Page last updated: 2024-10-24

bupivacaine and Myofascial Trigger Point Pain

bupivacaine has been researched along with Myofascial Trigger Point Pain in 18 studies

Bupivacaine: A widely used local anesthetic agent.
1-butyl-N-(2,6-dimethylphenyl)piperidine-2-carboxamide : A piperidinecarboxamide obtained by formal condensation of the carboxy group of N-butylpipecolic acid with the amino group of 2,6-dimethylaniline.
bupivacaine : A racemate composed of equimolar amounts of dextrobupivacaine and levobupivacaine. Used (in the form of its hydrochloride hydrate) as a local anaesthetic.

Research Excerpts

ExcerptRelevanceReference
"Ten patients with myofascial trigger point pain were entered into a double-blind cross-over study of the reversibility of myofascial trigger point injection (TPI) effects with naloxone versus placebo in order to test the hypothesis that the benefits of TPI are mediated, at least in part, through activation of an endogenous opioid system."5.06The effects of myofascial trigger point injections are naloxone reversible. ( Fine, PG; Hare, BD; Milano, R, 1988)
" In this report, we present the case of a 39-year-old man who experienced severe, transient hypokalemic paralysis in the context of TPI therapy with methylprednisolone, bupivacaine, and epinephrine."3.85A Case of Trigger-Point Injection-Induced Hypokalemic Paralysis. ( Bhattarai, M; Hudali, TH; Soriano, PK; Vogler, CN, 2017)
"Pain was assessed and 1 month posttreatment completion."2.80A pilot randomized trial of levator injections versus physical therapy for treatment of pelvic floor myalgia and sexual pain. ( Karram, M; Maxwell, R; Shah, A; South, M; Sroga, J; Whiteside, J; Zoorob, D, 2015)
"Lidocaine patches were effective in, and highly acceptable to, these patients with MPS and high tissue hypersensitivity."2.74A randomized, controlled study comparing a lidocaine patch, a placebo patch, and anesthetic injection for treatment of trigger points in patients with myofascial pain syndrome: evaluation of pain and somatic pain thresholds. ( Affaitati, G; Costantini, R; Fabrizio, A; Giamberardino, MA; Lapenna, D; Lerza, R; Savini, A; Tafuri, E, 2009)
"Myofascial pain syndromes are characterized by the presence of painful loci within muscles, tendons or ligaments, called trigger points."2.73Comparison between newer local anesthetics for myofascial pain syndrome management. ( Amaniti, EN; Gorgias, NK; Maidatsi, PG; Vasilakos, DF; Zaralidou, AT, 2007)

Research

Studies (18)

TimeframeStudies, this research(%)All Research%
pre-19906 (33.33)18.7374
1990's2 (11.11)18.2507
2000's6 (33.33)29.6817
2010's4 (22.22)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Bautista, A1
Webb, C1
Rosenquist, R1
Soriano, PK1
Bhattarai, M1
Vogler, CN1
Hudali, TH1
Metin Ökmen, B1
Ökmen, K1
Altan, L1
Zoorob, D1
South, M1
Karram, M1
Sroga, J1
Maxwell, R1
Shah, A1
Whiteside, J1
Affaitati, G1
Fabrizio, A1
Savini, A1
Lerza, R1
Tafuri, E1
Costantini, R1
Lapenna, D1
Giamberardino, MA1
Langford, CF1
Udvari Nagy, S1
Ghoniem, GM1
Jordá Sanz, L1
Gallego García, J1
León Carsí, I1
Abengochea Cotaina, A1
Zaralidou, AT1
Amaniti, EN1
Maidatsi, PG1
Gorgias, NK1
Vasilakos, DF1
Ju, H1
Feng, Y1
Yang, BX1
Wang, J1
Minty, R1
Kelly, L1
Minty, A1
Slocumb, JC1
Hendler, N1
Fink, H1
Long, D1
Weed, ND1
Hameroff, SR1
Crago, BR1
Blitt, CD1
Womble, J1
Kanel, J1
Hopwood, MB1
Abram, SE1
Pippa, P1
Allegra, A1
Cirillo, L1
Doni, L1
Rivituso, C1
Fine, PG2
Milano, R1
Hare, BD1

