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Rehabilitation Practice and Science

Translated Title

以接續性肌筋膜激痛點注射來治療合併有反射性交感神經失養症之肌筋膜疼痛症候群的病患：病例報告

Abstract

A patient with traumatic rotator cuff tear of right shoulder developed severe myofascial pain syndrome with reflex sympathetic dystrophy (RSD) involving the right upper extremity. She was unable to take any type of manual therapy or needle treatment due to severe allodynia in the whole right upper limb. She visited our pain clinic about 2 months after the onset of trauma. She received myofascial trigger point (MTrP) injection beginning with injection into the MTrP of the right first dorsal interosseous muscle, followed by injecting MTrPs of the right wrist-finger extensors and right anterior deltoid muscles. The allodynia was remarkably reduced. Then she received intra-articular steroid injection into her right shoulder joint and subacromial bursa. Two weeks later, she was able to use her right hand for light activity. She received further injection of MTrPs in the right shoulder girdle muscles including deltoid, supraspinatus, infraspinatus and teres minor muscles. She had almost pain free with nearly full range of motion in her right shoulder by 3 months after injection. The mechanism of MTrPs and their association with RSD were discussed.

Language

English

First Page

155

Last Page

163

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