Here is some of the information I recently shared in the June newsletter. Each newsletter has a specific focus.  This newsletter is focused on the neck, neck pain, and whiplash research. If you would be interested in receiving my other newsletters, which include links to the studies as well as special offers and sales coupons, please head over to my contact page and sign up.

TABLE OF CONTENTS

  1. Impact of Pilates Exercises on Headaches
  2. Effect of Feldenkrais method and conventional exercises on Neck and low back pain
  3. Sub-occipital Muscle inhibition technique vs Cranio-cervical flexion exercise for mechanical neck pain
  4.  Ice massage vs positional release on trigger points in trapezius for nonspecific neck pain
  5. Effectiveness of magnetic therapy vs exercise in chronic mechanical neck pain
  6. Is adding dry needling to a standard care protocol beneficial in chronic neck pain?
  7. Effectiveness of Manual compression and stretching for Trigger Points in Upper Trapezius and Levator Scapulae
  8. Comparative effects of post isometric relaxation and Bowen's therapy in TMJD

STUDIES and ARTICLES

1. A case series, titled The Impact of Clinical Pilates Exercises on Tension-Type Headaches: A Case Series, published in Behavioral Sciences, concludes: 4 sessions of 30 minute classes of Pilates exercises were held for 3 weeks. The pain intensity decreased in only 2 (of 9) participants. The impact of tension-type headaches on normal daily life and ability to function was improved in all patients.

2.  A study titled Effect of Feldenkrais Method and Conventional Exercise Protocol on Neck Pain and Low Back Pain in Corporate Employees Working from Home: A Comparative Study, published in Journal of Survey in Fisheries Sciences concludes: A significant reduction was found in neck pain and low back pain with Feldenkrais Method along with Conventional Exercise Protocol in corporate employees working from home.

3. A study titled Effects of Sub-Occipital Muscles inhibition Technique and Cranio-cervical Flexion Exercise for Mechanical Neck Pain, published in PJMHS in April 2023 concluded: Sub-occipital muscle inhibition technique and cranio-cervical flexion exercises are equally effective techniques to increase cervical range of motion, decrease neck disability, decrease pain intensity, and improve craniotomy-vertebral angle in patients with mechanical neck pain.

4. A study titled Ice Massage Versus Positional Release on Trapezius Trigger Points in Nonspecific Neck Pain, published in Eur. Che. Bull in 2023 concludes: Significant improvement in all variable were found in the group receiving positional release plus conventional therapy; the group receiving ice massage plus conventional therapy showed more improvement that the group receiving only conventional therapy. Those receiving only conventional therapy showed less improvement than the other two groups in all measures.

5. A study titled Effectiveness of Magnetic therapy versus exercise in elderly patients with chronic mechanical neck pain: A randomized clinical trial, published in Electronic Journal of General Medicine in 2024 concludes: results show significant improvements in both group, while the addition of magnetic therapy to exercise program induced only significant difference in the visual analog scale, single-leg stance time and time up and go tests. Magnetic group showed more response to cervical joint position sense.

6. A study titled Is adding dry needling to a standard care protocol beneficial in patients with chronic neck pain? A randomized placebo-controlled trial, published in Complementary Therapies in Clinical Practice in May 2024 concludes: The addition of two sessions dry needling in the superficial neck muscles to a standard protocol (education, therapeutic exercise, electrotherapy) did not yield superior results compared to either the standard care alone or the standard care plus sham dry needling in patients with chronic neck pain in any outcome except for cervical range of movement.

7.  A study, titled Effectiveness of Manual Compression and stretching for the Myofascial Trigger Points in Upper Trapezius and Levator Scapulae in Office Workers, published in Journal of Health Rehabilitation Research in 2024 concludes: Manual compression proved more effective than manual stretching in improving ROM and reducing pain among patients with cervical myofascial trigger points.

