The relationship between myofascial trigger points of gastrocnemius muscle and nocturnal calf cramps
To support that myofascial pain syndrome (MPS) of gastrocnemius muscle is one cause of nocturnal calf cramps, quantitative assessment of the efficacy of trigger point (TrP) injection compared with oral quinine in the treatment of nocturnal calf cramps (NCC) associated with MPS of gastrocnemius muscl...
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th-mahidol.256542018-09-07T15:57:40Z The relationship between myofascial trigger points of gastrocnemius muscle and nocturnal calf cramps Pradit Prateepavanich Vilai Kupniratsaikul Tassanee Charoensak Mahidol University Medicine To support that myofascial pain syndrome (MPS) of gastrocnemius muscle is one cause of nocturnal calf cramps, quantitative assessment of the efficacy of trigger point (TrP) injection compared with oral quinine in the treatment of nocturnal calf cramps (NCC) associated with MPS of gastrocnemius muscle was designed. Twenty four subjects with NCC and gastrocnemius TrPs were randomly divided into two groups of twelve for each treatment. Patients in group 1 were treated with xylocaine injection at the gastrocnemius TrP, and 300 mg of quinine sulfate p.o. was prescribed for patients of group 2. The treatment period was four weeks with a follow-up 4 weeks later. Cramps were assessed quantitatively (in terms of frequency, duration, pain intensity, cramp index, and pain threshold of the gastrocnemius TrPs) before treatment, after treatment and at the end of the follow-up respectively. The outcome of treatment in both groups showed a statistically significant reduction in all quantitative aspects of cramps (95% confidence interval). Also the pain threshold of the gastrocnemius TrP was significantly increased in group 1 only when comparing the pre-treatment and at the end of follow-up. In comparing the two groups we found no statistical difference during the period of treatment. The benefit of both strategies lasted up to four weeks following cessation of the treatment but the outcome of all measures (except pain threshold) were found to be significantly better in the group treated with TrP injection. The results of this study support that gastrocnemius trigger point is one cause of NCC and show that the TrP injection strategy for NCC associated with myofascial pain is not only as effective as oral quinine during the treatment period but also better in the prolonged effect at follow-up. 2018-09-07T08:57:40Z 2018-09-07T08:57:40Z 1999-05-01 Article Journal of the Medical Association of Thailand. Vol.82, No.5 (1999), 450-458 01252208 2-s2.0-0042078514 https://repository.li.mahidol.ac.th/handle/123456789/25654 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=0042078514&origin=inward |
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Medicine Pradit Prateepavanich Vilai Kupniratsaikul Tassanee Charoensak The relationship between myofascial trigger points of gastrocnemius muscle and nocturnal calf cramps |
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To support that myofascial pain syndrome (MPS) of gastrocnemius muscle is one cause of nocturnal calf cramps, quantitative assessment of the efficacy of trigger point (TrP) injection compared with oral quinine in the treatment of nocturnal calf cramps (NCC) associated with MPS of gastrocnemius muscle was designed. Twenty four subjects with NCC and gastrocnemius TrPs were randomly divided into two groups of twelve for each treatment. Patients in group 1 were treated with xylocaine injection at the gastrocnemius TrP, and 300 mg of quinine sulfate p.o. was prescribed for patients of group 2. The treatment period was four weeks with a follow-up 4 weeks later. Cramps were assessed quantitatively (in terms of frequency, duration, pain intensity, cramp index, and pain threshold of the gastrocnemius TrPs) before treatment, after treatment and at the end of the follow-up respectively. The outcome of treatment in both groups showed a statistically significant reduction in all quantitative aspects of cramps (95% confidence interval). Also the pain threshold of the gastrocnemius TrP was significantly increased in group 1 only when comparing the pre-treatment and at the end of follow-up. In comparing the two groups we found no statistical difference during the period of treatment. The benefit of both strategies lasted up to four weeks following cessation of the treatment but the outcome of all measures (except pain threshold) were found to be significantly better in the group treated with TrP injection. The results of this study support that gastrocnemius trigger point is one cause of NCC and show that the TrP injection strategy for NCC associated with myofascial pain is not only as effective as oral quinine during the treatment period but also better in the prolonged effect at follow-up. |
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Mahidol University |
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Mahidol University Pradit Prateepavanich Vilai Kupniratsaikul Tassanee Charoensak |
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Article |
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Pradit Prateepavanich Vilai Kupniratsaikul Tassanee Charoensak |
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Pradit Prateepavanich |
title |
The relationship between myofascial trigger points of gastrocnemius muscle and nocturnal calf cramps |
title_short |
The relationship between myofascial trigger points of gastrocnemius muscle and nocturnal calf cramps |
title_full |
The relationship between myofascial trigger points of gastrocnemius muscle and nocturnal calf cramps |
title_fullStr |
The relationship between myofascial trigger points of gastrocnemius muscle and nocturnal calf cramps |
title_full_unstemmed |
The relationship between myofascial trigger points of gastrocnemius muscle and nocturnal calf cramps |
title_sort |
relationship between myofascial trigger points of gastrocnemius muscle and nocturnal calf cramps |
publishDate |
2018 |
url |
https://repository.li.mahidol.ac.th/handle/123456789/25654 |
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1763497719174791168 |