Injection of Remote Myofascial Trigger Points for Pain Control: A casereport

Authors

Chung-Li Tseng
Mu-Jung Kao
Li-Wei Chou
Chang-Zern Hong

Translated Title

遠端肌激痛點注射對疼痛的控制：病例報告

Abstract

The purpose of this casereport is to demonstrate the remote effect of myofascial trigger point (MTrP) injection for pain control. It describes a patient suffering from chronic pain due to MTrPs in bilateral upper trapezius muscle with poor results to direct MTrP injection to upper trapezius. After injection to the MTrPs in bilateral extensor carpi radialis longus, extensor indicis, and first dorsal interosseous muscles, the effectiveness of MTrP injection to bilateral upper trapezius muscles remarkably enhanced. This patient finally became almost pain free. The reason for poor relief of pain immediately after the first MTrP injection (directly on the upper trapezius muscles) was probably due to low pain threshold as a consequence of superimposed fibromyalgia syndrome. The muscles selected for the subsequent injection were actually satellite MTrPs of the key MTrP in the upper trapezius muscle. The remote effectiveness of MTrP injection is probably related to the neural connection in the spinal cord.

Language

English

DOI Link

https://doi.org/10.6315/2008.36(1)06

First Page

47

Last Page

52

Recommended Citation

Tseng, Chung-Li; Kao, Mu-Jung; Chou, Li-Wei; and Hong, Chang-Zern (2008) "Injection of Remote Myofascial Trigger Points for Pain Control: A casereport," Rehabilitation Practice and Science: Vol. 36: Iss. 1, Article 6.
DOI: https://doi.org/10.6315/2008.36(1)06
Available at: https://rps.researchcommons.org/journal/vol36/iss1/6