Myofascial pain syndrome induced by malpositioning during surgery--a case report.
It is a real challenge to the anesthesiologists to differentiate brachial plexus injury (BPI) from myofascial pain syndrome (MPS). The possibility of MPS should be suspected in a patient with complaints of pain and dysfunction of the upper arm immediately after surgery. Here we report a case of gallstone with cervical ankylosing spondylitis who sustained myofascial pain syndrome (MPS) immediately after open cholecystectomy. We utilized dry needle stimulation to deactivate the trigger point of the pectoris minor muscle and stretching the muscle to relieve the muscle pain after the diagnosis was made. The patient completely recovered 2 weeks later.
Hsin
Shih-Tai
ST
Department of Anesthesiology, Taipei Veterans General Hospital, School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC.
Yin
Young-Chen
YC
Juan
Chung-Hau
CH
Hu
Jenkin-S
JS
Tsou
Mei-Yung
MY
Tsai
Shen-Kuo
SK
D001917:Brachial Plexus / Q000293:injuries; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D009209:Myofascial Pain Syndromes / Q000175:diagnosis / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*; D011187:Posture