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Letter to the Editor

Letter to the Editor

Dramatic Relief for Myofascial Pain

doi: 10.1097/01.EEM.0000657712.65466.2f

    Editor:

    I am writing in response to the article, “Myofascial Pain Easily Diagnosed, Simply Treated,” by Richard Pescatore, DO. (EMN. 2019;42[1]:17; http://bit.ly/2QICasP.) I find that injecting these trigger points with 5-10 mL 0.25% bupivacaine along with 20-40 mg methylprednisolone results in lasting and often dramatic pain relief.

    Philip Buttaravoli, MD

    West Palm Beach, FL

    Dr. Pescatore responds: Thanks for your letter. I do sometimes add steroids, but this comes with the risk of permanent skin dimpling, which is worth discussing with the patient, and may tip the risk/benefit scale for some.

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