Pectoralis Trigger Point Injection

Pectoralis Trigger Point Injection

Tiếng Việt >> Indications Pectoralis muscle injection is a useful diagnostic and therapeutic procedure for myofascial pain. Techniques After informed consent is obtained, the patient is placed in the supine position. The pectoralis muscles are palpated. The injection sites are identified as points of maximal tenderness to deep palpation, reproducing the patient’s pain complaints. This may or may not result in referred pain. The patient is prepared in a standard aseptic fashion over an area large enough to allow palpation…

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Shoulder Imaging Overview

Shoulder Imaging Overview

Plain film radiographic evaluation of the shoulder should include frontal examinations with internal and external humeral rotation. If there is a question of instability or dislocation, an axillary view, a scapular Y view, or both should be obtained. There have been several reports that recommend the use of a 30-degree caudad-angled radiograph or a suprascapular outlet view for the assessment of the anterior acromion in cases of suspected shoulder impingement. Since these are special views, they must be ordered as…

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Infraspinatus Trigger Point Injection

Infraspinatus Trigger Point Injection

Tiếng Việt >> Indications Infraspinatus injection is a useful diagnostic and therapeutic procedure for myofascial pain. Techniques After informed consent is obtained, the patient is placed in the sitting or prone position. The infraspinatus muscle is palpated from the infraspinous fossa of the scapula to the humerus. Trigger points are most often located below the spine of the scapulae. The injection sites are identified as points of maximal tenderness to deep palpation, reproducing the patient’s pain complaint. This may or…

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Supraspinatus Trigger Point Injection

Supraspinatus Trigger Point Injection

Tiếng Việt >> Indications Supraspinatus injection is a useful diagnostic and therapeutic procedure for myofascial pain. Techniques After informed consent is obtained, the patient is placed in a sitting or prone position. The supraspinatus muscle is palpated for trigger points from the supraspinous fossa to the humerus. The injection sites are identified as points of maximal tenderness to deep palpation reproducing the patient’s pain complaint. This may or may not result in referred pain. The patient is prepared in a…

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Levator Scapulae Trigger Point Injection

Levator Scapulae Trigger Point Injection

Tiếng Việt >> Indications Levator scapulae trigger point injection is a useful diagnostic and therapeutic procedure for myofascial pain. Techniques After informed consent is obtained, the patient is placed in a sitting or prone position. The levator scapulae muscle is palpated along the attachment at the C1 to C4 vertebrae and the superior angle of the scapulae. The injection sites are identified as points of maximal tenderness to deep palpation reproducing the patient’s pain complaint. This may or may not…

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Musculoskeletal Imaging Overview

Musculoskeletal Imaging Overview

The advent of the multidetector CT (MDCT) scanner has increased the applicability of this imaging technique for the assessment of the musculoskeletal system. This technology allows for the acquisition of large data set in the axial plane that can be reconstructed in multiple planes of imaging with the use of multiplanar reconstruction (MPR) algorithm. Any anatomical part in the human body can now be scanned in the axial plane and the anatomical information can later be reconstructed in the sagittal,…

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Trapezius Trigger Point Injection

Trapezius Trigger Point Injection

Tiếng Việt >> Indications Trigger point injection of the trapezius muscle is used to treat myofascial pain. Techniques After informed consent is obtained, the patient is placed in the sitting or prone position. The trapezius muscle is palpated. The injection sites are identified as points of maximal tenderness to deep palpation reproducing the patient’s pain complaint. This may or may not result in referred pain. The patient is prepared in a standard aseptic fashion over an area large enough to…

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Commom Muscle Injection Techniques

Commom Muscle Injection Techniques

Tiếng Việt >> General Trigger points may occur in any muscle or muscle group of the body. They are commonly found in muscle groups that are routinely overstressed or those that do not undergo full contraction and relaxation cycles. Many trigger points are characterized by pain originating from small circumscribed areas of local hyperirritability involving myofascial structures, resulting in local and referred pain. Pain is aggravated by stretching, cooling, and compression of the affected area, which often gives rise to…

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Intramuscular Nerve (Motor Point) Block

Intramuscular Nerve (Motor Point) Block

Indications Intramuscular nerve blockade is used for diagnostic, prognostic, and therapeutic treatment of non–velocity-dependent muscle tone, flexor spasm, and dystonia. Techniques After informed consent is obtained, the patient is positioned comfortably to allow optimal access to the muscles involved. The patient is prepared in a standard aseptic fashion over an area large enough to allow palpation of landmarks, and sterile technique is used throughout the procedure. A skin wheal is raised over the main muscle bulk of the muscles to…

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Saphenous Nerve Block At The Ankle

Saphenous Nerve Block At The Ankle

Tiếng Việt >> Indications Saphenous nerve blockade is used to diagnose and treat pain disorders of the saphenous nerve distribution in the foot. Techniques After informed consent is obtained, the patient is placed in a prone position with the foot elevated on a pillow. The patient is prepared in a standard aseptic fashion over an area large enough to allow palpation of landmarks, and sterile technique is used throughout the procedure. A 1-in. (2.5-cm), 25-gauge needle is inserted immediately above…

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