8. A study, titled Comparative effects of post isometric relaxation technique and Bowen’s therapy on pain, range of motion, and function in patients with temporomandibular joint disorder, published in BMC Oral Health in 2024 concludes:  This study concluded that post-isometric relaxation was more effective in terms of pain, range of motions for mouth opening, lateral deviations and functional activity of temporomandibular joint disorder patients. However, both groups showed clinical results according to minimal clinical difference values.

Here is some of the information I recently shared in the December newsletter. Each newsletter has a specific focus.  This newsletter is focused on the neck, neck pain, and whiplash research. If you would be interested in receiving my other newsletters, which include links to the studies as well as special offers and sales coupons, please head over to my contact page and sign up.

TABLE OF CONTENTS

  1. IASTM vs myofascial release for neck pain
  2. McKenzie Neck exercises vs Contract-relax stretch
  3. Defining text neck
  4. Effect of diaphragmic breathing
  5. Exercise therapy including extensors for neck pain
  6. Low-level laser therapies for neck pain
  7. Effectiveness of McKenzie approach
  8. Effectiveness of Pilates
  9. Hatha yoga vs stretching exercise
  10. Effect of myofascial release

TIDBIT

Video of neck and upper back muscles

STUDIES and ARTICLES

1. A study titled Instrument-assisted soft tissue mobilization vs myofascial release therapy in treatment of neck pain: a randomized clinical trial, published in BMC Musculoskeletal Disorders in Jun 2023 concludes: This study showed insignificant differences between groups.

2.  A study titled The Difference Between the Effects of McKenzie Neck Exercise and Contract-Relax Stretching on Neck Function in Onion Peelers with Myofascial Pain Syndrome, published in Health Sciences International Conference in Jun 2023 concludes: The McKenzie neck exercise intervention is better in improving the functional ability of the neck in onion peel workers with myofascial pain syndrome compared to the intervention contract-relax stretching.

3. A scoping review titled Defining Text Neck: A Scoping Review, published in European Spine Journal in Jul 2023 “text neck is regarded as a global epidemic Yet, there is a lack of consensus concerning the definition of text neck which challenges researchers and clinicians alike.” This study showed that posture is the defining characteristic of text neck in the academic literature. For research purposes, it seems that text neck is a habit of texting on the smartphone in a flexed neck position. Since there is no scientific evidence linking text neck with neck pain regardless of the definition used, adjectives like inappropriate or incorrect should be avoided when intended to qualify posture.

4. A study titled Effect of diaphragmatic breathing, respiratory muscle stretch gymnastics and conventional physiotherapy on chest expansion, pulmonary function and pain in patients with mechanical neck pain: A single group pretest-posttest quasi-experimental pilot study, published in Journal of Bodywork and Movement Therapies in Oct 2023 concludes: rehabilitation strategies should emphasize breathing exercises to improve the lung function and pain scores in addition to conventional physiotherapy in rehabilitation of mechanical neck pain patients.

5. A study titled Exercise therapy including cervical extensor muscles in individuals with neck pain: a systematic review, published in Clinical Rehabilitation in Jul 2023 concludes: cervical extensor muscle exercises may reduce neck pain and disability…

6. A study titled Efficacy of Low-Level Laser Therapy in the Management of Neck Pain: Systematic Review, published in The Healer in 2022 concludes: laser therapy decreases pain in participants with persistent neck discomfort shortly after therapy. Laser therapy is proven to be more effective than placebo therapy in relieving arm and pain and improving cervical strength and flexibility in participants with severe pain and increasing the quality of life when compared to patients treated with a placebo laser therapy.

7.  A study, titled Effectiveness of McKenzie approach and segmental spinal stabilization exercises on neck pain in individuals with cervical postural syndrome: An experimental study, published in Journal of Education and Health Promotion in July 2023 concludes: McKenzie approach and segmental spinal stabilization exercises were effective on nick pain in individuals with cervical postural syndrome, but on comparing both techniques, McKenzie protocol is more beneficial than segmental spinal stabilization exercises.

