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Trigger point injections

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12 papers 25 to 100 followers
https://www.readbyqxmd.com/read/25469758/infection-related-to-ultrasound-guided-single-injection-peripheral-nerve-blockade-a-decade-of-experience-at-toronto-western-hospital
#1
Husni Alakkad, Amir Naeeni, Vincent W S Chan, Sherif Abbas, Justin Oh, Noam Ami, Jessica Ng, Michael Gardam, Richard Brull
The use of ultrasound guidance has revolutionized regional anesthesia practice. Ultrasound equipment disinfection techniques vary between institutions. To date, there are no large data set publications or evidence-based guidelines that describe risk-reduction techniques for infectious complications related to the use of ultrasound guidance for peripheral nerve blockade. We retrospectively reviewed the medical charts of 7476 patients who received ultrasound-guided single-injection peripheral nerve blockade from October 2003 to August 2013 using our institution's low-level disinfection technique in combination with a sterile transparent film barrier dressing to cover the ultrasound transducer...
January 2015: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/24001885/ultrasound-guided-ischial-bursa-injection-technique-and-positioning-considerations
#2
Steve J Wisniewski, Mark Hurdle, Jason M Erickson, Jonathan T Finnoff, Jay Smith
OBJECTIVES: To 1) describe and validate an ultrasound-guided ischial bursa injection technique in an unembalmed cadaveric model and 2) to compare the distance between the ischial tuberosity and the sciatic nerve in a hip neutral versus 90° flexed hip position in asymptomatic volunteers. DESIGN: The first part was a single-blind prospective study. The second part was a prospective cohort study. SETTING: An academic institution procedural skills laboratory and outpatient clinic...
January 2014: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/24509422/a-randomized-comparison-of-the-efficacy-of-2-techniques-for-piriformis-muscle-injection-ultrasound-guided-versus-nerve-stimulator-with-fluoroscopic-guidance
#3
RANDOMIZED CONTROLLED TRIAL
Ian M Fowler, Anthony A Tucker, Brian P Weimerskirch, Thomas J Moran, Robert J Mendez
BACKGROUND: Piriformis muscle injections are most often performed using fluoroscopic guidance; however, ultrasound (US) guidance has recently been described extensively in the literature. No direct comparisons between the 2 techniques have been performed. Our objective was to compare the efficacy and efficiency of fluoroscopic- and US-guided techniques. METHODS: A randomized, comparative trial was carried out to compare the 2 techniques. Twenty-eight patients with a diagnosis of piriformis syndrome, based on history and physical examination, who had failed conservative treatment were enrolled in the study...
March 2014: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/23078619/botulinum-toxin-type-a-in-the-healing-of-chronic-lesion-following-bilateral-spasticity-of-gluteus-muscle
#4
Emanuele Cigna, Michele Maruccia, Benedetta Fanelli, Nicolò Scuderi
Use of botulinum toxin is expanding as the clinical studies demonstrate new potential therapeutic applications. In rehabilitation, botulinum toxin is above all used as adjunct therapy for the treatment of spasticity, but it may prove useful for other atypical clinical situations. A 17-year-old man had a sub-arachnoid haemorrhage following the rupture of cerebral aneurism. The patient presented gluteus maximus and medius bilaterally spasticity that produced a chronic lesion in the intergluteal cleft, a flexed wrist and a flexed elbow...
August 2014: International Wound Journal
https://www.readbyqxmd.com/read/24572757/theory-and-practice-of-myofascial-pain-as-both-practicing-clinician-and-patient
#5
M Starr
No abstract text is available yet for this article.
January 1, 1997: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/24645933/treatment-of-myofascial-pain
#6
Mehul J Desai, Matthew C Bean, Thomas W Heckman, Dhinu Jayaseelan, Nick Moats, Andrew Nava
SUMMARY The objective of this article was to perform a narrative review regarding the treatment of myofascial pain syndrome and to provide clinicians with treatment recommendations. This paper reviews the efficacy of various myofascial pain syndrome treatment modalities, including pharmacological therapy, injection-based therapies and physical therapy interventions. Outcomes evaluated included pain (visual analog scale), pain pressure threshold and range of motion. The evidence found significant benefit with multiple treatments, including diclofenac patch, thiocolchicoside and lidocaine patches...
