Abstract
A trigger point (TrP) is determined by a deep tenderness in a taut band of muscle causing pain with a referral pattern and autonomic responses. Trigger point injections (TrPIs) are primarily related to myofascial pain syndromes, and based on new available data, TrPIs may play a major role for the management of headache disorders. The trapezius, splenius cervicis, levator scapulae, temporalis, and sternocleidomastoid muscles are the most common skeletal muscles in which TrPs could be detected. Local anesthetics, saline solution, corticosteroids, and botulinum toxin may be applied in various concentrations and combinations. Dry needling also presents satisfactory results. This chapter gives an overview of the theoretical and practical information about the definition, indications, contraindications, precautions, procedure, and outcomes for TrPIs for primary and secondary headache disorders.
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References
Bron C, Dommerholt JD. Etiology of myofascial trigger points. Curr Pain Headache Rep. 2012;16(5):439–44.
Lavelle ED, Lavelle W, Smith HS. Myofascial trigger points. Anesthesiol Clin. 2007;25(4):841–51.
Fernández-de-Las-Peñas C, Ge HY, Alonso-Blanco C, González-Iglesias J, Arendt-Nielsen L. Referred pain areas of active myofascial trigger points in head, neck, and shoulder muscles, in chronic tension-type headache. J Bodyw Mov Ther. 2010;14(4):391–6.
GarcÃa-Leiva JM, Hidalgo J, Rico-Villademoros F, Moreno V, Calandre EP. Effectiveness of ropivacaine trigger points inactivation in the prophylactic management of patients with severe migraine. Pain Med. 2007;8(1):65–70.
Karadaş Ö, Gül HL, Inan LE. Lidocaine injection of pericranial myofascial trigger points in the treatment of frequent episodic tension-type headache. J Headache Pain. 2013;22:14–44.
Jafri MS. Mechanisms of myofascial pain. Int Sch Res Notices. 2014;2014:523924.
Shah JP, Gilliams EA. Uncovering the biochemical milieu of myofascial trigger points using in vivo microdialysis: an application of muscle pain concepts to myofascial pain syndrome. J Bodyw Mov Ther. 2008;12(4):371–84.
Hu JW, Sessle BJ, Raboisson P, Dallel R, Woda A. Stimulation of craniofacial muscle afferents induces prolonged facilitatory effects in trigeminalnociceptive brain-stem neurones. Pain. 1992;48(1):53–60.
Bendtsen L, Fernandez-de-la-Penas C. The role of muscles in tension-type headache. Curr Pain Headache Rep. 2011;15:451–8.
MartÃn-Herrero C, Rodrigues de Souza DP, Alburquerque-SendÃn F, Ortega-Santiago R, Fernández-de-Las-Peñas C. Myofascial trigger points, pain, disability and quality of sleep in patients with chronic tension-type headache: a pilot study. Rev Neurol. 2012;55(4):193–9.
Ferracini GN, Florencio LL, Dach F, Chaves TC, Palacios-Ceña M, Fernández-de-Las-Peñas C, Bevilaqua-Grossi D, Speciali JG. Myofascial trigger points and migraine-related disability in women with episodic and chronic migraine. Clin J Pain. 2017;33(2):109–15.
Fernández-de-Las-Peñas C, Cuadrado ML, Pareja JA. Myofascial trigger points, neck mobility and forward head posture in unilateral migraine. Cephalalgia. 2006;26(9):1061–70.
Blumenfeld A, Ashkenazi A, Grosberg B, Napchan U, Narouze S, Nett B, DePalma T, Rosenthal B, Tepper S, Lipton RB. Patterns of use of peripheral nerve blocks and trigger point injections among headache practitioners in the USA: results of the American Headache Society Interventional Procedure Survey (AHS-IPS). Headache. 2010;50(6):937–42.
Karadaş Ö, Inan LE, Ulaş Ü, Odabaşi Z. Efficacy of local lidocaine application on anxiety and depression and its curative effect on patients with chronic tension-type headache. Eur Neurol. 2013;70(1–2):95–101.
Calandre EP, Hidalgo J, Garcia-Leiva JM, Rico-Villademoros F, Delgado-Rodriguez A. Myofascial trigger points in cluster headache patients: a case series. Head Face Med. 2008;30:4–32.
Ashkenazi A, Young WB. The effects of greater occipital nerve block and trigger point injection on brush allodynia and pain in migraine. Headache. 2005;45(4):350–4.
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Ertem, D.H., Uludüz, D. (2019). Efficacy of Trigger Point Injections and Dry Needling. In: Özge, A., Uludüz, D., Karadaş, Ö., Bolay, H. (eds) Peripheral Interventional Management in Headache. Headache. Springer, Cham. https://doi.org/10.1007/978-3-030-10853-3_10
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DOI: https://doi.org/10.1007/978-3-030-10853-3_10
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