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Ultrasound Guided Thoracic Paravertebral Space Block for Chronic Intractable Upper Back Pain

Other Titles
 만성 난치성 상부 등 통증에서 초음파 유도 하 흉추 주위 공간 차단술 
 Myungsang Kim  ;  Min Chul Pa다  ;  Han Eol Cho  ;  Jung Hyun Park 
 Clinical Pain(대한임상통증학회지), Vol.20(2) : 141-144, 2021-12 
Journal Title
Clinical Pain(대한임상통증학회지)
Issue Date
Myofascial pain syndrome ; Upper back pain ; Thoracic paravertebral space block
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.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Park, Jung Hyun(박중현) ORCID logo https://orcid.org/0000-0003-3262-7476
Cho, Han Eol(조한얼) ORCID logo https://orcid.org/0000-0001-5625-3013
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