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肌筋膜疼痛原因和触点治疗

Myofascial Pain Syndrome and Trigger Points Treatments, Animation.

肌筋膜痛综合征是一种常见的
Myofascial pain syndrome is a common
可以影响身体许多部分的慢性疼痛综合征
chronic pain disorder that can affect various parts of the body
肌筋膜痛综合征是以在肌肉中出现名为 触痛点 的过度应激性点为特征的的疾病
Myofascial pain syndrome is characterized by presence of hyperirritable spots located in skeletal muscle called trigger points.
触痛点是摸上去比正常组织更硬的肌肉小结
A trigger point can be felt as a band or a nodule of muscle with harder than normal consistency.
触诊触痛点时可能会引起身体其他地方的疼痛
Palpation of trigger points may elicit pain in a different area of the body.
这被称作牵涉性痛
This is called referred pain.
牵涉性痛会使诊断更加困难
Referred pain makes diagnosis difficult
因为在其他人们所熟知病症中也会有同样疼痛
as the pain mimics symptoms of more well-known common conditions.
比如 比如触发点发生在
For example, trigger point related pain
脑和脖子的区域时 可能会有紧张性头痛
in the head and neck region may manifest as tension headache,
颞下颌关节疼痛 眼睛痛或者耳鸣
temporomandibular joint pain, eye pain, ortinnitus.
肌筋膜痛综合征包含了区域性的持续性疼痛
Symptoms of myofascial pain syndrome includeregional, persistent pain,
通常伴随病发处肌肉活动范围的减小
commonly associated with limited range of motion of the affected muscle.
这种疼痛经常发生在
The pain is most frequently found
头 颈 肩膀 四肢和下背
in the head, neck, shoulders, extremities,and lower back.
触痛点是由于肌肉受伤引起的
Trigger points are developed as a result ofmuscle injury.
这些严重的外伤可以是
This can be acute trauma caused
运动受伤 意外事故
by sport injury, accident,
或者工作中长期过度使用肌肉
or chronic muscle overuse brought by repetitive occupational activities,
精神紧张 不良姿势等原因造成的
emotional stress or poor posture.
触痛点是由许多收缩性结节组成的
A trigger point is composed of many contraction knots
每个肌纤维会收缩而不能舒张
where individual muscle fibers contractand cannot relax.
这些纤维会使肌肉变短
These fibers make the muscle shorter
并且会组成一个紧绷环
and constitute a taut band —
那是一组收缩的肌纤维
a group of tense muscle fibers extending
它可以从触痛点延伸到肌肉附着处
from the trigger point to muscle attachment.
这些肌节的持续收缩会压迫
The sustainedcontraction of muscle sarcomeres compresses
局部血管 造成局部区域能量供应不足
local blood supply, resulting in energy shortageof the area.
这种不良代谢可以激活痛觉感受器
This metabolic crisis activates pain receptors,
产生沿特殊神经通路传导的局部痛觉
generating a regional pain pattern that follows a specific nerve passage.
因此这种疼痛模式是持续的 并且各种肌肉都有这种情况
The pain patterns are therefore consistent and are well documented for various muscles.
肌筋膜疼痛综合征的治疗目的在于
Treatment of myofascial pain syndrome aims
消除触痛点和使受影响的
to release trigger points and return the affected
肌肉返回到原来的长度和力度
muscle to original length and strength.
一般的治疗方式包括
Commontreatment options include:
手法治疗 比如按摩
– Manual therapy, such as massage,
它需要使用一定的力度
involves application of certain amount of pressure
来消除触痛点
to release trigger points.
手法治疗的结果很大程度上取决于
The outcome ofmanual therapy strongly depends on the skill
治疗师的技术水平
level of the therapist.
喷雾和拉伸疗法使用汽化冷却剂
– The Spray and Stretch technique makes use of a vapor coolant
来快速降低皮肤的温度
to quickly decrease skin temperature
被动地拉伸目标肌肉
while passively stretching the target muscle.
皮肤温度的突然降低有止痛的效果
A sudden drop in skin temperature provides a pain relief effect, allowing the
它让肌肉完全拉伸 从而消除触痛点
muscle to fully stretch, and thus releasingthe trigger points.
触痛点的注射剂可以是生理盐水
– Trigger point injections with saline,
局部麻醉剂或者类固醇类药物
local anesthetics or steroids are well accepted
它们被认为是有效的治疗触痛点的方法
as effective treatments for myofascial triggerpoints.
干针疗法 是将针头插入而不注射药物
– Dry needling — insertion of a needle without injecting any solution –
有报道指出
is reported to be
它和注射剂有相同的功效
as effective as injections.

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视频概述

本视频简介了肌肉疼痛综合征的原因和治疗方法。也引入了牵涉痛等相关医学名词

听录译者

收集自网络

翻译译者

19start

审核员

审核员 EY

视频来源

https://www.youtube.com/watch?v=QY9ePL690Dk

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