January 2013: Pain Management
https://www.readbyqxmd.com/read/24641263/myofascial-trigger-points-in-patients-with-whiplash-associated-disorders-and-mechanical-neck-pain
#7
Matteo Castaldo, Hong-You Ge, Alessandro Chiarotto, Jorge H Villafane, Lars Arendt-Nielsen
OBJECTIVE: The aim of this study was to investigate pain patterns and the distribution of myofascial trigger points (MTPs) in whiplash-associated disorders (WADs II and III) as compared with mechanical neck pain (MNP). METHODS: Manual examination of suboccipital, upper trapezius, elevator scapula, temporalis, supraspinatus, infraspinatus, deltoid, and sternocleidomastoid muscles, was done to search for the presence of both active or latent MTPs in 49 WAD patients and 56 MNP patients...
May 2014: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/24264721/myofascial-trigger-points-peripheral-or-central-phenomenon
#8
REVIEW
César Fernández-de-las-Peñas, Jan Dommerholt
Trigger points (TrP) are hyperirritable spots in a taut band of a skeletal muscle, which usually have referred pain. There is controversy over whether TrP are a peripheral or central nervous system phenomenon. Referred pain, the most characteristic sign of TrP, is a central phenomenon initiated and activated by peripheral sensitization, whereby the peripheral nociceptive input from the muscle can sensitize dorsal horn neurons that were previously silent. TrP are a peripheral source of nociception, and act as ongoing nociceptive stimuli contributing to pain propagation and widespread pain...
January 2014: Current Rheumatology Reports
https://www.readbyqxmd.com/read/24313714/painful-and-tender-muscles-dry-needling-can-reduce-myofascial-pain-related-to-trigger-points-muscles
#9
COMMENT
(no author information available yet)
No abstract text is available yet for this article.
September 2013: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/24338700/an-update-on-botulinum-toxin-a-injections-of-trigger-points-for-myofascial-pain
#10
REVIEW
Jon Y Zhou, Dajie Wang
Myofascial pain syndrome (MPS) is a common chronic pain condition that is characterized by distinct "trigger points." Despite current treatments with physical therapy, analgesics, anti-depressants and trigger-point injections, myofascial pain remains a challenging chronic pain condition in clinical practice. Botulinum toxin A (BTX-A) can cause prolonged muscle relaxation through inhibition of acetylcholine release. It may offer some advantages over the current treatments for MPS by providing a longer sustained period of pain relief...
January 2014: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/24371861/peripheral-nerve-stimulation-for-treatment-of-chronic-headache-a-case-report
#11
Adam Green, Mohammed A Issa, Chong H Kim
Chronic daily headaches can be debilitating. Multiple treatments have been suggested with varying degrees of success. We present a case of a 27-year-old female with greater than ten years of chronic daily headaches. The patient was evaluated at the headache clinic where she was diagnosed with complex migraine with components of occipital neuralgia. Multiple medication regimens were tried without significant benefit. The patient also underwent bilateral occipital blocks along with trigger point injections of various muscles including the semispinalis capitis with significant but limited duration of benefit...
November 2013: West Virginia Medical Journal
https://www.readbyqxmd.com/read/23111311/a-needle-in-the-neck-trigger-point-injections-as-headache-management-in-the-emergency-department
#12
Sarah J Reisenauer
A review of recent research suggests that the use of trigger point injections are successful in relieving the acute pain of musculoskeletal headaches. Patients with the chief complaint of headache commonly present to the emergency department (ED) and are often treated with multiple intravenous medications including narcotics. The success of outpatient treatment with trigger point injections can be applied to the acute care setting for improved patient outcomes and decongestion of the ED. This article will address the problems of intravenous medication therapy and discuss the benefits of trigger point therapy as management for musculoskeletal headaches specifically in the ED...
October 2012: Advanced Emergency Nursing Journal
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