Fibrous Myopathy as a Complication of Repeated Intramuscular Injections for Chronic Headache
Two cases of fibrous myopathy associated with repeated, long-term intramuscular injections for treatment of chronic temporomandibular joint pain and chronic headache, respectively, are described. Both patients developed severe, function-limiting contractures in upper and lower extremity muscles used...
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Format: | Article |
Language: | English |
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Wiley
2006-01-01
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Series: | Pain Research and Management |
Online Access: | http://dx.doi.org/10.1155/2006/198751 |
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author | R Burnham S McNeil C Hegedus DS Gray |
author_facet | R Burnham S McNeil C Hegedus DS Gray |
author_sort | R Burnham |
collection | DOAJ |
description | Two cases of fibrous myopathy associated with repeated, long-term intramuscular injections for treatment of chronic temporomandibular joint pain and chronic headache, respectively, are described. Both patients developed severe, function-limiting contractures in upper and lower extremity muscles used as injection sites. In one of the cases, the contractures were painful. Electrophysiological testing, magnetic resonance imaging and muscle biopsy results were all consistent with myopathy and replacement of skeletal muscle with noncontractile fibrous tissue. These cases are presented to increase awareness of fibrous myopathy and to promote surveillance for this serious potential complication of long-term intramuscular injections in chronic headache and other pain patients. |
format | Article |
id | doaj-art-62679c9b21874a56a67e3b796f7a84b7 |
institution | Kabale University |
issn | 1203-6765 |
language | English |
publishDate | 2006-01-01 |
publisher | Wiley |
record_format | Article |
series | Pain Research and Management |
spelling | doaj-art-62679c9b21874a56a67e3b796f7a84b72025-02-03T06:06:08ZengWileyPain Research and Management1203-67652006-01-0111424925210.1155/2006/198751Fibrous Myopathy as a Complication of Repeated Intramuscular Injections for Chronic HeadacheR Burnham0S McNeil1C Hegedus2DS Gray3University of Alberta, Division of Physical Medicine and Rehabilitation, Edmonton, CanadaFoothills Medical Centre, Division of Clinical Neurosciences, Calgary, CanadaRed Deer Regional Hospital, David Thompson Health Region, Red Deer, Alberta, CanadaUniversity of Alberta, Division of Physical Medicine and Rehabilitation, Edmonton, CanadaTwo cases of fibrous myopathy associated with repeated, long-term intramuscular injections for treatment of chronic temporomandibular joint pain and chronic headache, respectively, are described. Both patients developed severe, function-limiting contractures in upper and lower extremity muscles used as injection sites. In one of the cases, the contractures were painful. Electrophysiological testing, magnetic resonance imaging and muscle biopsy results were all consistent with myopathy and replacement of skeletal muscle with noncontractile fibrous tissue. These cases are presented to increase awareness of fibrous myopathy and to promote surveillance for this serious potential complication of long-term intramuscular injections in chronic headache and other pain patients.http://dx.doi.org/10.1155/2006/198751 |
spellingShingle | R Burnham S McNeil C Hegedus DS Gray Fibrous Myopathy as a Complication of Repeated Intramuscular Injections for Chronic Headache Pain Research and Management |
title | Fibrous Myopathy as a Complication of Repeated Intramuscular Injections for Chronic Headache |
title_full | Fibrous Myopathy as a Complication of Repeated Intramuscular Injections for Chronic Headache |
title_fullStr | Fibrous Myopathy as a Complication of Repeated Intramuscular Injections for Chronic Headache |
title_full_unstemmed | Fibrous Myopathy as a Complication of Repeated Intramuscular Injections for Chronic Headache |
title_short | Fibrous Myopathy as a Complication of Repeated Intramuscular Injections for Chronic Headache |
title_sort | fibrous myopathy as a complication of repeated intramuscular injections for chronic headache |
url | http://dx.doi.org/10.1155/2006/198751 |
work_keys_str_mv | AT rburnham fibrousmyopathyasacomplicationofrepeatedintramuscularinjectionsforchronicheadache AT smcneil fibrousmyopathyasacomplicationofrepeatedintramuscularinjectionsforchronicheadache AT chegedus fibrousmyopathyasacomplicationofrepeatedintramuscularinjectionsforchronicheadache AT dsgray fibrousmyopathyasacomplicationofrepeatedintramuscularinjectionsforchronicheadache |