- 期刊
肉毒桿菌毒素注射治療慢性肩頸疼痛：病例報告
The Effect of Botulinum Toxin Type A on Chronic Neck-Shoulder Pain: A Case Report
摘要
肩頸疼痛是臨床上常見的問題，其發生的機制目前尚未有很完整的定論，但普遍認為是多重因子造成的。研究報告和臨床經驗指出肉毒桿菌毒素應用於治療肌張力異常（dystonia）和肌肉痙攣（spasticity）有卓越的成效。目前肉毒桿菌毒素的止痛機制亦被廣為討論。許多研究探討肉毒桿菌毒素用於治療肌筋膜疼痛的效果，但其確切的療效和相關的副作用仍是有爭論的。本篇病例報告一位工作需長時間使用電腦的年輕女性，因患有慢性左側肩頸疼痛長達六個月，於接受傳統復健治療後因症狀未緩解，故接受肉毒桿菌毒素注射於疼痛激發點（trigger point）。我們將探討個案治療的效果及相關的影像學發現。（台灣復健醫誌2012；40（1）：35 - 40）
並列摘要
Neck and shoulder pain is a common clinical complaint. However, the associated mechanism of this condition is thought to be multifactorial and is not yet fully understood. Various studies and multiple clinical experiences have shown the effectiveness of treatment with botulinum toxin type A in the improvement of dystonia and muscle spasticity. The mechanism of the analgesic effect of botulinum toxin type A has also been widely investigated. Many studies have addressed the use of botulinum toxin type A in the treatment of myofascial pain, but its effectiveness and side effects remain controversial. This case report describes a young woman with chronic left neck and shoulder pain of 6 months’ duration who was administered botulinum toxin type A injections at trigger points of her neck and upper back. We discuss the cause of pain relief in this patient after these injections. (Tw J Phys Med Rehabil 2012; 40(1): 35 - 40)