Ultrasound Guided Thoracic Paravertebral Space Block for Chronic Intractable Upper Back Pain
10.35827/cp.2021.20.2.141
- Author:
Myungsang KIM
1
;
Min Chul PAEK
;
Han Eol CHO
;
Jung Hyun PARK
Author Information
1. Department of Rehabilitation Medicine, Gangnam Severance Hospital, Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine, Seoul, Korea
- Publication Type:Case Report
- From:
Clinical Pain
2021;20(2):141-144
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
