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2016 ; 22
(1
): 80-4
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Myofacial Trigger Points in Advanced Cancer Patients
#MMPMID26962285
Hasuo H
; Ishihara T
; Kanbara K
; Fukunaga M
Indian J Palliat Care
2016[Jan]; 22
(1
): 80-4
PMID26962285
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Myofascial pain syndrome is started to be recognized as one of important factors
of pain in cancer patients. However, no reports on features of myofascial trigger
points were found in terminally-ill cancer populations. This time, we encountered
5 patients with myofascial pain syndrome and terminal cancer in whom delirium
developed due to increased doses of opioid without a diagnosis of myofascial pain
syndrome on initial presentation. The delirium subsided with dose reductions of
opioid and treatment of myofascial pain syndrome. The common reason for a delayed
diagnosis among the patients included an incomplete palpation of the painful
sites, which led to unsuccessful myofascial trigger points identification. The
features of myofascial trigger points included single onset in the cancer pain
management site with opioid and the contralateral abdominal side muscles of the
non-common sites. Withdrawal reflexes associated with cancer pain in the supine
position, which are increasingly seen in the terminal cancer patients, were
considered to have contributed to this siuation. We consider that careful
palpation of the painful site is important, in order to obtain greater knowledge
and understanding of the features of myofascial trigger points.
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