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Integrating Ultrasound-Guided Injections and Peripheral Magnetic Stimulation in Chronic Myofascial/Lumbar Pain
WT. Wu, KV. Chang, K. Mezian, V. Ricci, L. Özçakar
Status not-indexed Language English Country Switzerland
Document type Journal Article
        Grant support
          
              MOST 106-2314-B-002-180-MY3 
          
      Ministry of Science and Technology, Taiwan   
      
          
              MOST 109-2314-B-002-114-MY3 
          
      Ministry of Science and Technology, Taiwan   
      
          
              NSTC 112-2314-B-002-134 
          
      National Science and Technology, Taiwan   
      
          
              NSTC 113-2314-B-002 -208 -MY2 
          
      National Science and Technology, Taiwan   
      
          
              NSTC 113-2314-B-002 -209 -MY2 
          
      National Science and Technology, Taiwan   
      
      
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    PubMed
          
           40283118
           
          
          
    DOI
          
           10.3390/life15040563
           
          
          
  
    Knihovny.cz E-resources
    
  
              
      
- Publication type
- Journal Article MeSH
Myofascial pain syndrome (MPS) is a common musculoskeletal disorder that significantly affects quality of life. Conventional treatment approaches include pharmacological interventions, physical therapy, and procedures such as dry needling. Among these, ultrasound-guided injections (USGIs) have gained recognition for their precision and therapeutic benefits. Additionally, repetitive peripheral magnetic stimulation (rPMS) has emerged as a non-invasive neuromodulatory technique for pain management. This perspective article examines the physiological mechanisms and clinical applications of USGIs and rPMS, particularly in the lumbar multifidus muscle, and explores their potential synergistic effects. MPS is often associated with chronic muscle dysfunction due to energy depletion, leading to persistent pain and motor impairment. USGIs play a crucial role in restoring muscle perfusion, disrupting pain cycles, and providing diagnostic insights in real time. In parallel, rPMS modulates neuromuscular activation, enhances endogenous pain control, and promotes functional recovery. Ultrasound guidance enhances the precision and effectiveness of interventions, such as dry needling, interfascial plane blocks, and fascial hydrodissection, while rPMS complements these strategies by facilitating neuromuscular reconditioning and reducing pain via central and peripheral mechanisms. The preliminary findings suggest that combining multifidus USGIs with rPMS results in significant pain relief and functional improvements in patients with chronic low back pain. Integrating USGIs with rPMS represents a promising multimodal strategy for managing MPS. By combining targeted injections with non-invasive neuromodulation, clinicians may optimize therapeutic outcomes and provide sustained relief for patients with chronic musculoskeletal pain. Further research is needed to refine treatment protocols and assess the long-term efficacy.
References provided by Crossref.org
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