Precordialgia of myofascial origin
DOI:
https://doi.org/10.47924/neurotarget2006449Abstract
An ethiologic classification between cardiogenic and no cardiogenic chest pain etiology is settled, and the different anatomic causes that may produ- ce precordial pain are described.
The cardiogenic origin is pointed up in order to begin an urgency treatment for isquemia.
Between other causes, the myofascial origin is emphasized, and painful target area of different muscles from thorax, shoulder and neck, mimicking a cardiogenic distribution, are described.
A typical clinical myofascial record is referred.
Myofascial pain may be certified, trigger points eliminated with TENS, acupuncture, or prolotherapy, and finally the involved muscles stretched.
Very often precordial pain requires treatment through a multidisciplinary approach, especially at associated angors.
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References
TRAVELL, J.G & SIMONS, D.G: Myofascial pain and dysfunction Williams & Wilkins 1983. vol. 1 pp731; vol. 2: pp 607
FRØBERT, O; FOSSGREEN, J; SØNDERGAARD-PETERSEN, J; HEDE, J.; BAGGER, J.P; Musculo-skeletal pathology in patients with angina pectoris and normal coronary angiograms. Journal of Internal Medicine; Mar1999, Vol. 245 Issue 3, p237, 10p
MAIGNE, R Manipulations vértebrales Masson edit.
LEISERSON, R Curso de Dolor Miofascial -Diagnóstico y Tratamiento- 2004. No publicado
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