Korean J Pain.  2012 Jan;25(1):52-54. 10.3344/kjp.2012.25.1.52.

Treatment Experience of Pulsed Radiofrequency Under Ultrasound Guided to the Trapezius Muscle at Myofascial Pain Syndrome: A Case Report

• Park CH
• Lee YW
• Kim YC
• Moon JH
• Choi JB

• KMID: 2278117
• DOI: http://doi.org/10.3344/kjp.2012.25.1.52

Abstract

Trigger point injection treatment is an effective and widely applied treatment for myofascial pain syndrome. The trapezius muscle frequently causes myofascial pain in neck area. We herein report a case in which direct pulsed radiofrequency (RF) treatment was applied to the trapezius muscle. We observed that the RF treatment produced continuous pain relief when the effective duration of trigger point injection was temporary in myofascial pain.

Keyword

myofascial pain; pulsed RF (radiofrequency); trigger point injection

MeSH Terms

Muscles
Myofascial Pain Syndromes
Neck
Trigger Points

Figure

• 

  Fig. 1 Insertion of radiofrequency (RF) needle at the trapezius muscle under ultrasound guided.

Reference

1. Tamimi MA, McCeney MH, Krutsch J. A case series of pulsed radiofrequency treatment of myofascial trigger points and scar neuromas. Pain Med. 2009; 10:1140–1143. PMID: 19594852.

2. Bevacqua B, Fattouh M. Pulsed radiofrequency for treatment of painful trigger points. Pain Pract. 2008; 8:149–150. PMID: 18366471.

3. Higuchi Y, Nashold BS Jr, Sluijter M, Cosman E, Pearlstein RD. Exposure of the dorsal root ganglion in rats to pulsed radiofrequency currents activates dorsal horn lamina I and II neurons. Neurosurgery. 2002; 50:850–855. PMID: 11904038.

4. Van Zundert J, de Louw AJ, Joosten EA, Kessels AG, Honig W, Dederen PJ, et al. Pulsed and continuous radiofrequency current adjacent to the cervical dorsal root ganglion of the rat induces late cellular activity in the dorsal horn. Anesthesiology. 2005; 102:125–131. PMID: 15618796.

5. Hunter JC, Woodburn VL, Durieux C, Pettersson EK, Poat JA, Hughes J. c-fos antisense oligodeoxynucleotide increases formalin-induced nociception and regulates preprodynorphin expression. Neuroscience. 1995; 65:485–492. PMID: 7777163.

6. Chao SC, Lee HT, Kao TH, Yang MY, Tsuei YS, Shen CC, et al. Percutaneous pulsed radiofrequency in the treatment of cervical and lumbar radicular pain. Surg Neurol. 2008; 70:59–65. PMID: 18207554.

7. Cosman ER Jr, Cosman ER Sr. Electric and thermal field effects in tissue around radiofrequency electrodes. Pain Med. 2005; 6:405–424. PMID: 16336478.