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KMID : 0948920210200020141
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Clinical Pain
2021 Volume.20 No. 2 p.141 ~ p.144
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Ultrasound Guided Thoracic Paravertebral Space Block for Chronic Intractable Upper Back Pain
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Kim Myung-Sang
Paek Min-Chul
Cho Han-Eol
Park Jung-Hyun
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Abstract
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There are some cases of myofascial pain syndrome (MPS) with chronic upper back pain that does not respond to dry needling or trigger point injection, well-known treatments for MPS. A 67-year-old female developed a stabbing upper back pain with trigger point at left T7∼8 levels 10 years ago. She complained of the pain with Numeral Rating Scale (NRS) 8 points. Myofascial release technique and trigger point injection had no effect. Under ultrasound guidance 20 ml of 1% lidocaine was injected into thoracic paravertebral space. Immediately, the pain was reduced to NRS 4 points. One week later, the second block was performed in the same way as the first, and the pain was reduced to NRS 2 points. The stabbing pain disappeared, and oral opioids were discontinued. Ultrasound guided thoracic paravertebral space block is an effective and safe treatment for refractory MPS with chronic upper back pain.
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KEYWORD
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Myofascial pain syndrome, Upper back pain, Thoracic paravertebral space block
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FullTexts / Linksout information
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Listed journal information
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