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Depot injections can be created by modifying the drug molecule itself, as in the case of prodrugs, or by modifying the way it is administered, as in the case of oil/lipid suspensions. Depot injections can have a duration of action of one month or greater and are available for many types of drugs, including antipsychotics and hormones.
Snapping scapula syndrome, also known as scapulocostal syndrome or scapulothoracic syndrome, is described by a "grating, grinding, popping or snapping sensation of the scapula onto the back side of the ribs or thoracic area of the spine" (Hauser). Disruption of the normal scapulothoracic mechanics causes this problem.
Levator scapulae forms part of the latter group together with rhomboid major, rhomboid minor, serratus anterior, and trapezius. The trapezius evolved separately, but the other three muscles in this group evolved from the first eight or ten ribs and the transverse processes of the cervical vertebrae (homologous to the ribs).
Intrathecal administration is a route of administration for drugs via an injection into the spinal canal, or into the subarachnoid space so that it reaches the cerebrospinal fluid (CSF). It is useful in several applications, such as for spinal anesthesia , chemotherapy , or pain management .
The specific medication and amount being administered will influence the decision of the specific muscle chosen for injection. The injection site is first cleaned using an antimicrobial and allowed to dry. The injection is performed in a quick, darting motion perpendicular to the skin, at an angle between 72 and 90 degrees.
Myofascial trigger points (MTrPs), also known as trigger points, are described as hyperirritable spots in the skeletal muscle. They are associated with palpable nodules in taut bands of muscle fibers. [1] They are a topic of ongoing controversy, as there is limited data to inform a scientific understanding of the phenomenon.
Dry needling for the treatment of myofascial (muscular) trigger points is based on theories similar, but not exclusive, to traditional acupuncture; both acupuncture and dry needling target the trigger points, which is a direct and palpable source of patient pain. [1]
Pain from prolotherapy injections is temporary and is often treated with acetaminophen [20] or, in rare cases, opioid medications. NSAIDs are not usually recommended due to their counter action to prolotherapy-induced inflammation, but are occasionally used in patients with pain refractory to other methods of pain control . [ 18 ]