PDF(Pubmed)
Abstract：
BACKGROUND: Trigeminal neuralgia is a recurrent unilateral transient electroshock-like pain. Fu\'s subcutaneous needling (FSN), used to treat the musculoskeletal problems, has not been reported in this field.
METHODS: The pain extent of case 1 had no reduction after the previous microvascular decompression, the pain of case 2 relapsed 4 years after the microvascular decompression.
METHODS: Postsurgical trigeminal neuralgia.
METHODS: FSN therapy was applied on the muscles around the neck and face area, which the myofascial trigger points were palpated in these muscles. The FSN needle was inserted into the subcutaneous layer and the needle tip was pointed toward the myofascial trigger point.
RESULTS: The following outcome measurements were observed before and after treatment, including numerical rating scale, Barrow Neurology Institute Pain Scale scores, Constant Face Pain Questionnaire scores, Brief Pain Inventory-Facial scores, Patient Global Impression of Change scores, and medication dosage. The follow-up surveys were made after 2 and 4 months respectively. The pain of Case 1 was significantly reduced after 7 times FSN treatments and the pain of Case 2 was even disappeared after 6 times FSN treatments.
CONCLUSIONS: This case report suggested that FSN can relieve postsurgical trigeminal neuralgia safely and effectively. Clinical randomized controlled studies are needed to be further conducted.
METHODS: The pain extent of case 1 had no reduction after the previous microvascular decompression, the pain of case 2 relapsed 4 years after the microvascular decompression.
METHODS: Postsurgical trigeminal neuralgia.
METHODS: FSN therapy was applied on the muscles around the neck and face area, which the myofascial trigger points were palpated in these muscles. The FSN needle was inserted into the subcutaneous layer and the needle tip was pointed toward the myofascial trigger point.
RESULTS: The following outcome measurements were observed before and after treatment, including numerical rating scale, Barrow Neurology Institute Pain Scale scores, Constant Face Pain Questionnaire scores, Brief Pain Inventory-Facial scores, Patient Global Impression of Change scores, and medication dosage. The follow-up surveys were made after 2 and 4 months respectively. The pain of Case 1 was significantly reduced after 7 times FSN treatments and the pain of Case 2 was even disappeared after 6 times FSN treatments.
CONCLUSIONS: This case report suggested that FSN can relieve postsurgical trigeminal neuralgia safely and effectively. Clinical randomized controlled studies are needed to be further conducted.
摘要：
背景：三叉神经痛是一种反复发作的单侧短暂性电击样疼痛。Fu\'s皮下针刺（FSN），用来治疗肌肉骨骼问题，在这一领域没有报告。
方法：病例1经微血管减压术后疼痛程度无减轻，病例2的疼痛在微血管减压术后4年复发。
方法：手术后三叉神经痛。
方法：FSN治疗应用于颈部和面部周围的肌肉，在这些肌肉中触诊肌筋膜触发点。将FSN针插入皮下层,并且针尖指向肌筋膜触发点。
结果：在治疗前后观察到以下结果测量，包括数字评级量表，巴罗神经病学研究所疼痛量表评分，恒定的面部疼痛问卷得分，简短的疼痛清单-面部评分，患者对变化的整体印象评分，和药物剂量。分别于2个月和4个月后进行跟踪调查。病例1的疼痛在7次FSN治疗后显著减轻,病例2的疼痛在6次FSN治疗后甚至消失。
结论：本病例报告提示FSN可以安全有效地缓解术后三叉神经痛。临床随机对照研究有待进一步开展。
方法：病例1经微血管减压术后疼痛程度无减轻，病例2的疼痛在微血管减压术后4年复发。
方法：手术后三叉神经痛。
方法：FSN治疗应用于颈部和面部周围的肌肉，在这些肌肉中触诊肌筋膜触发点。将FSN针插入皮下层,并且针尖指向肌筋膜触发点。
结果：在治疗前后观察到以下结果测量，包括数字评级量表，巴罗神经病学研究所疼痛量表评分，恒定的面部疼痛问卷得分，简短的疼痛清单-面部评分，患者对变化的整体印象评分，和药物剂量。分别于2个月和4个月后进行跟踪调查。病例1的疼痛在7次FSN治疗后显著减轻,病例2的疼痛在6次FSN治疗后甚至消失。
结论：本病例报告提示FSN可以安全有效地缓解术后三叉神经痛。临床随机对照研究有待进一步开展。
