頁籤選單縮合
題名 | Ultrasound-guided Dextrose Injection Treatment for Chronic Myofascial Pain Syndrome: A Retrospective Case Series= |
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作者 | Chou, Yen; Chiou, Hong-jen; Wang, Hsin-kai; Lai, Yi-chen; |
期刊 | Journal of the Chinese Medical Association |
出版日期 | 20200900 |
卷期 | 83:9 2020.09[民109.09] |
頁次 | 頁876-879 |
分類號 | 415.9413 |
語文 | eng |
關鍵詞 | Glucose; Injections; Myofascial pain; Prolotherapy; Ultrasonography; |
英文摘要 | Background: Due to the lack of an evidence-based consensus, managing refractory myofascial pain syndrome is challenging for clinicians. Dextrose injection (dextrose prolotherapy) emerged as a promising, cost-effective treatment. This study evaluated the efficacy of targeted ultrasound-guided dextrose injection for localized myofascial pain syndrome. Methods: We retrospectively reviewed the clinical outcomes of 45 patients with myofascial pain syndrome refractory to alternative treatments with targeted ultrasound-guided dextrose injection. Pretreatment symptom severity and symptomatic response 1 month after treatment were statistically analyzed using a visual analog scale (VAS)-based scoring system. Results: Of 45 patients, 8 (24.4%) reported complete resolution of symptoms at the treated site. In total, 36 (80.0%) patients reported greater than 50% improvement in their symptoms. The mean pretreatment and posttreatment VAS scores were 7.0 and 2.44 (p < 0.001), indicating an overall 65.0% reduction in symptom severity. Conclusion: Targeted ultrasound-guided dextrose injection was remarkably effective for refractory localized myofascial pain syndrome, significantly reducing symptom intensities in the majority of treated patients within 1 month after a single injection. |
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