• A&A practice · Dec 2019

    Case Reports

    Ultrasound-Guided Intermediate Cervical Plexus Block With Depot Steroids in the Management of Refractory Neck Pain Secondary to Cervicothoracic Myofascial Pain Syndrome: A Case Series.

    • Roshan Thawale, Sachin Alva, and Gopinath Niraj.
    • From the Department of Pain Medicine, University Hospitals of Leicester National Health Service (NHS) Trust, United Kingdom.
    • A A Pract. 2019 Dec 15; 13 (12): 446-449.

    AbstractPersistent cervicothoracic myofascial pain is a common condition that causes loss of function and can result in significant health care costs. The underlying cause is tender trigger points that result in impaired muscle function. Standard treatment includes physiotherapy, medications, acupuncture, and trigger point injections. Patients who fail to respond have very limited treatment options. The authors present a novel treatment in 2 patients presenting with severe unilateral cervicothoracic myofascial neck pain that failed to respond to standard treatment. The novel treatment, ultrasound-guided intermediate cervical plexus block with depot steroids, produced significant and durable pain relief in the 2 patients.

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