8. A study titled Effect of Pilates exercise on balance and spinal curvature in subjects with upper cross syndrome: a randomized controlled clinical trial, published in Physiotherapy Quarterly of Wroclaw University in 2023 concludes: Pilates exercise program proved better than traditional physical therapy program in improving spinal curvature, balance, and function and reducing pain in UCS.

9. A study titled Pain reduction, physical performance, and psychological status compared between Hatha yoga and stretching exercise to treat sedentary office workers with mild/moderate neck/shoulder pain: A randomized controlled non-inferiority trial, published in Complementary Therapies in Medicine in Dec 2023 concludes:
• Both Hath yoga and stretching can decrease pain, anxiety/depression, and improve flexibility and neck functions.
• Hatha yoga was found to be non-inferior to stretching exercise
• Most of the participants reported being satisfied and most rated themselves as improved or much improved
• Concerning adverse events, Hatha yoga as well as stretching exercises was a safe regimen
• Hatha yoga can be an alternative or adjunct to stretching exercises for the treatment of mild to moderate MSK pain

10. A study titled Effect of Myofascial Release Therapy on Pain, Tissue Hardness, Range of Motion and Disability among patients with Text Neck Syndrome, published in Journal of Population Therapeutics and Clinical Pharmacology in 2023 concludes: Myofascial release has a better impact on treating pain, cervical range of motion, disability, and tissue hardness among patients with text neck syndrome.

TIDBIT

Short video from Francois Albaranes Osteopathe of neck and upper back muscles during movements.

Here is some of the information I recently shared in the December newsletter. Each newsletter has a specific focus.  This newsletter is focused on neck pain and upper cross syndrome. If you would be interested in receiving my newsletters, which include links to the studies as well as special offers and sales coupons, please head over to my contact page and sign up.

TABLE OF CONTENTS

  1. Kinesio tape combined with stretching vs stretching for neck pain
  2. SCM stretching and massage for neck pain
  3. Decompression of Greater Occipital Nerve for chronic neck pain
  4. Association of jaw dysfunction with upper cross syndrome
  5. Comparison of strain-counterstrain vs muscle energy technique in neck pain
  6. Flexibility: the forgotten component
  7. Effects of dry needling of Obliquus Capitis Inferior in neck pain
  8. Effect of Pilates mat exercise on myoelectric activity of cervical muscles
  9. Comparison of active release technique vs Kinesio taping for neck pain
  10. Effect of electro-acupuncture vs laser acupuncture on myofascial neck pain

 

  1. Effects of massage on neck pain poster for download

STUDIES and ARTICLES

1. A study titled Is Kinesio Tape in combination with stretching and/or exercise more effective than traditional stretching and/or exercise at reducing pain and decreasing neck disability in adults with mechanical neck pain: A meta analysis, published in ProQuest Dissertations Publishing in 2021 concludes:  the results of the meta-analysis favors the use of Kinesio tape as an adjunct to traditional stretching and/or strengthening exercises to decrease disability for individuals with mechanical neck pain..

2.  A study titled The effects of combined Sternocleidomastoid muscle stretching and massage on pain, disability, endurance, kinesiophobia, and range of motion in individuals with chronic neck pain: A randomized, single-blind study, published in Musculoskeletal Science and Practice in Oct 2021 concludes:
Stretching and massage applied to the SCM can reduce pain and disability in chronic neck pain
Stretching and massage applied to the SCM can increase endurance in CNP
Stretching and massage applied to the SCM can increase some cervical ROM in CNP

3. A study titled Decompression of the greater Occipital nerve improves outcome in patients with chronic headache and neck pain—a retrospective cohort study, published in Accra Neurochirurgica in 2021 concludes: decompression of greater Occipital nerve may reduce neck pain and headache in selected patients with persistent headache neck pain, and clinical signs of Greater Occipital Nerve neuralgia.

4. A study titled Association of jaw dysfunction with upper cross syndrome in subjects with Temporomandibular Joint Disorder, published in RMJ in 2021 concludes: TMJ dysfunction is associated with upper cross syndrome. We found a variety of severity levels and associated prognostic indicators.

