J Korean Pain Soc.  1993 May;6(1):105-108.

Nerve Block for Treatment of Tienchu Syndrome and Occipital Neuralgia

• Chang WY

Abstract

A myofascial syndrome due to continuous muscle contraction with the trigger point at the upper lateral edge of the nuchal muscles where they attach to the occipital bone is frequently seen in daily pain clinic practice. The Tienchu syndrome is a myofascial condition of the posterior neck region with a trigger point at the Tienchu acupointg3l0). When advanced, occipital neuralgia and muscle contraction headache follow. Therefore, a Tienchu block and/or occipital nerve block with local anesthetic combined with a small dose of steroid is a most effective therapeutic method for many patients who complain of posterior headache or posterior neck pain.

Keyword

Tienchu syndrome; Occiptal neuralgia; Tienchu block

MeSH Terms

Headache
Humans
Muscle Contraction
Muscles
Neck
Neck Pain
Nerve Block*
Neuralgia*
Occipital Bone
Pain Clinics
Trigger Points