Related Experiment Video
Updated: Apr 25, 2026
10:39
3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
19.1K
Trigger point injections for headache disorders: expert consensus methodology and narrative review
Matthew S Robbins1, Deena Kuruvilla, Andrew Blumenfeld
1Montefiore Headache Center, Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA.
Headache
|August 30, 2014
Summary
Trigger point injections (TPIs) offer a standardized approach for treating headache disorders when performed by experts. This consensus review outlines best practices for TPIs in headache management.
Area of Science:
- Neurology
- Pain Management
- Interventional Procedures
Background:
- Headache disorders are prevalent, with trigger point injections (TPIs) widely used but lacking standardized methodology.
- Expert consensus is needed to define TPI efficacy, safety, and procedural details for headache treatment.
Framework:
- Developed by the American Headache Society's Special Interest Section on Peripheral Nerve Blocks.
- Utilized expert meetings and literature review to establish consensus on TPIs for headaches.
Implementation:
- Indications include various primary and secondary headaches with active trigger points.
- Contraindications: infection, open skull defects, anesthetic allergy. Precautions: anticoagulants, pregnancy, obesity.
- Commonly injected muscles: trapezius, sternocleidomastoid, temporalis. Agents: bupivacaine, lidocaine.
Implications:
- TPIs can serve as adjunctive therapy for common headache disorders when performed correctly.
- Standardized protocols based on this consensus can promote evidence-based, consistent TPI treatment.
- Further research may refine TPI application and improve patient outcomes in headache management.
Related Concept Videos
01:25Analgesia and Pain Management
3.3K
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
3.3K
01:29Drug Delivery: Parenteral Route
2.8K
The parenteral route is a critical method of drug administration. It delivers compounds directly into the systemic circulation and bypasses the gastrointestinal tract. This approach is particularly advantageous for drugs that exhibit poor absorption or instability when administered orally.
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
2.8K