5. A study titled Immediate Effect of Strain Counterstrain Technique versus Muscle Energy Technique on Upper Trapezius Tenderness in Non-specific Neck Pain, published in International Journal of Science and Healthcare Research in Jun 2021 concludes: Both techniques are equally effective in treating pain, increasing lateral flexion and rotation range of motion, and improving pain pressure sensitivity.

6. A study titled Flexibility: The Forgotten Component of Fitness, published in Eastern Illinois University The Keep in 2021 concludes: Post-intervention showed significant changes in both the eccentric exercise and the static stretching group….concluded that eccentric exercise significantly increased flexibility and that there was no significant difference between eccentric exercise and static stretching in improving flexibility.

7.  A study, titled  Effects of dry needling of the Obliquus Capitis Inferior on sensorimotor control and cervical mobility in people with neck pain: A double-blind, randomized sham-controlled trial, published in Brazilian Journal of Physical Therapy in 2021 concludes:
A single session of dry needling of the Obliquus Capitis Inferior reduces cervical joint position error in people with neck pain
Dry needling of the Obliquus Capitis Inferior does not have an effect on cervical movement sense or postural stability
Dry needling of the Obliquus Capitis Inferior increases upper cervical range of motion measured with the flexion rotation test

8. A study titled Effect of Pilates mat exercise on myoelectric activity of cervical muscles in patients with chronic mechanical neck pain: Randomized clinical trial, published in Egyptian Journal of Chemistry in Mar 2022, concludes:  …statistically significant effect in both groups in treatment and time with favor to Pilates group. Pilates mat exercise combined with conventional therapy and conventional therapy alone are effective techniques for refining neck pain, function, and muscle amplitude in subjects with chronic mechanical neck pain, with further advantages shown in the experimental group that received the Pilates mat exercise treatment.

9. A study titled Comparative Study: Active Release technique versus Kinesio-Taping in chronic postural neck pain, published in Annals of the Romanian Society for Cell Biology in 2021 concludes: the two groups showed significant effects on reducing neck pain, improving flexibility and range of motion after receiving the techniques. However, there was a significant difference following the application of Kinesio Taping Technique as compared to Active Release Technique in improving range of motion and reducing neck pain.

10. A study titled Immediate effects of electro-acupuncture versus laser acupuncture on pain and disability in women with chronic cervical myofascial pain syndrome, published in Journal of Modern Rehabilitation in 2022 concludes: Both EA and LA interventions may be effective in alleviating the symptoms of cervical myofascial pain syndrome, but the EA can be more effective in reducing neck pain and disability in women with cervical myofascial pain syndrome.

 

TIDBITS

Here is some of the information I recently shared in a November newsletter. Each newsletter has a specific focus.  This newsletter is focused on upper crossed syndrome, text neck, and neck pain. If you would be interested in receiving my newsletters, please head over to my contact page and sign up.

TABLE OF CONTENTS

  1. Effect of dynamic cupping on mechanical neck pain
  2. Comparison of the effect of 3 different sloping seats on cervical muscle activity
  3. Effect of forward head and rounded shoulder posture on grip strength
  4. Efficacy of Kinesio taping and postural correction exercise on levator scapula
  5. Motor control training of deep neck flexors with pressure biofeedback
  6. Effectiveness of scapular retraction exercises on forward head posture
  7. Article & video on occipital neuralgia headaches by Erik Dalton
  8. Short video on why sitting causes upper back and shoulder pain
  9. Video by David Lauterstein with a review of anatomy and kinesiology of the suboccipital muscles
  10. Short video explains type of pain triggered by nerve irritation in the neck

STUDIES and ARTICLES

I receive a weekly update on anything published on the internet that includes information about upper crossed syndrome, whiplash, neck pain, and text neck.  I try to glean the best of the information and provide a brief synopsis of the information. If you come across any information that you think would be good to share, please also feel free to pass that information along to: info@holistichealingarts.net


1. A study titled Immediate effect of dynamic cupping on pain in teachers with mechanical neck pain: An experimental study, published in Indian Journal of Physiotherapy and Occupation Therapy Apr 2020 beginning on page 154, concludes there is a significant reduction in pain after the treatment with dynamic cupping (massage cupping) in teachers with mechanical neck pain, so dynamic cupping can be used clinically in patients with mechanical neck pain.

