Injecting the SCM?

[facetguy]

---

Members don't see this ad.

Aside from torticollis, does anyone ever inject the SCM muscle for myofascial pain? Once in awhile I'll get a patient with a very tender SCM that refers pain to the head, ear, etc and reproduces the patient's pain. Just curious.

 

[Doctodd]

i dont usually inject painful muscles unless i know the patient for a long time and Physical therapy hasnt worked. For painful muscles TPI's are usually only a temporary benefit. Dry needling might have some benefit, but again i dont do it unless i know the patient very well. Patients dont always like when i dont inject them at their request. I send them to PT or massage them a bit during the exam. They frequently say "That feels great" and i sell them on the PT from there. Disclosure......I dont have any PT in the office and i make nothing from it.

edit....oh yea, the question....no ive never injected the SCM and probably wouldnt

 

[facetguy]

Safe to say no one here injects the SCM?

 

[PMR 4 MSK]

Safe to say no one here injects the SCM?

I do.

I've even done botox on it, for dystonia and torticollis.

I advise you to only inject it with EMG guidance, to make sure it is in the muscle.

 

[nvrsumr]

Same as PMR. EMG guidance.