AI Article Synopsis

  • The study aimed to evaluate the effectiveness of ultrasound-guided trigger point injections in treating chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) in patients suspected of having myofascial pain syndrome.
  • Participants included 21 patients at a university rehabilitation hospital, and the intervention focused on injecting specific muscles around the groin.
  • Results showed significant improvement in pain and symptom scores, indicating that this treatment is both safe and effective, particularly for problems related to the iliopsoas muscle.

Article Abstract

Objective: To investigate the therapeutic effectiveness of trigger point injection into the muscles around the groin in patients with clinically diagnosed chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).

Design: Prospective, unicenter trial.

Setting: University rehabilitation hospital.

Participants: Patients (N=21) with clinically diagnosed CP/CPPS who are suspected of having myofascial pain syndrome.

Intervention: Ultrasound-guided trigger point injection.

Main Outcome Measures: Visual analog scale (VAS), National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) score, and injection-associated complications.

Results: Ultrasound (US)-guided trigger point injection of the iliopsoas, hip adductor, and lower abdominal muscles resulted in excellent outcomes. The mean values of the NIH-CPSI score decreased significantly from 20.2 pretreatment to 12.5 after the first treatment (P<.05). The mean values of VAS decreased significantly from 6.3 pretreatment to 2.9 after the first treatment (P<.05).

Conclusions: In patients with CP/CPPS, US-guided trigger point injections of the iliopsoas, hip adductor, and abdominal muscles are safe and effective for both diagnosis and treatment when the cause of groin pain is suspected to originate from muscles. In particular, the iliopsoas muscle was affected in all patients in this study.

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Source
http://dx.doi.org/10.1016/j.apmr.2012.12.011DOI Listing

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