Department of Physical Medicine & Rehabilitation, Main Line Health System, 600 Evergreen Drive, 2nd Floor, Glen Mills, PA 19342, USA.
Department of Anesthesiology, University of Kansas School of Medicine, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA.
Phys Med Rehabil Clin N Am. 2022 May;33(2):307-333. doi: 10.1016/j.pmr.2022.01.011.
Myofascial pain and myofascial pain syndromes are among some of the most common acute and chronic pain conditions. Many interventional procedures can be performed in both an acute and chronic pain setting to address myofascial pain syndromes. Trigger point injections can be performed with or without imaging guidance such as fluoroscopy and ultrasound; however, the use of imaging in years past has been recommended to improve patient outcome and safety. Injections can be performed using no injectate (dry needling), or can involve the administration of local anesthetics, botulinum toxin, or corticosteroids.
肌筋膜疼痛和肌筋膜疼痛综合征是一些最常见的急性和慢性疼痛病症。许多介入性程序可以在急性和慢性疼痛环境中进行，以解决肌筋膜疼痛综合征。触发点注射可以在没有影像学引导（透视和超声）的情况下进行，也可以在有影像学引导的情况下进行；然而，过去几年一直建议使用影像学来提高患者的治疗效果和安全性。注射可以不使用注射剂（干针）进行，也可以使用局部麻醉剂、肉毒毒素或皮质类固醇进行。
