trigger point injection 챠팅-경과기록지용

S:

pain sensation at (어깨, 머리, 목, 팔, 다리)

O:

pain location:(head, shoulder, wrist, forearm ...)

Tenderness:(+/-)

resting시에도 Tenderness:(+/-)

referred pain:(+/-)

LOM:(+/-)

muscle weakness:(+/-)

VAS:0~10

Taut band:(+/-)

LTR(local twitch response):(+/-)

A:

myofacial pain syndrome(MPS) at (muscle name)

P:
1)trigger point injection(TPI)

needle gauge:26

needle length:1.5inch

injection meterial:0.5% lidocaine , 5cc

injection site:

그림

post injection dyspnea:(-)

injection site swelling/bleeding:(-/-)

2) stretching exercise

3)pain양상 관찰, 필요시 reinjection