- Physical therapy, Sports Therapy, and Rehabilitation
- Ultrasound imaging and guidance in the management of myofascial pain syndrome: a narrative review
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Wei-Ting Wu
 , Ke-Vin Chang, Vincenzo Ricci , Levent Özçakar
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J Yeungnam Med Sci. 2024;41(3):179-187. Published online June 17, 2024
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DOI: https://doi.org/10.12701/jyms.2024.00416
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- Myofascial pain syndrome (MPS) is a common musculoskeletal disorder characterized by muscle pain, tenderness, and trigger points. Ultrasonography has emerged as a key tool for diagnosing and treating MPS owing to its ability to provide precise, minimally invasive guidance. This review discusses the use of ultrasonography in various approaches to evaluate and manage MPS. Studies have shown that shear-wave sonoelastography can effectively assess muscle elasticity and offer insights into trapezius stiffness in patients with MPS. Ultrasound-guided interfascial hydrodissection, especially with visual feedback, has demonstrated effectiveness in treating trapezius MPS. Similarly, ultrasound-guided rhomboid interfascial plane blocks and perimysium dissection for posterior shoulder MPS have significantly reduced pain and improved quality of life. The combination of extracorporeal shockwave therapy with ultrasound-guided lidocaine injections has been particularly successful in reducing pain and stiffness in trapezius MPS. Research regarding various guided injections, including dry needling, interfascial plane blocks, and fascial hydrodissection, emphasizes the importance of ultrasonography for accuracy and safety. Additionally, ultrasound-guided delivery of local anesthetics and steroids to the quadratus lumborum muscle has shown lasting pain relief over a 6-month period. Overall, these findings highlight the pivotal role of ultrasonography in the assessment and treatment of MPS.
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Citations
Citations to this article as recorded by  - Blood Flow of the Infraspinatus Muscle in Individuals With and Without Shoulder Pain and Myofascial Trigger Points
Jace Brown, Gary Kearns, Emily Hedges, Samantha Samaniego, Sharon Wang‐Price
Journal of Ultrasound in Medicine.2025; 44(1): 127. CrossRef - Ultrasound-Guided vs Non-Guided Pharmacopuncture for Cervical Myofascial Pain Syndrome: A Multi-Center Prospective Comparative Study Protocol
Kwangho Kim, Juhwan Song, Hongmin Chu, Robin Kwon, Seongjun Park, Junhui Kwon, Hyeon Joon Hong, Youngyun Lee, Sanghyuk Kwon, Kyungho Kang, Jungtae Leem, Cheol-Hyun Kim
Journal of Pain Research.2025; Volume 18: 1417. CrossRef - Integrating Ultrasound-Guided Injections and Peripheral Magnetic Stimulation in Chronic Myofascial/Lumbar Pain
Wei-Ting Wu, Ke-Vin Chang, Kamal Mezian, Vincenzo Ricci, Levent Özçakar
Life.2025; 15(4): 563. CrossRef - Integrating Ultrasound-Guided Multifidus Injections with Repeated Peripheral Magnetic Stimulation for Low Back Pain: A Feasibility Study
Wei-Ting Wu, Ke-Vin Chang, Levent Özçakar
Journal of Pain Research.2024; Volume 17: 2873. CrossRef - Ultrasound-guided fascial plane blocks in chronic pain: a narrative review
Francesco Marrone, Carmine Pullano, Alessandro De Cassai, Pierfrancesco Fusco
Journal of Anesthesia, Analgesia and Critical Care.2024;[Epub] CrossRef
- Musculoskeletal Disorders
- Ultrasound assessment of a supraclavicular lipoma entrapping the brachial plexus: a diagnostic insight
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Wei-Ting Wu, Ke-Vin Chang, Kamal Mezian
 , Vincenzo Ricci, Levent Özçakar
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J Yeungnam Med Sci. 2024;41(1):58-60. Published online December 29, 2023
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DOI: https://doi.org/10.12701/jyms.2023.01284
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- Musculoskeletal Disorders
- Ultrasound-guided diagnosis/intervention for ischiofemoral impingement syndrome
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Wei-Ting Wu, Ke-Vin Chang, Levent Özçakar
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J Yeungnam Med Sci. 2023;40(Suppl):S134-S136. Published online July 12, 2023
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DOI: https://doi.org/10.12701/jyms.2023.00500
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- Physical therapy, Sports Therapy, and Rehabilitation
- Right arm pain after strength training: ultrasound imaging for pectoralis major tendon strain
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Ting-Yu Lin, Ke-Vin Chang, Wei-Ting Wu, Levent Özçakar
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J Yeungnam Med Sci. 2023;40(1):109-111. Published online October 25, 2022
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DOI: https://doi.org/10.12701/jyms.2022.00626
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2,676
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104
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Citations
Citations to this article as recorded by - MSK Ultrasound: A Powerful Tool for Evaluating and Diagnosing Pectoralis Major Injuries in Healthcare Practice
Robert C. Manske, Chris Wolfe, Phil Page, Michael Voight
International Journal of Sports Physical Therapy.2024;[Epub] CrossRef
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