Clinical Trials (7)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Intratissue Percutaneous Electrolysis Technique vs. Manual Therapy in Women With Dyspareunia and Pelvic Pain[NCT03163160]60 participants (Actual)Interventional2017-06-20Completed
A Randomized Controlled Study Comparing Trigger Point Injections With 1% Lidocaine Versus 5% Lidocaine Patch for Myofascial Pain in the Emergency Department[NCT05151510]Phase 4110 participants (Anticipated)Interventional2021-11-01Recruiting
Assessment Of Pain Subsidence And Sexual Function Amelioration Using Either Pelvic Rehabilitation Or Trigger Point Injections[NCT02022722]Phase 436 participants (Anticipated)Interventional2013-08-31Recruiting
Pain Control After VATS Anatomical Pulmonary Resections: Randomized Comparison Between Cryoanalgesia, Erector Spinae Plane Block and Epidural Catheter[NCT05993273]75 participants (Anticipated)Interventional2023-04-05Recruiting
Cryoanalgesia and Post-thoracotomy Pain in Minimally Invasive Cardiothoracic Surgery[NCT05255146]100 participants (Anticipated)Interventional2023-12-31Not yet recruiting
The Effect of Cryoneurolysis for the Treatment of Acute Postoperative Pain Following Total Knee Arthroplasty in High Pain Responders - A Randomized, Participant- and Observer-masked, Sham-controlled Trial[NCT06088602]44 participants (Anticipated)Interventional2023-11-30Not yet recruiting
Double-blind, Prospective Comparison of Medications Used in Trigger Point Injections - Ketorolac, Lidocaine, or Dexamethasone[NCT03028012]Phase 410 participants (Actual)Interventional2017-05-02Terminated (stopped due to Poor enrollment.)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Participants With a Responder Rate Greater Than 50% on the Numeric Rating Pain Scale (NRS) Improvement

Participants in this study underwent TPIs by the following method. The needle was inserted into the trigger point with the goal of eliciting a local twitch responses(LTRs). When a LTR was obtained, 0.1mL of randomized drug was injected into that location within the muscle. This was repeated until LTRs disappeared, or 1.0mL had been injected, whichever came first. This was performed in a similar manner for all affected muscles, up to a maximum of 2mL. Participants self-report their brief pain inventory at each of their injections (up to four subsequent injections) based off of the standardized Numeric Rating pain Scale (NRS). The NRS is nationally recognized numeric scale from zero to ten, with zero being an example of no pain, one to three would demonstrate mild pain, four to six would be moderate pain, seven to nine would be severe pain and a ten would be the worst pain possible. Improvement in BPI was determined if their NRS score went down with each injection(s). (NCT03028012)
Timeframe: Pre-Post Injections Up to Three Months

InterventionParticipants (Count of Participants)
Ketorolac1
Lidocaine0
Dexamethasone0

Brief Pain Inventory (BPI) - Modified

The BPI was evaluated on a scale from 0-10. Zero would mean no interference and 10 would be calculated at complete interferences. We used a 7-point questionnaire about pain. All scores were calculated at baseline and three months. (NCT03028012)
Timeframe: Baseline and Three Months

Interventionscore on a scale (Number)
Participant Number #3 at BaselineParticipant Number #3 at 3 MonthsParticipant Number #8 at BaselineParticipant #8 at 3 Months
Ketorolac8353

Numeric Rating Pain Scale (NRS) at Baseline and Three Months.

TPI were treated with a needle inserted into the trigger point with the goal of eliciting a local twitch responses(LTRs). When a LTR was obtained, 0.1mL of randomized drug was injected into that location within the muscle. This was repeated until LTRs disappeared, or 1.0mL had been injected, whichever came first. Such was performed in a similar manner for all affected muscles, up to a maximum of 2mL. Participants self-report their brief pain inventory at each of their injections (up to four subsequent injections) based off of the standardized Numeric Rating pain Scale (NRS). The NRS is nationally recognized numeric scale from zero to ten, with zero being an example of no pain,one to three would demonstrate mild pain, four to six would be moderate pain, seven to nine would be severe pain and a ten would be the worst pain possible. Improvement in BPI was determined if their NRS score went down with each injection(s). (NCT03028012)
Timeframe: Pre-Injection and Three Month Post Injection(s)

Interventionscore on a scale (Number)
Participant Number 3 at BaselineParticipant Number 3 at 3 MonthsParticipant Number 8 at BaselineParticipant Number 8 at 3 Months
Ketorolac8353

