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Ultrasound-Guided Interventional Procedures: Myofascial Trigger Points With Structured Literature Review

Kumbhare, Dinesh MD, MSc, FRCPC*; Singh, Dhanveer BSc; Rathbone H., Alasdair BKin; Gunn, Madison BSc§; Grosman-Rimon, Liza PhD*; Vadasz, Brian MSc*; Clarke, Hance MD, PhD; Peng, Philip W.H. MBBS, FRCPC, Founder (Pain Medicine)**

Regional Anesthesia & Pain Medicine: May/June 2017 - Volume 42 - Issue 3 - p 407–412
doi: 10.1097/AAP.0000000000000572
Chronic and Interventional Pain: Ultrasound Article

Abstract: Ultrasound-guided injections in pain medicine are a common intervention. They have been used to manage myofascial trigger points (MTrPs) in different muscles of the body. The main objectives of this article were to review ultrasound-guided injection techniques used for treating MTrPs. We also summarize the anatomy and sonoanatomy of MTrPs using the upper trapezius muscle as an example.

From the *Division of Physical Medicine & Rehabilitation, Department of Medicine, University of Toronto, Ontario, Canada; †Royal College of Surgeons in Ireland, Dublin, Ireland; ‡University of Western Ontario, London, Ontario, Canada; §Queen's University, Kingston, Ontario, Canada; ∥Department of Anesthesia, Toronto General Hospital, Toronto, Ontario, Canada; and **Department of Anesthesia, Toronto Western Hospital, Toronto, Ontario, Canada.

Accepted for publication November 30, 2016.

Address correspondence to: Dinesh Kumbhare, MD, MSc, FRCPC, Division of Physical Medicine & Rehabilitation, Department of Medicine, University of Toronto, 550 University Ave, Toronto, Ontario, Canada M5G 2A2 (e-mail: dinesh.kumbhare@uhn.ca).

The authors declare no conflict of interest.

Copyright © 2017 by American Society of Regional Anesthesia and Pain Medicine.