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ID 47132
本文ファイル
著者
Moriwaki, Katsuyuki
Sanuki, Mikako
Sugimoto, Yuki
Hashimoto, Ken
Toyota, Yukari
Shiroyama, Kazuhisa
Kurita, Shigeaki
Fujii, Kiyoshi
キーワード
tactile hypoesthesia
persistent post-mastectomy pain
myofascial trigger point
trigger point injection
NDC
医学
抄録(英)
Purpose: Numbness is frequently seen at or near the operated site in patients with persistent post-mastectomy pain (PPMP). Numbness including tactile hypoesthesia can be also seen in patients with myofascial pain. The purpose of this study was to observe relation between such tactile hypoesthesia and myofascial trigger points in patients with PPMP.
Methods: We studied five female patients from 43 to 74 years old who consulted at our pain clinic for treatment of PPMP. The areas of tactile hypoesthesia and anesthesia, myofascial trigger points, as well as diffuse tenderness, were marked on the skin surface with delineating such areas and putting X mark on the site of myofascial trigger points using aqueous markers and recorded in photographs at every visit.
Results: Tactile hypoesthesia and anesthesia were observed in five and four patients, respectively. Myofascial trigger points were identified in all the five patients and were located within, in the vicinity or near the same dermatomal levels of the hypoesthesia. A series of trigger point injections reduced NRS scores by more than 50% in all patients. The size of the area of tactile hypoesthesia was significantly reduced in association with the decrease of NRS scores in four patients.
Conclusions: Our findings indicate that tactile hypoesthesia is closely associated with myofascial pain, and myofascial pain is one potential pathophysiological cause of prolongation and exacerbation of PPMP. Our results also indicate that treating them with trigger point injections are useful for alleviating PPMP.
掲載誌名
麻酔と蘇生
55巻
1号
開始ページ
71
終了ページ
74
出版年月日
2019-03-01
出版者
広島麻酔医学会
ISSN
0385-1664
NCID
言語
英語
NII資源タイプ
学術雑誌論文
広大資料タイプ
学術雑誌論文
DCMIタイプ
text
フォーマット
application/pdf
著者版フラグ
publisher
部局名
医歯薬保健学研究科
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