Use of sympathetic blockade for treatment of chronic muscle pain

Surgery – Miscellaneous – Methods

Patent

Rate now

  [ 0.00 ] – not rated yet Voters 0   Comments 0

Details

A61B 1900

Patent

active

055136613

ABSTRACT:
Methods are provided for intramuscular needle diagnosis and treatment of muscle pain that is believed to be the result of sympathetically mediated spindle spasm. Two simultaneous needle EMG needle recordings are used to establish the presence of and magnitude of the "trigger points" in painful muscle. The abnormal muscle activity so identified can then be treated by blocking the sympathetic activation muscle blocker or other agent that would have the same effect of inhibiting the abnormal muscle activity.

REFERENCES:
Simons, "Muscular Pain Syndromes", (1990) Adv. Pain Res. Ther. 17:1-41.
Sola et al., "Incidence of Hypersensitive Areas in Posterior Shoulder Muscles" (1955) Am. J. Phys. Med. 34:585-590.
Yunus et al., "Primary Fibromyalgia (Fibrositis): Clinical Study of 50 Patients with Matched Normal Controls" (1981) Semin. Arthritis Rheum. 11:151-171.
Bennett, "Beyond Fibromyalgia: Ideas on Etiology and Treatment" (1989) J. Rheum. (Suppl. 19) 16:185-191.
Boissevain and McCain, "Toward an Integrated Understanding of Fibromyalgia Syndrome I. Medical and Phathophysiological Aspects" (1991) Pain 45:227-238.
Lund et al., "Muscle Tissue Oxygen Pressure in Primary Fibromyalgia" (1986) Scand. J. Rheum. 15:165-173.
Simons, "Myofascial Pain Syndromes: Where Are We? Where Are We Going?" (1988) Arch. Phys. Med. Rehabil. 69:207-212.
Bengtsson and Henriksson, "The Muscle in Fibromyalgia--A Review of Swedish Studies" (1989) J. Rheum. (Suppl. 19) 16:144-149.
Yunus and Kalyan-Raman, "Muscle Biopsy Findings in Primary Fibromyaliga and Other Forms of Nonarticular Rheumatism" (1989) Rheum. Dis. Clin. North Am. 15:115-134.
Buchthal and Clemmesen, "On the Differentiation of Palpable Muscle Affections by Electromyography" (1940) Acta Med. Scand. 150:48-66.
Elliott, "Tender Muscles in Sciatica" (1944) Lancet 1:47-49.
Pozniak-Patewicz, "`Cephalgic` Spasm of Head and Neck Muscles" (1976) Headache 4:261-266.
Arroyo, "Electromyography in the Evaluation of Reflex Muscle Spasm" (1966) J. Florida Med. Assoc. 53:29-31.
Kraft et al., "The Fibrositis Syndrome" (1968) Arch. Phys. Med. Rehabil. 49:155-162.
Durette et al., "Needle Electromygraphic Evaluation of Patients with Myofascial or Fibromyalgic Pain" (1991) Am. J. Phys. Med. Rehabil. 70,3:154-156.
McBroom et al., "Electromyography in Primary Fibromyalgia Syndrome" (1988) Clin. J. Pain 4:117-119.
Zidar et al., "Quantitative EMG and Muscle Tension in Painful Muscles in Fibromyalgia" (1990) Pain 40:249-254.
Dexter and Simons, "Local Twitch Response in Human Muscle Evoked by Palpation and Needle Penetration of a Trigger Point" (1981) Arch. Phys. Med. Rehabil. 62:521-522.
Fricton et al., "Myofascial Pain Syndrome: Electromyographic Changes Associated with Local Twitch Response" (1985) Arch. Phys. Med. Rehabil. 66:314--316.
Travell, "Symposium on Mechanism and Management of Pain Syndrome" (1957) Proc. Rudolf Virchow Med. Soc. 16:128-136.
Travell and Simons, "Myofascial Pain and Dysfunction", The Trigger Point Manual (1983) New York, Williams and Williams pp. 13-17.
Malmgren and Hasselmark, "The Platelet and the Neuron: Two Cells in Focus in Migraine" (1988) Cephalalgia 8:7-24.
