Regional Head and Face Pain Relief Following Lower Cervical Intramuscular Anesthetic Injection
| Autor: | Gary A. Mellick, Larry B. Mellick |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty Headache Disorders medicine.drug_class Migraine Disorders Facial Neuralgia Injections Intramuscular Trigeminal neuralgia medicine Humans Anesthetics Local Bupivacaine hydrochloride Aged Neck pain Local anesthetic business.industry Tension-Type Headache Middle Aged Trigeminal Neuralgia medicine.disease Bupivacaine Surgery medicine.anatomical_structure Allodynia Neurology Scalp Anesthesia Chronic Disease Cervical Vertebrae Female Neurology (clinical) medicine.symptom Intramuscular injection business Cervical vertebrae |
| Zdroj: | Headache: The Journal of Head and Face Pain. 43:1109-1111 |
| ISSN: | 1526-4610 0017-8748 |
| Popis: | Background.—Although cervical trigger point intramuscular injections are commonly used to relieve localized neck pain, regional head pain relief from lower cervical paravertebral injections has not been reported previously. Purpose.—To evaluate the safety and efficacy of such injections in a selected group of patients with intractable head or face pain. Methods.—In a series of patients with chronic head or face pain, local anesthetic was injected into the lower cervical spine paravertebral musculature approximately 1 to 2 inches lateral to the seventh cervical spinous process. Results.—In addition to producing rapid relief of palpable scalp or facial tenderness (mechanical hyperalgesia and allodynia pain), this lower cervical intramuscular injection technique alleviated associated symptoms of nausea, photophobia, and phonophobia in patients with migrainous headache. Conclusion.—Our results suggest that lower cervical intramuscular anesthetic injection may be an effective treatment for head or face pain. (Headache 2003;43:1109-1111) Effective treatment for head, face, and neck pain can be difficult to obtain. We describe a series of patients whose head, face, or neck pain was reduced significantly following the injection of anesthetic into the lower cervical spine paravertebral musculature approximately 1 to 2 inches lateral to the seventh cervical spinous process. Pain relief presumably results from the treatment’s effect on a central pain-modulating mechanism that most likely involves the trigeminovascular system and spinal pathways. The procedure described in this series is similar to a myofascial “trigger point” injection. After a sterile field is prepared over the lower cervical and upper thoracic dorsal spine, 0.5 to 1.5 mL of 0.25% or 0.5% bupivacaine hydrochloride is injected using a 1.5-inch |
| Databáze: | OpenAIRE |
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