Modalities acting on myofascial pain and trigger-point sensitivity.

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Ischemic compression leads tissue ischemia under treatment during the period of application of force. Following the release of compressive force there is gush of local circulation. Ischemic compression therapy provides alternative treatments using either low pressure (pain threshold) and a long duration (90s) or high pressure (the average of pain threshold and pain tolerance) and short duration (30s) for immediate pain relief and myofascial trigger point sensitivity suppression.

According to Hou CR et al (2002) combinations such as hot pack plus active ROM and stretch with spray, hot pack plus active ROM and stretch with spray as well as TENS, and hot pack plus active ROM and interferential current as well as myofascial release technique, are most effective for easing myofascial trigger point pain and increasing ROM.

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