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題 名 | Facet Injection to Control the Recurrent Myofascial Trigger Points: A Case Report=經由小面關節注射來控制復發性肌膜引痛點:病例報告 |
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作 者 | 李佩逈; 林伯威; 謝霖芬; 洪章仁; | 書刊名 | 復健醫學會雜誌 |
卷 期 | 26:1 1998.03[民87.03] |
頁 次 | 頁41-45 |
分類號 | 416.61 |
關鍵詞 | 頸部疼痛; 小面關節; 小面關節注射; 肌膜引痛點; Neck pain; Facet joint; Facet injection; Myofascial trigger point; |
語 文 | 英文(English) |
中文摘要 | 復發性肌膜引痛點(MTrPs)可能與不易辨識的慢性軟組織病變有關,甚至可能由它所引起。本文將紶告一個上背部復發性肌膜引痛點,經由小面關節(facet or zygapophysial joint)注射而成功控制疼痛的病例。這是一位40歲男性病人,因持續6個月漸進性左側上背部疼痛、麻木及頸部僵硬至健科求診。臨柿上發現在左側提肩胛肌(levator scapulae)、大小菱形肌(rhomboid major and minor)、上斜方肌(upper trapezius)及上後鋸肌(serratus poster9or superior)有活動性肌膜引痛點。肌電圖檢查發現有雙側雙性慢性第六及第七頸根病變,而磁振造影換實在左側第五/六和第六/七頸椎間有輕微椎間盤凸出。經兩個多月頸椎牽引、耜引痛點注射及針灸治療,症狀無明顯善。進一步檢查發現左側第五/六頸椎小面關節有壓痛點,並引發左上背肌引痛點之疼痛,故在第五/六小面關節施以4毫克betamethsaone加1%lidocaine 0.5cc局部注射。注射後症狀麼刻緩解。兩倍月後複診檢查,病人已無疼痛現象。一年半後再以電話追蹤,背痛完全緩解且無復發現象。由以上可知,當病人有上背部復發肌膜引痛點時,可能也要檢查頸椎小面關節是否有與引痛點相關之病灶,而適當的局部小面關節注射,對復發性肌膜引痛點控制可能有極大的幫助。 |
英文摘要 | Receurrent myofascial trigger points (MTrPs) may be caused by or associated with chronic soft tissue lesion(s) which can not be easily identified. We hereby report a case of recurrent myofascila trigger points in the upper back muscles, which were successfully controlled after one treatment of cervical facet injection. This patient was a 40-year-old man who had suffered from chronic left upper back pain and soreness with tingling sensation and back stiffness for six months. He had active MRrPs in the left levator scapulae, left rhomboid major and minor, left upper trapezius, and left serratus posterior superior muscles. Spurling sign was negative. Neurological examination was within normal limits. Electromyographic examinationrevealed evidence of chronic C6 and C7 radiculopathies in both sides. MRI of the cervical spine showed mild discs bulging at C5-6 and C6-7 levels. He was firstly treated conservatively with physical therapy including heat therapy and cervical traction. He also received acupuncture and lidocaine injection to the active MRrPs, which showed only temporary effect. Further examination revealed severe tenderness in the left C5-6 facet joint, which was correlated with finding of CT scan. MTrPs pain in the left upper back could be reproduced during compression of the facet joint. Therefore, injection with betamethasone 4 mg plus 1% lidocain 0.5cc was performed to the left C5-6 facet. Immediately after injection, all the MTrPs became inactive (pain free). In a follow-up examination 2 months later, no active MTrPs could be identified. No recurrence of symptoms was reported in a follow up phone call 15 months later. It is suggested that when a patient has recurrent MTrPs in the upooer back, careful examination for facet joints to find possible association of facet lesion and MTrPs and to offer appropriate local injection may be very helpful to control the recurrent MTrPs. |
本系統中英文摘要資訊取自各篇刊載內容。