ArticleJournal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine2021
Effect of Ultrasound-Guided Hydrorelease of the Multifidus Muscle on Acute Low Back Pain.
Article in Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 21 citations in OpenAlex.
- Trial
- Clinical efficacy of ultrasound-guided serratus posterior superior intercostal plane block in unilateral cervicothoracic myofascial pain syndrome: a retrospective study.BMC anesthesiology · 2026Article
- Hydrorelease Within the Paraneural Sheath: A Cadaveric Study.Journal of functional morphology and kinesiology · 2026Article
- Novel cardiac abnormalities observed in CAH patients with tenascin-X haploinsufficiency.Frontiers in endocrinology · 2026Article
- Comparative evaluation of short vs. long needles in deep ultrasound-guided pharmacopuncture for acute low back pain: study protocol.Frontiers in medicine · 2026Article
- Ultrasound-Guided Fascial Hydrorelease for Persistent Pain After Hamstring Injury.Journal of functional morphology and kinesiology · 2025Article
- Ultrasound-guided serratus posterior superior muscle block for myofascial pain syndrome in the cervicoscapular region: a report of three cases.JA clinical reports · 2025Article
- Biomechanical effects of fascial hydrorelease: a cadaveric study.BMC musculoskeletal disorders · 2025Article
- Article
- Effectiveness of non-invasive ultrasound-guided electrical stimulation of genicular nerves for chronic knee pain: A case report.Medicine · 2025Article
- Exploring fascia in myofascial pain syndrome: an integrative model of mechanisms.Frontiers in pain research (Lausanne, Switzerland) · 2025Review
- Article
- Integrating Ultrasound-Guided Multifidus Injections with Repeated Peripheral Magnetic Stimulation for Low Back Pain: A Feasibility Study.Journal of pain research · 2024Article
- Response to Mechanical Properties and Physiological Challenges of Fascia: Diagnosis and Rehabilitative Therapeutic Intervention for Myofascial System Disorders.Bioengineering (Basel, Switzerland) · 2023Review
- Effectiveness of ultrasound-guided fascia hydrorelease on the coracohumeral ligament in patients with global limitation of the shoulder range of motion: a pilot study.Scientific reports · 2022Article
- Article
- A New Procedure for Ultrasound-Guided Hydrorelease for the Scarring After Arthroscopic Knee Surgery.Cureus · 2020Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo examine improvement in acute low back pain (LBP) using ultrasound-guided hydrorelease of the multifidus muscle.
methodsThis prognostic cohort study was conducted in a private clinic on samples of 75 patients with acute LBP diagnosed based on physical and imaging findings. Hydrorelease of the multifidus muscle was performed at the L4/5 level. The LBP visual analog scale (VAS) scores (cm) before and 5 minutes after hydrorelease were statistically evaluated. We defined improvement rate (%) as {LBP VAS scores (cm) immediately before hydrorelease - LBP VAS scores (cm) 5 minutes after hydrorelease} × 100 / LBP VAS scores (cm) immediately before hydrorelease and examined the correlation of the Heckmatt score and average age with the improvement rate.
resultsLBP VAS scores (cm) before and 5 minutes after hydrorelease were 7.19 ± 1.01 (mean ± SD) and 2.85 ± 1.25, respectively (p < 0.05). No significant correlations were noted between the LBP improvement rate and the Heckmatt score or age. There were no gender variations in the improvement rate.
conclusionsUltrasound-guided hydrorelease of the multifidus muscle led to considerable LBP VAS score improvement at the outpatient level. The improvement rate showed no correlations with the Heckmatt score or age, and there were no significant gender variations in the improvement rate. Therefore, fatty degeneration of muscles and change in muscle echogenicity due to age and gender may not be associated with muscular LBP. These findings suggest that multifidus muscle hydrorelease could be useful in the diagnosis and treatment of acute LBP.
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