Indian Journal of Physical Medicine and Rehabilitation

Register      Login

VOLUME 26 , ISSUE 3 ( September, 2015 ) > List of Articles

CASE REPORT

Ultrasound Guided Trigger Point Injections in Myofascial Pain Syndrome

Shiva Prasad, Vijay, Gururaj Bangari, Priyanka Patil, Spurti N Sagar

Citation Information : Prasad S, V, Bangari G, Patil P, Sagar SN. Ultrasound Guided Trigger Point Injections in Myofascial Pain Syndrome. Indian J Phy Med Rehab 2015; 26 (3):82-84.

DOI: 10.5005/ijopmr-26-3-82

Published Online: 01-12-2011

Copyright Statement:  Copyright © 2015; The Author(s).


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.


PDF Share
  1. Myofascial pain and dysfunction: The Trigger Point Manual. Philadelphia PA: Lippincott Williams & Wilkins, 1983.
  2. Uncovering the biochemical milieu of myofascialtrigger points using in vivo microdialysis: an application of muscle pain concepts tomyofascial pain syndrome. Bodywork and Movement Therapies 2008;12:371-84.
  3. Am Fam Physician 2002;65:653-1.
  4. The use of trigger point “dry” needling under ultrasound guidance for the treatment of myofascial pain (technological innovation and literature review). Liksparva 2010;6:56-64.
  5. Pain 1979;6:83-90.
  6. Lidocaine injection versus dry needling to myofascial trigger point. The importance of the local twitch response. Am J Phys Med Rehabil 1994;73:256-63.
  7. Pain Physician 2008;6:885-9.
  8. Ultrasound-guided trigger point injection: first description of changes visible on ultrasound scanning in the muscle containing the trigger point. Br J Anaesth 2011;107:474-5.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.