Clinical Pain

Korean Association of Pain Medicine (대한임상통증학회)
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Ultrasound Guided Thoracic Paravertebral Space Block for Chronic Intractable Upper Back Pain

만성 난치성 상부 등 통증에서 초음파 유도 하 흉추 주위 공간 차단술

  • Kim, Myungsang (Department of Rehabilitation Medicine, Gangnam Severance Hospital, Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine) ;
  • Paek, Min Chul (Department of Rehabilitation Medicine, Gangnam Severance Hospital, Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine) ;
  • Cho, Han Eol (Department of Rehabilitation Medicine, Gangnam Severance Hospital, Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine) ;
  • Park, Jung Hyun (Department of Rehabilitation Medicine, Gangnam Severance Hospital, Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine)
  • 김명상 (연세대학교 의과대학 재활의학교실 및 희귀난치성 신경근육병 재활연구소) ;
  • 백민철 (연세대학교 의과대학 재활의학교실 및 희귀난치성 신경근육병 재활연구소) ;
  • 조한얼 (연세대학교 의과대학 재활의학교실 및 희귀난치성 신경근육병 재활연구소) ;
  • 박중현 (연세대학교 의과대학 재활의학교실 및 희귀난치성 신경근육병 재활연구소)
  • Received : 2021.08.27
  • Accepted : 2021.10.25
  • Published : 2021.12.31
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Abstract

There are some cases of myofascial pain syndrome (MPS) with chronic upper back pain that does not respond to dry needling or trigger point injection, well-known treatments for MPS. A 67-year-old female developed a stabbing upper back pain with trigger point at left T7~8 levels 10 years ago. She complained of the pain with Numeral Rating Scale (NRS) 8 points. Myofascial release technique and trigger point injection had no effect. Under ultrasound guidance 20 ml of 1% lidocaine was injected into thoracic paravertebral space. Immediately, the pain was reduced to NRS 4 points. One week later, the second block was performed in the same way as the first, and the pain was reduced to NRS 2 points. The stabbing pain disappeared, and oral opioids were discontinued. Ultrasound guided thoracic paravertebral space block is an effective and safe treatment for refractory MPS with chronic upper back pain.

Keywords

References

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