Soft Tissue

Myofascial pain syndrome (MPS)

A 2017 prospective study1 was conducted to assess the effects of a multimodal rehabilitation protocol in different body regions for pain associated with MPS. Statistically significant and clinically relevant reductions in pain intensity were reported following the combination treatment of dry needling, spray and stretching, Kinesio taping, eccentric exercise and patient education. One to five treatment sessions were applied during a 1-4 week period, with 1 week between each session.


A 2017 overview of systematic reviews2 evaluated the scope and quality of evidence for complementary and alternative (CAM) therapies for fibromyalgia. Only 1 review for chiropractic was found and consisted of 3 RCTs and 1 quasi-RCT. All trials were of low methodological quality, and reporting was poor. For pain, two trials’ statistical analysis revealed no effect of chiropractic treatment. The quasi-RCT reported a reduction of 34% vs. 26% in the control group (both groups also combined exercise and drugs). One review of CAM included a study on osteopathic treatment (with no analysis reported), which found that the osteopathy group fared better than the control in pain threshold and 3 tender points.


  1. Segura-Pérez M, Hernández-Criado MT, Calvo-Lobo C, Vega-Piris L, Fernández-Martín R, Rodríguez-Sanz D. A Multimodal Approach for Myofascial Pain Syndrome: A Prospective Study. J Manipulative Physiol Ther. 2017;40(6):397-403. FREE FULL TEXT
  2. Perry R, Leach V, Davies P, Penfold C, Ness A, Churchill R. An overview of systematic reviews of complementary and alternative therapies for fibromyalgia using both AMSTAR and ROBIS as quality assessment tools. Syst Rev. 2017;156(1):97. FREE FULL TEXT