Evidence map›Paper›PMID 20149248›Full record

ArticleBMC musculoskeletal disorders2010

Discrepancy between prevalence and perceived effectiveness of treatment methods in myofascial pain syndrome: results of a cross-sectional, nationwide survey.

Johannes Fleckenstein, Daniela Zaps, Linda J Rüger, Lukas Lehmeyer, Florentina Freiberg, Philip M Lang, Dominik Irnich

4 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 69 papers.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03636386 nacompletednot on this mapstarted 2018, after this paper: background citation

Effectiveness of Percutaneous Microelectrolysis in the Decrease of Pain in Myofascial Trigger Points: Evaluation Through Algometry and Visual Analog Scale. Randomized Controlled Trial.

TypeinterventionalSponsorQuiropraxia y EquilibrioRan2018 to 2019Enrolled48ConditionsMyofascial Trigger Point Pain (MTrP)ArmsPercutaneous microelectrolysis, Ultrasound therapy
NCT05381987 nacompletednot on this mapstarted 2022, after this paper: background citation

The Effectiveness of Radial Shockwave Therapy on Myofascial Pain Syndrome: A Mixed Method Study That Combines a Randomised Control Trial and Semi-Structured Interview.

TypeinterventionalSponsorKing Faisal Specialist Hospital & Research CenterRan2022 to 2024Enrolled70ConditionsMyofascial Pain Syndrome of NeckArmsRadial shockwave therapy
NCT06018675 completednot on this mapstarted 2017, after this paper: background citation

Comparison of Kinesio Taping, Dry Needling and Lidocain Injection Methods in Myofascial Pain Syndrome

TypeobservationalSponsorBursa City HospitalRan2017 to 2019Enrolled66ConditionsMyofascial Pain SyndromeArmskinesiotherapy
NCT06060925 completednot on this mapstarted 2023, after this paper: background citation

Multimodal Imaging Biomarkers for Investigating Fascia, Muscle and Vasculature in Myofascial Pain

TypeobservationalSponsorGeorge Mason UniversityRan2023 to 2025Enrolled96ConditionsMyofascial Pain Syndrome, HealthyArmsUltrasound imaging, Bioimpedance spectroscopy, Electromyography, Physical examination
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 194 citations in OpenAlex.

  1. Trial
  2. Instrumented assisted soft tissue mobilizationWorld journal of orthopedics · 2023
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  7. Appropriate needle insertion depth for trigger point injections of the parascapular region.Turkish journal of physical medicine and rehabilitation · 2026
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  17. Exploring fascia in myofascial pain syndrome: an integrative model of mechanisms.Frontiers in pain research (Lausanne, Switzerland) · 2025
    Review
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  20. Article

9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Johannes FleckensteinMultidisciplinary Pain Centre, Department of Anaesthesiology, University of Munich, Munich, Germany.
Daniela Zaps
Linda J Rüger
Lukas Lehmeyer
Florentina Freiberg
Philip M Lang
Dominik Irnich

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMyofascial pain is a common dysfunction with a lifetime prevalence affecting up to 85% of the general population. Current guidelines for the management of myofascial pain are not available. In this study we investigated how physicians on the basis of prescription behaviour evaluate the effectiveness of treatment options in their management of myofascial pain.

methodsWe conducted a cross-sectional, nationwide survey with a standardized questionnaire among 332 physicians (79.8% male, 25.6% female, 47.5 +/- 9.6 years) experienced in treating patients with myofascial pain. Recruitment of physicians took place at three German meetings of pain therapists, rheumatologists and orthopaedists, respectively. Physicians estimated the prevalence of myofascial pain amongst patients in their practices, stated what treatments they used routinely and then rated the perceived treatment effectiveness on a six-point scale (with 1 being excellent). Data are expressed as mean +/- standard deviation.

resultsThe estimated overall prevalence of active myofascial trigger points is 46.1 +/- 27.4%. Frequently prescribed treatments are analgesics, mainly metamizol/paracetamol (91.6%), non-steroidal anti-inflammatory drugs/coxibs (87.0%) or weak opioids (81.8%), and physical therapies, mainly manual therapy (81.1%), TENS (72.9%) or acupuncture (60.2%). Overall effectiveness ratings for analgesics (2.9 +/- 0.7) and physical therapies were moderate (2.5 +/- 0.8). Effectiveness ratings of the various treatment options between specialities were widely variant. 54.3% of all physicians characterized the available treatment options as insufficient.

conclusionsMyofascial pain was estimated a prevalent condition. Despite a variety of commonly prescribed treatments, the moderate effectiveness ratings and the frequent characterizations of the available treatments as insufficient suggest an urgent need for clinical research to establish evidence-based guidelines for the treatment of myofascial pain syndrome.

Indexed as

Health Care SurveysAdultAgedAnalgesicsAnti-Inflammatory AgentsAttitude of Health PersonnelCross-Sectional StudiesCyclooxygenase InhibitorsFemaleGermanyHumansMaleMiddle AgedMuscle Relaxants, CentralMyofascial Pain SyndromesOrthopedicsAnalgesicsAnti-Inflammatory AgentsCyclooxygenase InhibitorsMuscle Relaxants, Central

Identifiers

PMID20149248
PMCPMC2836281
OpenAlexW2160090844

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.