Der Wirbelsäulenpatient

Tilscher, H.; Eder, Manfred

doi:10.1007/978-3-662-00965-9

Cited by 13 publications

(3 citation statements)

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“…Furthermore, the finding that saline solution was just as effective as lignocaine and bupivacaine in local injection therapy is of theoretical importance with respect to the understanding of the underlying neurophysiological mechanisms of pain relief. The combination of intracutaneous injection and deep infiltration of the tender muscle and fascia using local anaesthetics is a well-established technique for treatment of myofascial pain disorders [8], The effect of intracuta neous injection is due to reflex mechanisms that are not fully understood.…”

Section: Discussionmentioning

confidence: 99%

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Local Injection Therapy in 107 Patients with Myofascial Pain Syndrome of the Head and Neck

Tschopp

Gysin

1996

ORL

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Myofascial pain syndrome of the head and neck is a frequent cause of facial pain and is characterized by tender trigger points. In a double-blind study of 107 patients, local injection therapy using one of three solutions was applied at the trigger points by intracutaneous injection of 0.3 ml solution followed by deep infiltration of the site. Results using bupivacaine 0.25%, lignocaine 1% and saline 0.9% were compared. There was no significant difference among groups with respect to reduction of pain and overall rating by patients of the therapeutic benefits. Fifty-three patients (49%) were free of symptoms after treatment, 40 patients (38%) reported substantial relief and in 14 patients (13%) symptoms remained unchanged. The findings suggest that relief of pain is mainly due to reflex mechanisms rather than to the pharmacological effects of the injected solutions. Physiological saline solution is recommended for use in local injection therapy.

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Section: Discussionmentioning

confidence: 99%

“…Muscular hypertonus can be reduced by medical myorelaxation. Relaxation techniques such as biofeedback or hypnotherapy may be helpful [6], Addi tionally, the deactivation of trigger points is achieved by either stretching of the muscles using physical therapy [7], injection therapy of local anaesthetics [8] or acupuncture [9] .…”

Section: Introductionmentioning

confidence: 99%

Local Injection Therapy in 107 Patients with Myofascial Pain Syndrome of the Head and Neck

Tschopp

Gysin

1996

ORL

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“…Sulfurated baths and mud baths, or a combination of both, have a long and widespread tradition in Europe [3,5,6]. In particular in German-speaking countries, these methods are frequently used.…”

Section: Introductionmentioning

confidence: 99%

Analgesic Efficacy of the Serial Application of a Sulfurated Mud Bath at Home

et al. 2000

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The purpose of this randomized controlled trial was to evaluate the analgesic efficacy of a series of applications of sulfurated mud baths in outpatients suffering from back pain. Within 2 weeks 13 patients took 6 sulfurated mud baths (group A) and 12 patients 6 tap water baths (group B) at home. Before the bath and over 48 h after starting the 1st and the 6th bath, pain intensity was evaluated by the patients according to a visual analogue scale (VAS). The main outcome parameter was the weighted (for time of observation) sum of pain intensity (SPI) after the 6th bath. The mean SPI in group A was 741 mm × h (95% CI 594–864 mm × h) and in group B 1,112 mm × h (95% CI 929–1,252 mm × h) (p = 0.009), suggesting a significantly stronger analgesic effect of a series of sulfurated mud baths than of a series of tap water baths.

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Wottke¹

2004

Die Große Orthopädische Rückenschule

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Der Wirbelsäulenpatient

Cited by 13 publications

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Local Injection Therapy in 107 Patients with Myofascial Pain Syndrome of the Head and Neck

Local Injection Therapy in 107 Patients with Myofascial Pain Syndrome of the Head and Neck

Analgesic Efficacy of the Serial Application of a Sulfurated Mud Bath at Home

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