| Title: |
A Systematic Review of Anesthetic, Saline and Dry Needling Injections for Headache Patients |
| Authors: |
Butler, Danner; Mellick, Larry B.; Clanton, Clista |
| Source: |
Emergency Medicine – Open Journal ; volume 9, issue 1, page 28-32 ; ISSN 2379-4046 |
| Publisher Information: |
Openventio Publishers |
| Publication Year: |
2023 |
| Collection: |
Openventio Publishers (via CrossRef) |
| Description: |
Objectives Earlier literature provided evidence of neck pain relief via cervical trigger point injections with anesthetic agents. However, recent evidence suggests that intramuscular or paraspinal cervical injections with local anesthetic may provide relief for various types of headaches and orofacial pain as well. The primary purpose of this systematic review was to determine whether a cohort of retrospective case studies and randomized controlled trials using paraspinal cervical or intramuscular anesthetic injections were associated with a decrease in headache and orofacial pain. Methods A systematic review of the literature was performed to observe the association between headache or orofacial pain relief and paraspinal cervical injections with various pain-relieving agents. Literature searches using the key terms “headaches”, “paraspinous cervical injections”, “neck/intramuscular injections” and “orofacial pain” were performed in PubMed, Google Scholar, and Scopus. We implemented the preferred reporting items for systematic reviews and meta-analyses (PRISMA) format for the systematic review. Results Initially, four hundred forty articles were located during the systematic review. Five total articles were selected for review and 435 were excluded because they did not meet search criteria. Another two relevant articles were found during manual searches within references of the systematic review. The seven studies included were retrospective case studies involving patients with headaches or orofacial pain who received paraspinal cervical or other intramuscular injections. A total of 841 patients’ data were tallied from the 7 articles and 683 of those patients received anesthetic injections. Significant pain relief due to intramuscular or paraspinal cervical injections was observed in 83.7% of the patients. Conclusion Our systematic review of association between headache or orofacial pain relief and paraspinal cervical injections with various pain-relieving agents demonstrated a frequency of headache and ... |
| Document Type: |
article in journal/newspaper |
| Language: |
unknown |
| DOI: |
10.17140/emoj-9-170 |
| Availability: |
https://doi.org/10.17140/emoj-9-170 |
| Accession Number: |
edsbas.BB8342E1 |
| Database: |
BASE |