Tewari Saipriya, Madabushi Rajashree, Agarwal Anil, Gautam Sujeet K, Khuba Sandeep
Pain Clinic, Department of Anaesthesia, Sanjay Gandhi Post Graduate Institute, Raebareli Road, Lucknow, Uttar Pradesh 226014, India.
Pain Clinic, Department of Anaesthesia, Sanjay Gandhi Post Graduate Institute, Raebareli Road, Lucknow, Uttar Pradesh 226014, India.
J Bodyw Mov Ther. 2017 Jan;21(1):194-196. doi: 10.1016/j.jbmt.2016.06.017. Epub 2016 Jul 5.
Chronic widespread musculoskeletal pain is a cardinal symptom in hypermobility type of Ehler Danlos Syndrome (EDS type III). The management of pain in EDS, however, has not been studied in depth. A 30 year old female, known case of EDS, presented to the pain clinic with complaints of severe upper back pain for 6 months. Physical examination of the back revealed two myofascial trigger points over the left rhomboids and the left erector spinae. Local anaesthetic trigger point injections were given at these points, followed by stretching exercises under analgesic cover for the first week. After 1 week the patient reported 60-80% pain relief. This case highlights that we must keep a high index of suspicion for the more treatable causes of pain like myofascial pain syndrome in patients suffering from EDS, and should address it promptly and appropriately in order to maximise patient comfort.
慢性广泛性肌肉骨骼疼痛是活动度过高型埃勒斯-当洛综合征（Ⅲ型埃勒斯-当洛综合征，EDS-Ⅲ）的主要症状。然而，EDS疼痛的管理尚未得到深入研究。一名30岁的女性，已知患有EDS，因严重的上背部疼痛6个月就诊于疼痛门诊。背部体格检查发现左侧菱形肌和左侧竖脊肌有两个肌筋膜触发点。在这些部位进行了局部麻醉触发点注射，随后在镇痛覆盖下进行了第一周的伸展运动。1周后，患者报告疼痛缓解了60%-80%。该病例强调，对于患有EDS的患者，我们必须对肌筋膜疼痛综合征等更可治疗的疼痛原因保持高度怀疑指数，并应及时、适当地处理，以最大限度地提高患者的舒适度。
