Arce Gálvez Leonado, Cuervo Pulgarín José Luis, Castellanos Ramelli Daniela, Guauque Marcelo Christian Vladimir, Valencia Gómez Rafael Enrico
Physical Medicine and Rehabilitation, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogotá, Colombia.
Pain Medicine and Palliative Care, Fundación Universitaria de Ciencias de la Salud (FUCS), Bogotá, Colombia.
Interv Pain Med. 2024 Apr 8;3(2):100410. doi: 10.1016/j.inpm.2024.100410. eCollection 2024 Jun.
Myofascial pain syndrome is a chronic pain condition prevalent in the general population. Muscular symptoms at the level of the trapezius and rhomboid muscles are frequent and the response to therapeutic interventions established so far is variable.
We present a case series of six patients who underwent a new technique of interfacial trapezius-rhomboid block (TRB) performed under ultrasonographic guidance by applying 10 cubic centimeters (cc) of analgesic solution (bupivacaine 0.25 % and methylprednisolone 40 mg) in the interfacial plane between the trapezius and rhomboid muscles at the level of the fifth and sixth ribs.
At a follow-up of one and eight weeks, measurements of numerical rating scale (NRS) pain intensity were carried out, finding an average decrease of NRS pain intensity by 70 %.
This new technique may be considered for the treatment of myofascial pain syndrome of the trapezius and rhomboid muscles. Larger future studies are needed to better establish its safety and efficacy.
肌筋膜疼痛综合征是一种在普通人群中普遍存在的慢性疼痛病症。斜方肌和菱形肌水平的肌肉症状很常见，并且迄今为止对既定治疗干预措施的反应各不相同。
我们展示了一组六例患者的病例系列，这些患者接受了一种新的超声引导下斜方肌-菱形肌界面阻滞（TRB）技术，在第五和第六肋骨水平的斜方肌和菱形肌之间的界面平面注入10立方厘米（cc）的镇痛溶液（0.25%布比卡因和40毫克甲基强的松龙）。
在随访1周和8周时，进行了数字评分量表（NRS）疼痛强度测量，发现NRS疼痛强度平均降低了70%。
这种新技术可考虑用于治疗斜方肌和菱形肌的肌筋膜疼痛综合征。未来需要进行更大规模的研究，以更好地确定其安全性和有效性。
