Abstract
thoracic and lumbar myofascial syndrome (MFS): systematic review of the literature. Results.– For the neck, the cervico-thoracic SMF concern the upper trapezius, supraspinatus, rhomboids, angular, and cervical paraspinal muscles [1]. After BT injection, prospective studies show an improvement in pain and quality of life for 3 months. Randomized controlled trials (RCT) found at 1 and 3 months analgesics and functional results with BT equivalent to other products (saline, corticosteroids) and dry needle therapy. Two RCTs show a greater analgesic and functional effect 1 and 2months after BT injections compared to saline solution. For upper limb pain, one RCT (MFS of the scalene muscle), shows after BT injection an analgesic gain at two months superior to corticosteroid injections. For low back pain, the MFS concern iliopsoas, erector spinae and rectus of the abdomen. Foster et al. [2] show that after injection of TB in the erector spinae muscles, pain relief and functional gain to 1 and 2 months are greater than the saline injection. Similar results were found compared to traditional treatment by acupuncture. Conclusions.– The use of BT in the treatment of neck pain and low back pain is an interesting alternative therapeutic in axial MFS. Its superiority compared to other treatments remains to be demonstrated.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