2.  A study titled Comparison of cervical muscle activity and spinal curvatures in the sitting position with 3 different sloping seats published in Medicine in Jul 2020, concluded:  a forward sloping seat surface was effective in maintaining a neutral alignment of the spine, and this decreased the cervical spine erector muscle activity. Based on this result, equipment and chair development of incline seats forward may improve posture and health, and prevent chronic pain.

3. A study, titled  Effect of forward head and rounded shoulder posture on hand grip strength in asymptomatic young adults: a cross-sectional study, published in Bulletin of Faculty of Physical Therapy in 2020 examined the effect of forward head and rounded shoulder posture on handgrip strength in asymptomatic young adults and explores the relationship between the craniovertebral angle and hand grip strength. The study demonstrated the handgrip strength was not affected by the posture in young adults. Additionally, the degree of the craniovertebral angle was not associated with an inverse effect on handgrip strength.

4. A study titled Efficacy of Kinesio taping and postural correction exercises on Levator Scapula electromyographic activities in mechanical cervical dysfunction: a randomized blinded clinical trial, published in Journal of Manipulative and Physiological Therapeutics in Aug 2020, concludes application of both Kinesio tape and postural correction exercises combined can significantly reduce neck pain and normalize elevator scapula activities in patients with mechanical neck dysfunction more than the application of either intervention.

5. A study titled Motor control training of deep neck flexors with pressure biofeedback improves pain and disability in patients with neck pain: a systematic review and meta-analysis, published in Musculoskeletal Science and Practice in 2020 concludes: Motor control training of deep neck flexors with pressure biofeedback is an effective intervention for improving pain intensity and disability in patients with neck pain and preferable to strength-endurance training of cervical muscles.

6. A study titled A study on the effectiveness of scapular retraction exercises on forward head posture, published in Journal of Public Health Research & Development, Jun 2020, measured the craniovertebral angle before and after the 5 exercises were performed (seated row, elbow push back, scapular retraction activation, arm slides, and lower trap row) and concluded: there is a significant effect of scapular retraction exercises in reducing forward head posture.

7. A great article and video by Erik Dalton on occipital neuralgia headaches titled Neck Headache…..really?  identifies some problems in the lower chain that might cause headaches, as well as describes the Brugger test procedure to determine the location of the problem. The video includes a good demonstration of a technique to correct O-A joint fixation.

8. A short video, found at PhysioOsteoBook gives a good animation of how forward posture when sitting can cause pain in the upper back and shoulder.

9. A video, titled Engage the Skyhook, by David Lauterstein provides a great review of the anatomy and kinesiology of the suboccipital muscles

10. A short video, Cervical Radiculopathy, by Spine-health, explains what types of pain can be triggered depending on where a nerve in the neck becomes irritated. This can be helpful when treating arm, shoulder, and hand pain.

Here is some of the information I recently shared in my July newsletter. Each newsletter has a specific focus.  This month is focused on neck pain and injuries. If you would be interested in receiving my newsletters, please head over to my contact page and sign up.

