What is the role of physical therapy in the treatment of nonarticular rheumatism/regional pain syndromes?

Updated: Apr 04, 2018
  • Author: T P Sudha Rao, MD; Chief Editor: Herbert S Diamond, MD  more...
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Answer

Physical therapy may be used as follows:

  • Restoration of muscle balance, stretching, and local therapy with heat and cold can be helpful. In 1996, Sheon et al published an excellent discussion of physical treatment modalities for fibromyalgia syndrome, tendonitis, and bursitis. [42]

  • Transcutaneous electrical nerve stimulation (TENS) may provide symptomatic relief in some cases. [43]

  • Subcutaneous tender-point injections of lidocaine may be mildly helpful, although dry needling or sodium chloride solution may also work. Corticosteroids should be avoided in fibromyalgia.

  • Electromyography and hypnotherapy have been helpful in controlled studies. [44, 45]


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