Usefulness of K-Point Injection for the Nonspecific Neck Pain in So-Called K-Point Syndrome
Clinics in Orthopedic Surgery
; : 393-398, 2016.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-215540
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
Shoichi Kokubun introduced his successful experience with local anesthetic injection at the occipital insertion of the sternocleidomastoid muscle in K-point syndrome. The purpose of this study was to evaluate the short-term and long-term effectiveness of K-point injection and investigate factors affecting treatment results.METHODS:
K-point injection was performed in 58 patients with K-point syndrome at Yeungnam University Medical Center. The syndrome was associated with cervical whiplash injury in 10 patients and was of nonspecific origin in the rest. One milliliter of 2% lidocaine mixed with 1 milliliter of dexamethasone was injected in 50 patients and 2 milliliters of 1% lidocaine alone in the rest. Initially, the severity of local tenderness at the K-point and other tender points was examined and the degree of immediate pain relief effect was assessed within 1 hour after injection. Early effect within 1 month after the injection and current effect were evaluated in 27 patients using a modified Kim's questionnaire with regard to the duration of improvement, degree of improvement in pain and daily living activities, and satisfaction.RESULTS:
Of the total 58 patients, 44 (75.8%) apparently had immediate pain relief after K-point injection. The only factor associated with successful immediate pain relief was the whiplash injury associated with traffic accident (TA). The early pain control effect was associated with the immediate effect. The current effect was associated with the early effect alone. Satisfaction with the K-point injection was related to early successful pain relief.CONCLUSIONS:
K-point injection would be useful for early pain relief in nonspecific neck pain syndrome so called K-point syndrome, but not for current pain relief. Especially, it was very effective for early pain control in the whiplash injury associated with TA.
Full text:
Available
Health context:
SDG3 - Health and Well-Being
Health problem:
Target 3.6: Reduce deaths and the trauma caused by road accidents
Database:
WPRIM (Western Pacific)
Main subject:
Whiplash Injuries
/
Activities of Daily Living
/
Dexamethasone
/
Accidents, Traffic
/
Fibromyalgia
/
Neck Pain
/
Academic Medical Centers
/
Lidocaine
/
Neck
Limits:
Humans
Language:
English
Journal:
Clinics in Orthopedic Surgery
Year:
2016
Document type:
Article