TABLE OF CONTENTS

  1. Pillow preferences of people with neck pain and known spinal degeneration
  2. Prevalence of neck pain among dentists
  3. Effect of isometric exercises on pain and disability in patients with chronic neck pain
  4. Effects of thoracic mobility exercise on cervico-thoracic function, posture and pain
  5. Short-term effects of kinesiology taping in the treatment of latent and active upper trapezius trigger points
  6. Effect of kinesiology taping and posture stabilizing exercise on pain, craniovertebral angle, proprioception in adults with forward head posture
  7. Neck muscle activation and head kinematics when using a smartphone while walking
  8. Adding temperomandibular joint treatments to routine physiotherapy for patients with non-specific chronic neck pain
  9. The relationship between forward head posture and neck pain
  10. Effect of dry needling injection and kinesiotaping on pain and quality of life in patients with mechanical neck pain

STUDIES and ARTICLES

I receive a weekly update on anything published anywhere on the internet that includes information about neck pain, injuries, and treatments.  I try to glean the best of the information and provide a brief synopsis of the information. If you come across any information that you think would be good to share, please also feel free to pass that information along to: info@holistichealingarts.net


1. A study titled Pillow preferences of people with neck pain and known spinal degeneration: a pilot randomized controlled trial, published in European Journal of Physical and Rehabilitation Medicine in Sep 2019, enrolled 117 people. Each tested latex pillows polyester pillows and their usual pillow for 28 days.  The polyester pillow significantly increased side flexion on waking. The latex pillow did not perform well on any outcome measure.

2.  An article titled Prevalence of neck pain among dentists, published in Drug Invention Today in Aug 2019 indicates that 56% of dentists surveyed suffered from neck pain for 10-15 years. The study concluded that the majority of dental practitioners acquired the development of cervical spondylosis.

3.  A study titled Effect of isometric exercises on pain and disability in patients with chronic neck pain, published in the European Journal of Physical Education and Sport Science in 2019, concluded: our study showed that physical therapy and neck isometric exercises and cervical joint opening exercises together with stretching exercises of back extensors were effective in chronic neck pain.

4.  A study titled Effects of Thoracic Mobility Exercise on Cervicothoracic Function, Posture, and Pain in Individuals with Mechanical Neck Pain, published in Physical Therapy Korea in Sept 2019 focused on “individuals with mechanical neck pain showing biomechanical and neurophysiological changes, including cervical spine muscle weakness. As a result of deep muscle weakness, it causes stability disability and reduced upper thoracic spine mobility, which finally leads to functional movement restriction such as limited range of motion and dysfunction." Conclusion: Thoracic mobility exercises during 6 weeks might be an effective intervention to improve the functional level, posture feature, and QVAS pain rating for managing individuals with mechanical neck pain.

5.  A study titled Short-term effects of kinesiology taping in the treatment of latent and active upper trapezius trigger points: two prospective, randomized, sham-controlled trials, published in Scientific Report in Oct 2019, concluded: results of this study do not support the use of the space correction KT technique to treat patients with latent or active myofascial trigger points in the upper trapezius muscle.

6.  A study titled Effect of Kinesiology taping and posture stabilizing exercise on pain, cranio-vertebral angle, proprioception in adults with forward head posture, published in the Journal of International Academy of Physical Therapy Research in 2019, concluded: the application of posture setting exercise could decrease pain, proprioceptive error and increase craniovertebral angle on forward head posture.

7.  A study, titled  Neck muscle activation and head kinematics when using a smartphone while walking, published in Sage Journals in Nov 2019 evaluated the neck muscular load of smartphone use while walking. The results indicate two-handed texting while walking poses a larger muscular load to the neck extensor muscles compared to when conducting one-handed browsing while walking due to the larger head tilt angle. 

8.  A study titled Adding Temperomandibular joint treatments to routine physiotherapy for patients with non-specific chronic neck pain: a randomized clinical study, published in the Journal of Bodywork and Movement Therapies in April 2020 concluded: adding treatments of TMJ to routine neck physiotherapy can magnify the effect of the intervention, a significant change still in evidence at follow up.

9.  A study titled The relationship between forward head posture and neck pain: a systematic review and meta-analysis, published at SpringerLink in Nov 2019 concluded: adults with neck pain show increased forward head posture when compared to asymptomatic adults and that forward head posture is significantly correlated with neck pain measures in adults and older adults. No association was found between forward head posture and most of neck pain measures in adolescents.