Wolfe et al., "The American Collette of Rheumatology 1990 Criteria for the Classification of Fibromyalgia" (1990) Arthritis Rheum. 33,2:160-172.
Gunn et al., "Dry Needling of Muscle Motor Points for Chronic Low-Back Pain" (1980) Spine 5,3:279-291.
Cooper, "Trigger-Point Injection: Its Place in Physical Medicine" (1961) Arch. Phys. Med. 43:704-709.
Brav and Sigmond, "The Local and Regional Injection Treatment of Low Back Pain and Sciatica" (1941) Ann. Intern. Med. 15:840-852.
Frost et al., "A Control, Double-Blind Comparison of Mepivacaine Injection Versus Saline Injection for Myofascial Pain" (1980) Lancet 1,3:499-501.
Hendriksson et al., "Muscle Biopsy Findings of Possible Diagnostic Importance in Primary Fibromyalgai . . . " (1982) Lancet 2:1395.
Gunn, "Prespondylosis and Some Pain Syndromes Following Denervation Supersensitivity" (1980) Spine 5,2:185-192.
Sola and Bonica, Chap 21, The Management of Pain, vol. I, 2nd Ed. Lea & Febiger (1990) pp. 354-356.
Ochoa, "Guest Editorial: Essence, Investigation, and Management of Neuropathi Pains . . . " (1993) Muscle & Nerve 16,10:997-1008.
Garvey et al., "A Prospective, Randomized, Double-Blind Evaluation of Trigger-Point Injection Therapy for Low-Back Pain" (1989) Spine 14,9:962-964.
Hong, "Myofascial Trigger Point Injection" (1993) Critical Reviews in Phys. and Rehab. 0,0:1-15.
Hameroff, "Comparison of Bupivacaine, Etidocaine, and Saline for Trigger-Point Therapy" (1981) Anesth. Analg. 60:752-755.
Frost, "Diclofenac Versus Lidocaine as Injection Therapy in Myofascial Pain" (1986) Scand. J. Rheum. 15:153-156.
Fine et al., "The Effects of Myofascial Trigger Point Injection are Naloxone Reversible" (1988) Pain 32:15-20.
Lewit, "The Needle Effect in the Relief of Myofascial Pain" (1979) Pain 6:83-90.
Bengtsson et al., "Primary Fibromyalgia, A Clinical Study of 55 Patients" (1986) Scand. J. Rheum. 15:340-347.
Bengtsson and Bengtsson, "Regional Sympathetic Blockage in Primary Fibromyalgia" (1988) Pain 33:161-167.
Backman et al. "Skeletal Muscle Function in Primary Fibromyalgia" (1988) Acta Neurol. Scand. 77:187-191.
Henriksson and Bengtsson, "Muscular Changes in Fibromyalgia and Their Significance in Diagnosis" (1990) Adv. Pain Res. Therapy 17:259-267.
Hendler et al., "Myofascial Syndrome: Response to Trigger-Point Injections" (1983) Psychosomatics 24, 11:990-999.
Solar, "Trigger Point Therapy" (1985) Clnical Procedures in Emergency Medicine, ed. by Roberts and Hedges, Phialdephia, W. B. Saunders, pp. 674-686.
Bengtsson et al., "Reduced High-Energy Phosphate Levels in the Painful Muscles of Patients with Primary Fibromyalgia" (1986) J. Am. Rheum. Assoc. 29,7:817-821.

LandOfFree

Say what you really think

Search LandOfFree.com for the USA inventors and patents. Rate them and share your experience with other people.

Rating

Use of sympathetic blockade for treatment of chronic muscle pain does not yet have a rating. At this time, there are no reviews or comments for this patent.

If you have personal experience with Use of sympathetic blockade for treatment of chronic muscle pain, we encourage you to share that experience with our LandOfFree.com community. Your opinion is very important and Use of sympathetic blockade for treatment of chronic muscle pain will most certainly appreciate the feedback.

Rate now

     

Profile ID: LFUS-PAI-O-1220833

  Search
All data on this website is collected from public sources. Our data reflects the most accurate information available at the time of publication.