Blockade of myofascial syndromes: an innovative solution for pain management

2 de September de 2024

Myofascial pain is one of the most common causes of chronic pain, affecting millions of people worldwide. This pain originates from trigger points within muscle tissue, which are hypersensitive areas that cause pain when stimulated.
The inability to effectively treat myofascial pain can lead to a significant decrease in quality of life.
Fortunately, advances in pain medicine have developed innovative treatments, such as myofascial syndromes block, that offer lasting relief and improve patients’ functionality.
This article explores in depth this technique, its indications, benefits and its effectiveness in pain management in 2024.

What is Myofascial Pain and how does it manifest?

Myofascial pain is characterized by localized muscle pain that may radiate to other areas of the body.
This pain is caused by trigger points, which are nodules in the tight bands of muscles.
Trigger points can form due to several factors, including:

  • Physical stress: Muscle overload or injury.
  • Bad posture: Sustained postures that overload certain muscle groups.
  • Emotional stress: Chronic tension that affects the musculature.
  • Systemic diseases: such as fibromyalgia or rheumatic diseases.

Symptoms include deep, dull pain, muscle stiffness, and tenderness in specific areas.
In some cases, the pain may radiate from the trigger point to other areas of the body, complicating the diagnosis.

What is Myofascial Syndromes Block?

Myofascial syndromes blockade is a medical procedure in which medications are injected into or around trigger points to interrupt pain transmission.
Medications used typically include:

  • Local anesthetics: Such as lidocaine, which numbs the area and provides immediate pain relief.
  • Corticosteroids: They reduce inflammation in the affected area, helping to prolong pain relief.

The goal of the block is to break the pain-crisis-pain cycle that characterizes myofascial syndromes, allowing the muscle to relax and recover.
This treatment not only relieves pain, but also improves the mobility and functionality of the affected muscle.

Blockade of myofascial syndromes
Blockade of myofascial syndromes

Indications for Myofascial Syndrome Blockade

Myofascial syndromes blockade is indicated for patients who:

  • They present chronic muscle pain that does not respond to conventional treatments such as physiotherapy, massage or oral medications.
  • They have been diagnosed with trigger points by physical examination or ultrasound.
  • They experience pain radiating from specific trigger points that affects quality of life.
  • They require immediate pain relief in order to participate in a physical rehabilitation program.

This procedure is especially useful in cases where myofascial pain is resistant to other treatments and is significantly interfering with the patient’s daily activities.

How the Blocking Procedure is Performed

Myofascial syndromes block is an outpatient and minimally invasive procedure.
The process is described below:

  1. Evaluation and Preparation: Prior to the procedure, a detailed evaluation is performed to identify the trigger points responsible for the pain.
    Once identified, the patient is prepared for the injection.
  2. Injection Technique: Under imaging or palpation guidance, a fine needle is introduced into the trigger point.
    Anesthetics and corticosteroids are injected directly into the affected area.
    The procedure is quick and usually completed within minutes.
  3. Post-procedure: After the injection, the patient is advised to rest briefly and avoid strenuous activity for the first 24 hours.
    However, many patients experience immediate pain relief and can resume normal activities almost immediately.

Benefits of Myofascial Syndromes Blockade

This treatment offers multiple benefits for patients with myofascial pain:

  • Rapid pain relief: Most patients experience almost immediate pain relief after injection.
  • Improved mobility: By reducing pain, patients can regain mobility in the affected area, which is crucial for physical rehabilitation.
  • Reduced need for oral medications: With the relief provided by the blockade, patients can reduce dependence on oral analgesics, which often have undesirable side effects.
  • Prevention of pain chronification: By addressing myofascial pain effectively, chronification and progression of pain to a more complex syndrome is prevented.

Risks and Procedural Considerations

Although myofascial syndromes block is a safe procedure, there are some risks to consider:

  • Infection: Although rare, there is always a small risk of infection at the injection site.
  • Allergic reaction: Some patients may experience allergic reactions to injected medications.
  • Temporary pain: In some cases, there may be a temporary increase in pain after the procedure, although this usually resolves quickly.

It is important that patients discuss these risks with their physician and fully understand the procedure before proceeding.

Treatment Effectiveness in 2024

In 2024, myofascial syndromes block remains a widely used and highly effective treatment for the management of myofascial pain.
Recent studies support its use as part of a multimodal approach to chronic pain management, especially when combined with physical therapy and stress management techniques.
Treatment effectiveness varies among patients, but many experience significant and lasting pain relief, leading to improved quality of life.

Conclusion

Myofascial syndromes block is an innovative and effective solution for the treatment of chronic muscle pain.
With its ability to provide rapid pain relief and improve muscle function, this procedure is a valuable tool in the arsenal of pain management in 2024.
If you suffer from myofascial pain and conventional treatments have not been effective, myofascial syndromes block may be the solution you are looking for.
Consult with a pain specialist to explore this option and improve your quality of life.

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