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.
Chadwick, Andrea L.
中科院分区:
医学4区
文献类型:
--
作者:
Srinivasan, Malathy;Lam, Christopher;Alm, John;Chadwick, Andrea L.

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肌筋膜痛是引起急性和慢性疼痛的常见原因。术语“肌筋膜痛”包括许多不同的疼痛情况,可以独立于其他疼痛产生因素而存在,称为原发性肌筋膜痛。常见的原发肌筋膜痛的诊断包括梨状肌综合征、与髂腰肌有关的疼痛以及与斜角肌压迫臂丛有关的疼痛(神经源性胸廓出口综合征)。通常,肌肉筋膜痛与其他急慢性疼痛肌肉骨骼疾病共存或继发于这些疾病,这些疾病包括(1)头颈部疾病(颞下颌关节紊乱病、颈椎退行性椎间盘疾病、颈椎小关节病、鞭打损伤后的颈部疼痛、颈臂综合征以及颈源性或慢性紧张型头痛);(2)胸腰椎背部疾病(退行性腰椎间盘疾病、脊柱后凸、脊柱侧弯和腰椎小关节病);(3)骨盆疼痛;以及(4)上肢和下肢疼痛障碍。肌筋膜疼痛最有效的治疗方案包括注射疗法(称为触发点注射[TPI])、物理疗法、体位或人体工程学矫正,以及潜在肌肉骨骼疼痛产生的治疗。
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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