Myofascial trigger points: another way of modulating tinnitus
PainSci summary of Rocha 2007?This page is one of thousands in the PainScience.com bibliography. It is not a general article: it is focused on a single scientific paper, and it may provide only just enough context for the summary to make sense. Links to other papers and more general information are provided at the bottom of the page, as often as possible. ★★☆☆☆?2-star ratings are for studies with flaws, bias, and/or conflict of interest; published in lesser journals. Ratings are a highly subjective opinion, and subject to revision at any time. If you think this paper has been incorrectly rated, please let me know.
In 2007, these researchers found that “in 56% of patients with tinnitus and MTPs, the tinnitus could be modulated by applying digital compression of such points, mainly those of the masseter muscle.” And how many people with tinnitus had trigger points? Quite a few. The researchers found “a strong correlation between tinnitus and the presence of MTPs in head, neck and shoulder girdle.”
original abstract†Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.
Tinnitus is a multifaceted symptom that may have many causes (otologic, neurological, metabolic, pharmacological, vascular, musculoskeletal and psychological) several of which often occur in the same patient. Tinnitus can often be modulated by different kinds of stimuli. In this chapter we describe the results of a study of modulation of tinnitus from stimulation of myofascial trigger points (MTPs). MTPs are small hypersensitive areas in palpable taut bands of skeletal muscles found in patients with the myofascial pain syndrome where stimulation of MTPs causes local and referred pain. We found a strong correlation between tinnitus and the presence of MTPs in head, neck and shoulder girdle (p<0.001). In 56% of patients with tinnitus and MTPs, the tinnitus could be modulated by applying digital compression of such points, mainly those of the masseter muscle. The worst tinnitus was referred to the side that had the most MTPs (p<0.001); Compression of the trigger point on the same side as the tinnitus was significantly more effective than the opposite side in six out of nine of the studied muscles. Compression of MTPs was most effective in patients who have had chronic pain earlier in the examined areas.
related content
- “Referred pain from muscle trigger points in the masticatory and neck-shoulder musculature in women with temporomandibular disoders,” an article in Journal of Pain, 2010.
These two articles on PainScience.com cite Rocha 2007 as a source:
- PS Massage Therapy for Bruxism, Jaw Clenching, and TMJ Syndrome — Perfect Spot No. 7, the masseter muscle of the jaw
- PS Trigger Points & Myofascial Pain Syndrome — A guide to the unfinished science of muscle pain, with reviews of every theory and self-treatment and therapy option
This page is part of the PainScience BIBLIOGRAPHY, which contains plain language summaries of thousands of scientific papers & others sources. It’s like a highly specialized blog. A few highlights:
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- Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain: Systematic Review and Meta-analysis. Paige 2017 JAMA.
- Incidence of Spontaneous Resorption of Lumbar Disc Herniation: A Meta-Analysis. Zhong 2017 Pain Physician.