Reviews

1 review available for bupivacaine and Myofascial Trigger Point Pain

ArticleYear
The occasional trigger point injection.
    Canadian journal of rural medicine : the official journal of the Society of Rural Physicians of Canada = Journal canadien de la medecine rurale : le journal officiel de la Societe de medecine rurale du Canada, 2007,Fall, Volume: 12, Issue:4

    Topics: Anesthetics, Local; Bupivacaine; Humans; Injections, Intramuscular; Myofascial Pain Syndromes

2007

Trials

9 trials available for bupivacaine and Myofascial Trigger Point Pain

ArticleYear
Comparison of the Efficiency of Ultrasound-Guided Injections of the Rhomboid Major and Trapezius Muscles in Myofascial Pain Syndrome: A Prospective Randomized Controlled Double-blind Study.
    Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 2018, Volume: 37, Issue:5

    Topics: Adult; Anesthetics, Local; Bupivacaine; Double-Blind Method; Female; Humans; Injections; Male; Myofa

2018
A pilot randomized trial of levator injections versus physical therapy for treatment of pelvic floor myalgia and sexual pain.
    International urogynecology journal, 2015, Volume: 26, Issue:6

    Topics: Adult; Anesthetics, Local; Anus Diseases; Bupivacaine; Female; Glucocorticoids; Humans; Injections;

2015
A randomized, controlled study comparing a lidocaine patch, a placebo patch, and anesthetic injection for treatment of trigger points in patients with myofascial pain syndrome: evaluation of pain and somatic pain thresholds.
    Clinical therapeutics, 2009, Volume: 31, Issue:4

    Topics: Administration, Cutaneous; Adult; Aged; Anesthetics, Local; Bupivacaine; Double-Blind Method; Female

2009
Levator ani trigger point injections: An underutilized treatment for chronic pelvic pain.
    Neurourology and urodynamics, 2007, Volume: 26, Issue:1

    Topics: Adult; Aged; Anesthetics, Local; Anti-Inflammatory Agents; Anus Diseases; Bupivacaine; Chronic Disea

2007
Comparison between newer local anesthetics for myofascial pain syndrome management.
    Methods and findings in experimental and clinical pharmacology, 2007, Volume: 29, Issue:5

    Topics: Adult; Amides; Anesthetics, Local; Bupivacaine; Double-Blind Method; Female; Humans; Injections, Int

2007
Comparison of epidural analgesia and intercostal nerve cryoanalgesia for post-thoracotomy pain control.
    European journal of pain (London, England), 2008, Volume: 12, Issue:3

    Topics: Aged; Analgesia; Analgesia, Epidural; Analgesics; Bupivacaine; Chronic Disease; Cryotherapy; Female;

2008
Comparison of epidural analgesia and intercostal nerve cryoanalgesia for post-thoracotomy pain control.
    European journal of pain (London, England), 2008, Volume: 12, Issue:3

    Topics: Aged; Analgesia; Analgesia, Epidural; Analgesics; Bupivacaine; Chronic Disease; Cryotherapy; Female;

2008
Comparison of epidural analgesia and intercostal nerve cryoanalgesia for post-thoracotomy pain control.
    European journal of pain (London, England), 2008, Volume: 12, Issue:3

    Topics: Aged; Analgesia; Analgesia, Epidural; Analgesics; Bupivacaine; Chronic Disease; Cryotherapy; Female;

2008
Comparison of epidural analgesia and intercostal nerve cryoanalgesia for post-thoracotomy pain control.
    European journal of pain (London, England), 2008, Volume: 12, Issue:3

    Topics: Aged; Analgesia; Analgesia, Epidural; Analgesics; Bupivacaine; Chronic Disease; Cryotherapy; Female;

2008
Comparison of epidural analgesia and intercostal nerve cryoanalgesia for post-thoracotomy pain control.
    European journal of pain (London, England), 2008, Volume: 12, Issue:3

    Topics: Aged; Analgesia; Analgesia, Epidural; Analgesics; Bupivacaine; Chronic Disease; Cryotherapy; Female;

2008
Comparison of epidural analgesia and intercostal nerve cryoanalgesia for post-thoracotomy pain control.
    European journal of pain (London, England), 2008, Volume: 12, Issue:3

    Topics: Aged; Analgesia; Analgesia, Epidural; Analgesics; Bupivacaine; Chronic Disease; Cryotherapy; Female;

