Ultrasound‐Guided Erector Spinae Plane Block and Trapezius Muscle Injection for Myofascial Pain Syndrome
Objective There were two goals to this study: the first goal was to research the analgesic effectiveness of erector spinae plane block (ESPB) added to the treatment after trapezius muscle injection (TMI) and the second was to investigate whether repeated TMI increases the analgesic effect in myofasc...
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| Veröffentlicht in: | Journal of ultrasound in medicine 2022-01, Vol.41 (1), p.185-191 |
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| creator | Yürük, Damla Akkaya, Ömer Taylan Polat, Özgür Emre Alptekin, Hüseyin Alp |
| description | Objective
There were two goals to this study: the first goal was to research the analgesic effectiveness of erector spinae plane block (ESPB) added to the treatment after trapezius muscle injection (TMI) and the second was to investigate whether repeated TMI increases the analgesic effect in myofascial pain syndrome (MPS).
Methods
Sixty patients with a diagnosis of MPS were randomized into two groups. The TMI group (n = 30) received ultrasound‐guided (USG) TMI with 5 mL of 0.25% bupivacaine two times, with a 1‐week interval in between. The ESPB group (n = 30) received USG TMI with 5 mL of 0.25% bupivacaine in the first week and USG ESPB with 20 mL of 0.125% bupivacaine in the second week. The pain severity of the patients was evaluated using the visual analog scale (VAS). The data obtained before (week 0) and after (weeks 1, 2, 3, and 4) the injections were statistically compared between the groups.
Results
In both groups, the mean VAS score decreased in the first week compared to the mean pretreatment score (p |
| doi_str_mv | 10.1002/jum.15694 |
| format | Article |
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There were two goals to this study: the first goal was to research the analgesic effectiveness of erector spinae plane block (ESPB) added to the treatment after trapezius muscle injection (TMI) and the second was to investigate whether repeated TMI increases the analgesic effect in myofascial pain syndrome (MPS).
Methods
Sixty patients with a diagnosis of MPS were randomized into two groups. The TMI group (n = 30) received ultrasound‐guided (USG) TMI with 5 mL of 0.25% bupivacaine two times, with a 1‐week interval in between. The ESPB group (n = 30) received USG TMI with 5 mL of 0.25% bupivacaine in the first week and USG ESPB with 20 mL of 0.125% bupivacaine in the second week. The pain severity of the patients was evaluated using the visual analog scale (VAS). The data obtained before (week 0) and after (weeks 1, 2, 3, and 4) the injections were statistically compared between the groups.
Results
In both groups, the mean VAS score decreased in the first week compared to the mean pretreatment score (p < .001). When the VAS scores were compared between the first and second weeks, a decrease was observed in both groups (p < .001), but it was more evident in the ESPB group. Compared to previous weeks, there was no significant difference in VAS scores at the third and fourth weeks.
Conclusions
The analgesic effect of repeated TMI for MPS was superior to a single injection, but ESPB combined with TMI provided more effective analgesia than repeated TMI.</description><identifier>ISSN: 0278-4297</identifier><identifier>EISSN: 1550-9613</identifier><identifier>DOI: 10.1002/jum.15694</identifier><identifier>PMID: 33713473</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>erector spinae plane block ; Humans ; myofascial pain ; Myofascial Pain Syndromes - diagnostic imaging ; Myofascial Pain Syndromes - drug therapy ; Nerve Block ; Superficial Back Muscles ; trapezius muscle injection ; Ultrasonography ; ultrasonography guidenced ; Ultrasonography, Interventional</subject><ispartof>Journal of ultrasound in medicine, 2022-01, Vol.41 (1), p.185-191</ispartof><rights>2021 American Institute of Ultrasound in Medicine.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3254-36a8b441f480697214f34b527ac68e17194d6823d76892d55790aa9998da41703</citedby><cites>FETCH-LOGICAL-c3254-36a8b441f480697214f34b527ac68e17194d6823d76892d55790aa9998da41703</cites><orcidid>0000-0002-0799-3434</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjum.15694$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjum.15694$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33713473$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yürük, Damla</creatorcontrib><creatorcontrib>Akkaya, Ömer Taylan</creatorcontrib><creatorcontrib>Polat, Özgür Emre</creatorcontrib><creatorcontrib>Alptekin, Hüseyin Alp</creatorcontrib><title>Ultrasound‐Guided Erector Spinae Plane Block and Trapezius Muscle Injection for Myofascial Pain Syndrome</title><title>Journal of ultrasound in medicine</title><addtitle>J Ultrasound Med</addtitle><description>Objective
There were two goals to this study: the first goal was to research the analgesic effectiveness of erector spinae plane block (ESPB) added to the treatment after trapezius muscle injection (TMI) and the second was to investigate whether repeated TMI increases the analgesic effect in myofascial pain syndrome (MPS).
Methods
Sixty patients with a diagnosis of MPS were randomized into two groups. The TMI group (n = 30) received ultrasound‐guided (USG) TMI with 5 mL of 0.25% bupivacaine two times, with a 1‐week interval in between. The ESPB group (n = 30) received USG TMI with 5 mL of 0.25% bupivacaine in the first week and USG ESPB with 20 mL of 0.125% bupivacaine in the second week. The pain severity of the patients was evaluated using the visual analog scale (VAS). The data obtained before (week 0) and after (weeks 1, 2, 3, and 4) the injections were statistically compared between the groups.
Results
In both groups, the mean VAS score decreased in the first week compared to the mean pretreatment score (p < .001). When the VAS scores were compared between the first and second weeks, a decrease was observed in both groups (p < .001), but it was more evident in the ESPB group. Compared to previous weeks, there was no significant difference in VAS scores at the third and fourth weeks.
