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Intramuscular Injections Along the Motor End Plates: A Minimally Invasive Approach to Shuttle Tracers Directly into Motor Neurons

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Trigger Point Injections.

Malathy Appasamy¹, Christopher Lam², John Alm³

¹Department of Physical Medicine & Rehabilitation, Main Line Health System, 600 Evergreen Drive, 2nd Floor, Glen Mills, PA 19342, USA.

Physical Medicine and Rehabilitation Clinics of North America

|May 8, 2022

Summary

This summary is machine-generated.

Myofascial pain syndromes are common acute and chronic pain conditions. Trigger point injections, with or without imaging guidance, offer effective treatment options for patients.

Keywords:

Botulinum toxin Corticosteroid Local anesthetic Myofascial pain Piriformis syndrome Trigger point injection

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Area of Science:

Pain Management
Musculoskeletal Disorders
Interventional Procedures

Background:

Myofascial pain and myofascial pain syndromes are prevalent acute and chronic pain conditions.
Various interventional procedures exist for managing myofascial pain syndromes in both acute and chronic settings.

Purpose of the Study:

To review interventional procedures for myofascial pain syndromes.
To discuss the role of imaging guidance in trigger point injections.
To outline different injectate options for trigger point injections.

Main Methods:

Review of literature on myofascial pain and trigger point injections.
Discussion of imaging modalities (fluoroscopy, ultrasound) for guidance.
Analysis of different injectates: dry needling, local anesthetics, botulinum toxin, corticosteroids.

Main Results:

Trigger point injections are a common intervention for myofascial pain.
Imaging guidance has been historically recommended to enhance safety and outcomes.
Injections can be performed dry or with various pharmacological agents.

Conclusions:

Trigger point injections are a versatile treatment for myofascial pain syndromes.
The use of imaging guidance is a key consideration for optimizing procedure effectiveness and patient safety.
A range of injectates allows for tailored treatment approaches.