Document Detail


Fibrositic myofascial pain in intermittent claudication. Effect of anesthetic block of trigger points on exercise tolerance.
MedLine Citation:
PMID:  287998     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The blocking of trigger points in the calf by the local injection of an anesthetic agent was performed in 15 patients with intermittent claudication. Reactive and exercise hyperemia, work load and duration of exercise were recorded before and after infiltration of the trigger points. Reactive hyperemia does not change, but the exercise tolerance of the leg significantly improves after local blocking of the trigger areas and the exercise hyperemia increases because of the higher work load. The pain pattern of intermittent claudication can be activated by the summation of abnormal input from muscles, due to contraction in the presence of anoxia, with activity from trigger points. Local infiltration of trigger areas blocks theirir activity. The vicious cycle of pain is interrupted and the exercise tolerance of the leg is increased, without improving blood circulation.
Authors:
B Dorigo; V Bartoli; D Grisillo; D Beconi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pain     Volume:  6     ISSN:  0304-3959     ISO Abbreviation:  Pain     Publication Date:  1979 Apr 
Date Detail:
Created Date:  1979-09-17     Completed Date:  1979-09-17     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7508686     Medline TA:  Pain     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  183-90     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Anesthetics, Local*
Fibromyalgia / therapy
Humans
Hyperemia / therapy
Intermittent Claudication / diagnosis,  therapy*
Leg / blood supply
Male
Middle Aged
Nerve Block / methods
Pain / therapy*
Physical Exertion*
Chemical
Reg. No./Substance:
0/Anesthetics, Local

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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