AbstractAimsEvaluate pressure pain threshold (PPT) over cervical facet joints before and after injection of experimental pain in the trapezius and multifidus muscles.MethodsFourteen healthy subjects (6 women) received randomized ultrasound-guided injections of hypertonic saline (5.8%), in the right multifidus muscle medial to C4/C5 facet joint and in the right trapezius muscle at the midpoint between C7 spinous process and acromion. The saline-induced pain intensity was assessed on a VAS scale. Before and during saline-induced pain PPTs were assessed by pressure algometry bilaterally over C2/C3 and C5/C6 facet joints. Three-way repeated-measures ANOVA with factors PPT location, injection site, and time was used for analysis. Post-hoc analysis was done by Bonferroni.ResultsSaline-induced trapezius muscle pain increased PPTs over all facet joints (P < 0.05) compared with before pain. Saline-induced multifidus muscle pain increased PPTs bilaterally over C2/C3 facet joints and over the left C5/C6 facet joint (P < 0.05) compared with before pain.ConclusionsTrapezius muscle pain increased PPT over assessed facet joints. Similar results were found for multifidus muscle pain except for the right C5/C6 facet joint, which was close to the injection site. Such findings may reflect descending inhibitory control acting on structures furthest away from the painful structure.
Scandinavian Journal of Pain – de Gruyter
Published: Jul 1, 2017
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