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Trigger Point Injections

2017
A trigger point is a hyperirritable spot in the muscle associated with a hypersensitive palpable nodule in a taut band which is painful on compression. Myofascial trigger points are a component of a larger disorder known as myofascial pain syndrome (MPS).
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Trigger Point Injections

2018
Myofascial pain syndrome, which is caused by myofascial trigger points, is a very common muscular disorder. Myofascial trigger points (MTrPs) are defined as the most tender (hyperirritable) foci in a palpable taut band of skeletal muscle fiber that can elicit pain, referred pain, a local twitch response (LTR), motor dysfunction, as well as autonomic ...
Naum Shaparin   +2 more
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Myofascial syndrome: Response to trigger-point injections

Psychosomatics, 1983
Abstract Electromyographic recordings in 18 patients with chronic myofascial pain provided objective evidence for high levels of muscle tension, in place of the previous reliance on subjective reporting of the pain. These levels declined sharply after the injection of a local anesthetic at the trigger point, showing that measurable physiologic change
N, Hendler, H, Fink, D, Long
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Factors Associated With Failure of Trigger Point Injections

The Clinical Journal of Pain, 1994
The purpose of this study was to investigate factors that may influence the outcome of trigger point injections for myofascial pain syndrome. No prior studies have correlated preexisting factors with treatment outcome or assessed the magnitude of risk of treatment failure associated with such factors.Thirty-one factors derived from patient evaluation ...
M B, Hopwood, S E, Abram
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Intrathecal Injection: Unusual Complication of Trigger-Point Injection Therapy

Annals of Emergency Medicine, 1998
Trigger-point injection therapy is a common procedure in primary care medicine and emergency medicine and is generally considered safe. A 28-year-old woman experienced respiratory depression and hemiplegia after the injection of a superficial trapezius trigger point. The patient required emergency tracheal intubation for ventilatory support.
L S, Nelson, R S, Hoffman
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The Effects of Myofascial Trigger Point Injections Are Naloxone Reversible

Survey of Anesthesiology, 1988
Ten patients with myofascial trigger point pain were entered into a double-blind cross-over study of the reversibility of myofascial trigger point injection (TPI) effects with naloxone versus placebo in order to test the hypothesis that the benefits of TPI are mediated, at least in part, through activation of an endogenous opioid system.
P G, Fine, R, Milano, B D, Hare
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Pneumothorax Following "Trigger Point" Injection

JAMA: The Journal of the American Medical Association, 1970
To the Editor:— Antoni reviewed 226 cases of pneumothorax occurring in patients treated at the Henry Ford Hospital during the period 1955 to 1959, of which 76 were iatrongenically produced. 1 Techniques used by the surgeons, otolaryngologists, internists, gastroenterologists, and anesthesiologists could be complicated by pneumothorax and he urged that
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Ultrasound-guided trigger point injections

Techniques in Regional Anesthesia and Pain Management, 2009
Myofascial trigger point injections are frequently indicated for myofascial pain syndrome and are performed as blind procedures. Although these injections are usually safe and effective, complications resulting in pneumothorax, epidural abscess, skeletal muscle toxicity, and intrathecal injection been reported.
Cheng, PH, Chim, D
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Trigger point injections vs. jet injection in the treatment of myofascial pain

Pain, 1983
Trigger point injections using dilute solutions of local anesthetic agents have proved effective for many patients with myofascial pain. The treatment itself, however, can produce severe pain and may occasionally be associated with complications. It was determined in this study that a local anesthetic solution administered by jet injection in the area ...
L B, Ready   +3 more
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Trigger Point Injections for Pelvic Pain

2014
Chronic pelvic pain is one of the most challenging problems gynecologists encounter in clinical practice. Although management often involves a combination of medical, physical, cognitive, and behavioral therapies, trigger point injections offer an additional option for treatment in a subset of patients.
Jeannine M. Miranne, Amy J. Park
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