10.  A study titled Effect of Dry Needling Injection and Kinesiotaping on Pain and Quality of Life in Patients with Mechanical Neck Pain, published in Pain Physician in Oct 2019, concluded: both methods were found to be effective on pain, mood, and quality of life and Kinesiotaping was found to be superior to dry needling in Mechanical neck pain in terms of increasing ROM and decreasing disability.

 

Every month I send out a newsletter to subscribers with the most recent evidence and studies on specific body work topics. The newsletter may include summaries and links to studies and articles, videos that provide support information about exercises, new techniques or lectures. There are five main focuses for the newsletters and each newsletter is repeated twice a year. The six main focuses for the newsletters are: Shoulder and rotator cuff, fibromyalgia, fascia and trigger points, upper cross and neck, cupping and lymphatic drainage and business/ethics. If you would like to receive the newsletters with more complete information than is found in the excerpts, please sign up to receive the newsletter on my contact page.

PLEASE NOTE: This is the last edition of the Fibromyalgia newsletter. This newsletter will be converted to a newsletter with a focus on chronic pain conditions rather than the narrow focus of fibromyalgia.

Excerpt:

Tips & Tidbits

  1. Patients with fibromyalgia show significantly lower levels of serum vitamin D than those of a control group.
  2. Here is a link to the Revised Fibromyalgia Impact Questionnaire (FIQR)

Studies, Articles, and Resources

  1. A study titled “A pilot study of myofascial release therapy compared to Swedish massage in Fibromyalgia” by Liptan, Mist, Wright, Arzt & Jones, published in Journal of Bodywork and Movement Therapies concluded: between-group differences in symptoms and physical function did not reach statistical significance. There were no consistent focal areas of improvement for the Swedish massage group while the MFR group reported consistent pain reductions in the neck and upper back regions. A larger randomized controlled trial is called for.

  2. In a study in Man Ther 2015 by Yuan, Matsutani & Marques, titled “Effectiveness of different styles of massage therapy in fibromyalgia: a systematic review and meta-analysis”, the authors concluded: myofascial release had large, positive effects on pain and medium effects on anxiety and depression at the end of treatment; myofascial release also improves fatigue, stiffness and quality of life; connective tissue massage improves depression and quality of life; manual lymphatic drainage is superior to connective tissue massage regarding stiffness, depression and quality of life; Shiatsu improves pain, pressure pain threshold, fatigue, sleep and quality of life; and Swedish massage does not improve outcomes.

  3. In a study, published in Rheumatol Int. 2017 titled “A comparison of the effects of exercises plus connective tissue massage to exercises alone in women with fibromyalgia syndrome: a randomized controlled trial” concluded: exercises with and without connective tissue massage might be effective for decreasing pain, fatigue and sleep problem whereas increasing health status and quality of life. However, exercises with CTM might be superior in improving pain, fatigue, sleep problem, and role limitations due to physical health compared to exercise alone.

  4. A study, published in J Pain Res. 2017, titled “Caffeine as an opioid analgesic adjuvant in fibromyalgia” concluded: caffeine consumption was associated with decreased pain and symptom severity in opioid users, but not in opioid nonusers, indicating caffeine may act as an opioid adjuvant in fibromyalgia-like chronic pain patients. This data suggest that caffeine consumption concomitant with opioid analgesics could provide therapeutic benefits not seen with opioids or caffeine alone.

  5. A study published in Complement Ther Clin Prati in Aug 2017, titled “Effects of whole-body vibration therapy in pain, function and depression of the patients with fibromyalgia” concluded: Whole body vibration therapy is found to be effective in reducing symptoms of fibromyalgia.

  6. A study published in Clin Biomech titled “Effects of a 16-week hydrotherapy program on three-dimensional scapular motion and pain of women with fibromyalgia: a single-arm study” concluded: Hydrotherapy was effective to improve quality of life, pain intensity and fibromyalgia impact on women. However, scapular kinematics did not change after the period of treatment. Although symptoms improved, the lack of changes in scapular kinematics may indicate these women have an adaptive movement pattern due to their chronic painful condition.

 

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