2008
Comparison of epidural analgesia and intercostal nerve cryoanalgesia for post-thoracotomy pain control.
    European journal of pain (London, England), 2008, Volume: 12, Issue:3

    Topics: Aged; Analgesia; Analgesia, Epidural; Analgesics; Bupivacaine; Chronic Disease; Cryotherapy; Female;

2008
Comparison of epidural analgesia and intercostal nerve cryoanalgesia for post-thoracotomy pain control.
    European journal of pain (London, England), 2008, Volume: 12, Issue:3

    Topics: Aged; Analgesia; Analgesia, Epidural; Analgesics; Bupivacaine; Chronic Disease; Cryotherapy; Female;

2008
Comparison of epidural analgesia and intercostal nerve cryoanalgesia for post-thoracotomy pain control.
    European journal of pain (London, England), 2008, Volume: 12, Issue:3

    Topics: Aged; Analgesia; Analgesia, Epidural; Analgesics; Bupivacaine; Chronic Disease; Cryotherapy; Female;

2008
Comparison of bupivacaine, etidocaine, and saline for trigger-point therapy.
    Anesthesia and analgesia, 1981, Volume: 60, Issue:10

    Topics: Acetanilides; Bupivacaine; Clinical Trials as Topic; Double-Blind Method; Etidocaine; Humans; Inject

1981
Factors associated with failure of trigger point injections.
    The Clinical journal of pain, 1994, Volume: 10, Issue:3

    Topics: Adult; Bupivacaine; Female; Humans; Injections; Lidocaine; Male; Middle Aged; Myofascial Pain Syndro

1994
The effects of myofascial trigger point injections are naloxone reversible.
    Pain, 1988, Volume: 32, Issue:1

    Topics: Adult; Bupivacaine; Double-Blind Method; Endorphins; Female; Humans; Male; Myofascial Pain Syndromes

1988

Other Studies

8 other studies available for bupivacaine and Myofascial Trigger Point Pain

ArticleYear
Serratus Anterior Muscle Pain Syndrome: A Diagnostic Conundrum.
    Pain medicine (Malden, Mass.), 2017, 08-01, Volume: 18, Issue:8

    Topics: Adult; Anesthetics, Local; Anti-Inflammatory Agents; Bupivacaine; Chest Pain; Female; Humans; Inject

2017
A Case of Trigger-Point Injection-Induced Hypokalemic Paralysis.
    The American journal of case reports, 2017, Apr-26, Volume: 18

    Topics: Adult; Anesthetics, Local; Bupivacaine; Glucocorticoids; Humans; Hypokalemia; Injections, Intramuscu

2017
[Blood patch in a patient with postdural puncture headache].
    Revista espanola de anestesiologia y reanimacion, 2006, Volume: 53, Issue:10

    Topics: Accidents; Adult; Analgesia, Epidural; Analgesia, Obstetrical; Anesthetics, Local; Bed Rest; Betamet

2006
Neurological factors in chronic pelvic pain: trigger points and the abdominal pelvic pain syndrome.
    American journal of obstetrics and gynecology, 1984, Jul-01, Volume: 149, Issue:5

    Topics: Abdomen; Abdominal Muscles; Adolescent; Adult; Aged; Anesthesia, Local; Bupivacaine; Chronic Disease

1984
Myofascial syndrome: response to trigger-point injections.
    Psychosomatics, 1983, Volume: 24, Issue:11

    Topics: Adult; Bupivacaine; Electromyography; Female; Humans; Male; Middle Aged; Myofascial Pain Syndromes

1983
When shoulder pain isn't bursitis. The myofascial pain syndrome.
    Postgraduate medicine, 1983, Volume: 74, Issue:3

    Topics: Bupivacaine; Bursitis; Diagnosis, Differential; Feedback; Humans; Lidocaine; Muscles; Myofascial Pai

1983
[Fibromyalgia and trigger points].
    Minerva anestesiologica, 1994, Volume: 60, Issue:5

    Topics: Adolescent; Bupivacaine; Female; Fibromyalgia; Humans; Myofascial Pain Syndromes

1994
Myofascial trigger point pain in children.
    The Journal of pediatrics, 1987, Volume: 111, Issue:4

    Topics: Anesthesia, Local; Bupivacaine; Child; Diagnosis, Differential; Groin; Humans; Male; Myofascial Pain

1987