Ultrasound Guided Trigger Point Injections in Myofascial Pain Syndrome

JOURNAL TITLE: Indian Journal of Physical Medicine and Rehabilitation

Author
1. Shiva Prasad
2. Vijay
3. Gururaj Bangari
4. Priyanka Patil
5. Spurti N Sagar
ISSN
0973-2209
DOI
10.5005/ijopmr-26-3-82
Volume
26
Issue
3
Publishing Year
2015
Pages
3
Author Affiliations
    1. Department of Radiology and imaging sciences, Apollo BGS Hospitals, Mysore
    1. Department of Radiology and imaging sciences, Apollo BGS Hospitals, Mysore
    1. Department of Radiology and imaging sciences, Apollo BGS Hospitals, Mysore
    1. Department of Radiology and imaging sciences, Apollo BGS Hospitals, Mysore
    1. Department of Radiology and imaging sciences, Apollo BGS Hospitals, Mysore
  • Article keywords

    Abstract

    Trigger points as a cause of musculoskeletal or myofascial pain syndrome is well documented. Trigger points (Tr Ps) are tender and hypersensitive nodules seen in skeletal muscles which develop as a result of sudden or repetitive trauma to the muscles. They cause contractile state of a muscle with local or radiating pain. Active trigger points cause intense pain with limitation of movements of the muscles. The treatment involves deactivating the trigger points, usually done by various methods. Most common practice is myotherapy which involves deep tissue massage which is painful and time consuming. Dry needling and needling with anaesthetic injaection have been successfully used by many. Recently, ultrasound guidance is used to locate the trigger points and to accurately place the needle in to them to deactivate, thus preventing complications of blind procedures.

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