Conclusions
The analgesic effect of repeated TMI for MPS was superior to a single injection, but ESPB combined with TMI provided more effective analgesia than repeated TMI.</description><subject>erector spinae plane block</subject><subject>Humans</subject><subject>myofascial pain</subject><subject>Myofascial Pain Syndromes - diagnostic imaging</subject><subject>Myofascial Pain Syndromes - drug therapy</subject><subject>Nerve Block</subject><subject>Superficial Back Muscles</subject><subject>trapezius muscle injection</subject><subject>Ultrasonography</subject><subject>ultrasonography guidenced</subject><subject>Ultrasonography, Interventional</subject><issn>0278-4297</issn><issn>1550-9613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kL1OwzAURi0EoqUw8ALIIwxp_Zc4HqEqpagVldrOkRs7kkMSF7sRChOPwDPyJKQE2Jjucr4j3QPAJUZDjBAZ5XU5xGEk2BHo4zBEgYgwPQZ9RHgcMCJ4D5x5n7cowpydgh6lHFPGaR_km2LvpLd1pT7fP6a1UVrBidPp3jq42plKargsZKXhXWHTZygrBddO7vSbqT1c1D4tNJxVeTswtoJZu1o0NpM-NbKAS2kquGoq5Wypz8FJJguvL37uAGzuJ-vxQzB_ms7Gt_MgpSRkAY1kvGUMZyxGkeAEs4yybUi4TKNYY44FU1FMqOJRLIgKQy6QlEKIWEmGOaIDcN15d86-1Nrvk9L4VBeHL2ztExIiTCLexmnRmw5NnfXe6SzZOVNK1yQYJYe0SZs2-U7bslc_2npbavVH_rZsgVEHvJpCN_-bksfNolN-AWmMgtg</recordid><startdate>202201</startdate><enddate>202201</enddate><creator>Yürük, Damla</creator><creator>Akkaya, Ömer Taylan</creator><creator>Polat, Özgür Emre</creator><creator>Alptekin, Hüseyin Alp</creator><general>John Wiley & Sons, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0799-3434</orcidid></search><sort><creationdate>202201</creationdate><title>Ultrasound‐Guided Erector Spinae Plane Block and Trapezius Muscle Injection for Myofascial Pain Syndrome</title><author>Yürük, Damla ; Akkaya, Ömer Taylan ; Polat, Özgür Emre ; Alptekin, Hüseyin Alp</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3254-36a8b441f480697214f34b527ac68e17194d6823d76892d55790aa9998da41703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>erector spinae plane block</topic><topic>Humans</topic><topic>myofascial pain</topic><topic>Myofascial Pain Syndromes - diagnostic imaging</topic><topic>Myofascial Pain Syndromes - drug therapy</topic><topic>Nerve Block</topic><topic>Superficial Back Muscles</topic><topic>trapezius muscle injection</topic><topic>Ultrasonography</topic><topic>ultrasonography guidenced</topic><topic>Ultrasonography, Interventional</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yürük, Damla</creatorcontrib><creatorcontrib>Akkaya, Ömer Taylan</creatorcontrib><creatorcontrib>Polat, Özgür Emre</creatorcontrib><creatorcontrib>Alptekin, Hüseyin Alp</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of ultrasound in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yürük, Damla</au><au>Akkaya, Ömer Taylan</au><au>Polat, Özgür Emre</au><au>Alptekin, Hüseyin Alp</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ultrasound‐Guided Erector Spinae Plane Block and Trapezius Muscle Injection for Myofascial Pain Syndrome</atitle><jtitle>Journal of ultrasound in medicine</jtitle><addtitle>J Ultrasound Med</addtitle><date>2022-01</date><risdate>2022</risdate><volume>41</volume><issue>1</issue><spage>185</spage><epage>191</epage><pages>185-191</pages><issn>0278-4297</issn><eissn>1550-9613</eissn><abstract>Objective
There were two goals to this study: the first goal was to research the analgesic effectiveness of erector spinae plane block (ESPB) added to the treatment after trapezius muscle injection (TMI) and the second was to investigate whether repeated TMI increases the analgesic effect in myofascial pain syndrome (MPS).
Methods
Sixty patients with a diagnosis of MPS were randomized into two groups. The TMI group (n = 30) received ultrasound‐guided (USG) TMI with 5 mL of 0.25% bupivacaine two times, with a 1‐week interval in between. The ESPB group (n = 30) received USG TMI with 5 mL of 0.25% bupivacaine in the first week and USG ESPB with 20 mL of 0.125% bupivacaine in the second week. The pain severity of the patients was evaluated using the visual analog scale (VAS). The data obtained before (week 0) and after (weeks 1, 2, 3, and 4) the injections were statistically compared between the groups.
Results
In both groups, the mean VAS score decreased in the first week compared to the mean pretreatment score (p < .001). When the VAS scores were compared between the first and second weeks, a decrease was observed in both groups (p < .001), but it was more evident in the ESPB group. Compared to previous weeks, there was no significant difference in VAS scores at the third and fourth weeks.
Conclusions
The analgesic effect of repeated TMI for MPS was superior to a single injection, but ESPB combined with TMI provided more effective analgesia than repeated TMI.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>33713473</pmid><doi>10.1002/jum.15694</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-0799-3434</orcidid></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | erector spinae plane block Humans myofascial pain Myofascial Pain Syndromes - diagnostic imaging Myofascial Pain Syndromes - drug therapy Nerve Block Superficial Back Muscles trapezius muscle injection Ultrasonography ultrasonography guidenced Ultrasonography, Interventional |
| title | Ultrasound‐Guided Erector Spinae Plane Block and Trapezius Muscle Injection for Myofascial Pain Syndrome |
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