and compare the clinical effectiveness of transcutaneous 4.4 [...] Read more.
Knee osteoarthritis (KOA) is a prevalent common cause of disability and pain among adults. Transcutaneous radiofrequency (RF) diathermy and therapeutic ultrasound (US) are commonly employed treatments for addressing musculoskeletal conditions. This study aims to evaluate and compare the clinical effectiveness of transcutaneous 4.4 MHz RF diathermy and therapeutic US therapy in individuals diagnosed with KOA. A total of 108 patients with KOA were randomly assigned to either the RF or US groups. Each participant underwent a series of 10 treatment sessions over four weeks and was evaluated at different time points. The assessments included physical evaluations, vital sign measurements, the Numeric Rating Scale (NRS) for pain, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores, the Lequesne index, gait analysis, the 36-Item Short Form Health Survey (SF-36), and analysis of adverse responses. Both groups showed significant differences in NRS, WOMAC scores, and Lequesne index compared to baseline values at both the 10th treatment session and the one-month follow-up assessment. However, no significant disparities were observed between the two groups at each assessment point. In the gait analysis, following the 10th treatment, the RF group showed significant changes in stride length and stride velocity compared to baseline. Four weeks after the completion of treatment, both groups exhibited significant alterations in stride length and stride velocity when compared to baseline measurements. However, regarding cadence, only the RF group exhibited a significant difference compared to baseline. The findings suggest that transcutaneous 4.4 MHz RF diathermy displays a comparable effectiveness to therapeutic US in reducing pain and enhancing functional capacity among individuals with KOA. Further research endeavors are warranted to advance the efficacy of noninvasive treatments for KOA. Full article
(This article belongs to the Special Issue Physiotherapy Update in the Management of Musculoskeletal Pain)
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