Trigger Point Injections.
Trigger Point Injections.
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DOI:
10.1016/j.pmr.2022.01.011
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发表时间:
2022-05
影响因子:
1.7
通讯作者:
Chadwick, Andrea L.
中科院分区:
文献类型:
--
作者:
Srinivasan, Malathy;Lam, Christopher;Alm, John;Chadwick, Andrea L.
关键词:
Myofascial pain is a common cause of acute and chronic pain. The term “myofascial pain” encompasses many different painful conditions and can exist independently of other pain generators, known as primary myofascial pain. Common primary myofascial pain diagnoses include piriformis syndrome, iliopsoas-related pain, and pain related to compression of the brachial plexus by the scalene muscles (neurogenic thoracic outlet syndrome). Frequently, myofascial pain coexists with or is secondary to other acute and chronic painful musculoskeletal conditions including (1) head and neck disorders (temporomandibular disorders, cervical degenerative disc disease, cervical facet arthropathy, neck pain after whiplash injury, cervicobrachial syndrome, and cervicogenic or chronic tension-type headache);(2) thoracolumbar back disorders (degenerative disc disease, kyphosis, scoliosis, and lumbar facet arthropathy);(3) pelvic pain; and (4) upper and lower extremity pain disorders. Myofascial pain is most effectively treated with a multimodal treatment plan including injection therapy (known as trigger point injections [TPIs]), physical therapy, postural or ergonomic correction, and treatment of underlying musculoskeletal pain generators.
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