The Efficacy of Botulinum Toxin in Patients with Cervicogenic Headache: a Placebo-Controlled Clinical Trial

Karadaş, Ömer; Öztürk, Bilgin; Ulaş, Ümit Hıdır; Kutukcu, Yasar; Odabaşı, Zeki

doi:10.5152/balkanmedj.2012.003

Cited by 10 publications

(7 citation statements)

References 25 publications

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“…Injective treatment targeting the QL muscles is becoming commonly practiced for its effectiveness in relieving MPS(Choi et al, 2016; Hobson & Gladish, 1997; Karadas et al, 2012; Pihut et al, 2016). MPS involving the QL muscle frequently occurs when sitting cross‐legged, which causes the hemipelvis to rise, approximating from the iliac crest to the 12th rib, and the shortening of the ipsilateral QL muscle.…”

Section: Discussionmentioning

confidence: 99%

Guidance to trigger point injection for treating myofascial pain syndrome: Intramuscular neural distribution of the quadratus lumborum

Lee

et al. 2022

Clinical Anatomy

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Postural habits and repetitive motion contribute toward the progress of myofascial pain by affecting overload on specific muscles, the quadratus lumborum (QL) muscle being the most frequently involved. The therapy of myofascial pain syndrome includes the release of myofascial pain syndrome using injective agents such as botulinum neurotoxin, lidocaine, steroids, and normal saline. However, an optimal injection point has not been established for the QL muscle. This study aimed to propose an optimal injection point for this muscle by studying its intramuscular neural distribution using the whole mount staining method. A modified Sihler's procedure was completed on 15 QL muscles to visualize the intramuscular arborization areas in terms of the inferior border of the 12th rib, the transverse processes of L1-L4, and the iliac crest. The intramuscular neural distribution of the QL had the densely arborized areas in the three lateral portions of L3-L4 and L4-L5 and the medial portion between L4 and L5.

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Section: Discussionmentioning

confidence: 99%

Guidance to trigger point injection for treating myofascial pain syndrome: Intramuscular neural distribution of the quadratus lumborum

Lee

et al. 2022

Clinical Anatomy

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“…BoNT treatment targeting the trapezius muscle is becoming popular for its success in treating headaches, such as migraine-and tension-type headaches (Hobson & Gladish, 1997;Karadas, Ozturk, Ulas, Kutukcu, & Odabasi, 2012). The primary known therapeutic effects are the release of muscle spasms and alleviating the vicious pain cycle (Ondo, Vuong, & Derman, 2004;Tepper, 2004;Troost, 2004).…”

Section: Discussionmentioning

confidence: 99%

Anatomical guide for botulinum neurotoxin injection: Application to cosmetic shoulder contouring, pain syndromes, and cervical dystonia

Lee

Choi

et al. 2020

Clinical Anatomy

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Introduction: This study proposes an ideal botulinum toxin injection point of the trapezius muscle for shoulder line contouring, pain management, and functional impairment. This study describes the intramuscular nerve branching in the trapezius muscle, providing essential information for botulinum neurotoxin injection.Method: A modified Sihler's method was performed on the trapezius muscles (16 specimens). The intramuscular arborization areas were elucidated regarding the external occipital protuberance superiorly, spinous process of the 12th thoracic vertebra inferiorly and acromion of the scapula.

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“…The patient required repeat injections to maintain the improvement thereafter. A recent study reported significant improvement in the range of neck motion and in pain reduction at 4 weeks [79]. Compared to pre-treatment levels, BT injection significantly lowered the frequency and severity of pain at 6-and 12-week following treatment.…”

Section: Onabotulinumtoxina and Cervicogenic Headachementioning

confidence: 93%

“…Typically, cervicogenic headache starts at the rear of the head, neck and ear, and subsequently spreads to the zygomatic region. Cervicogenic headache is associated with throbbing pain and is always triggered by mechanical causes [79]. Several studies have reported benefits for onabotulinumtoxinA treatment in headaches related to the neck [23].…”

Section: Onabotulinumtoxina and Cervicogenic Headachementioning

confidence: 99%

OnabotulinumtoxinA for the treatment of headache: an updated review

Talbet¹,

Elnahry²

2022

J. Integr. Neurosci.

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Botulinum toxin (BT) is a neurotoxin produced by Clostridium botulinum, a gram-positive anaerobic bacterium. Systemic human intoxication from BT following oral ingestion results in acute and lifethreatening muscle paralysis called botulism. BT has a wide scope of therapeutic uses, including conditions associated with increased muscle tone, smooth muscle hyperactivity, salivation, sweating, and allergies, as well as for cosmetic purposes. Several commercial forms of BT are available for medical use, including Botox (onabotulinum-toxinA). Multiple studies have found evidence of an analgesic e fect of onabotulinumtoxinA and demonstrated the benefits of its use for the treatment of various chronic pain disorders. In this review, we provide an update on the use of onabotulinumtoxinA for the treatment of headache disorders.

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The Efficacy of Botulinum Toxin in Patients with Cervicogenic Headache: a Placebo-Controlled Clinical Trial

Cited by 10 publications

References 25 publications

Guidance to trigger point injection for treating myofascial pain syndrome: Intramuscular neural distribution of the quadratus lumborum

Guidance to trigger point injection for treating myofascial pain syndrome: Intramuscular neural distribution of the quadratus lumborum

Anatomical guide for botulinum neurotoxin injection: Application to cosmetic shoulder contouring, pain syndromes, and cervical dystonia

OnabotulinumtoxinA for the treatment of headache: an updated review

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