Upper Crossed Syndrome and Scapulae Upper-Trapping: A Mesotherapy Protocol in Cervicoscapulobrachial Pain—The 8:1 Block
Abstract
:1. Introduction
2. Biomechanical and Kinesiological Considerations
3. Cervicoscapulobrachialgia: A Proposition
4. Differential Diagnoses in Cervicoscapulobrachialgia
5. Diagnostic Reasoning
6. A New Protocol: The 8:1 Block
7. Discussion and Description of the Technique
7.1. Protocol Description
7.2. Injection Sites
- Posterior Points (8):
- Cervical facets (between C1 and C4)
- Scapular enthesis of the levator scapulae
- Entheses of the lesser and greater rhomboids
- Supraspinatus point over the suprascapular nerve
- Three additional points between the scapular entheses and thoracic spinous processes targeting the spinal portion of the accessory nerve and dorsal scapular nerve.
- Anterior Point (1):
7.3. Dosage and Frequency
7.4. Anesthesia
8. Conclusions and Final Considerations
9. Author’s Note
Author Contributions
Funding
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Anatomic Change | Tightened Muscles | Weakened Muscles |
---|---|---|
Shoulder elevation, protraction, and internal rotation | Upper trapezius, levator scapulae, pectoralis minor | Middle trapezius, serratus anterior |
Chin anteriorization and neck extension | Levator scapulae, suboccipital muscles, sternocleidomastoid | Scalenes, lower trapezius |
Thoracic kyphosis | Pectoralis minor, pectoralis major, sternocleidomastoid | Scalenes, lower trapezius, middle trapezius |
Solution Component | Volume | Purpose |
---|---|---|
Dextrose 50% | 1.5 mL | Provides osmotic effect for pain relief |
Procaine 0.7% | 4.8 mL | Local anesthetic to reduce pain |
Meloxicam 15 mg | 1.5 mL | Anti-inflammatory agent |
Arnica montana D2 | 2.2 mL | Homeopathic remedy for inflammation |
N-acetyl-cysteine 100 mg | 3 mL | Antioxidant to reduce oxidative stress |
Thiocolchicoside 4 mg | 2 mL | Muscle relaxant |
Total Solution | 15 mL | Combined solution for mesotherapy injection |
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Pires, L.; Santos, N.; Lana, J.V.; de Macedo, A.P.; Costa, F.R.; Azzini, G.O.M.; Mosaner, T.; de Moraes Ferreira Jorge, D.; Santos, G.S.; Medeiros, A.; et al. Upper Crossed Syndrome and Scapulae Upper-Trapping: A Mesotherapy Protocol in Cervicoscapulobrachial Pain—The 8:1 Block. Bioengineering 2024, 11, 1142. https://doi.org/10.3390/bioengineering11111142
Pires L, Santos N, Lana JV, de Macedo AP, Costa FR, Azzini GOM, Mosaner T, de Moraes Ferreira Jorge D, Santos GS, Medeiros A, et al. Upper Crossed Syndrome and Scapulae Upper-Trapping: A Mesotherapy Protocol in Cervicoscapulobrachial Pain—The 8:1 Block. Bioengineering. 2024; 11(11):1142. https://doi.org/10.3390/bioengineering11111142
Chicago/Turabian StylePires, Luyddy, Napoliane Santos, João Vitor Lana, Alex Pontes de Macedo, Fábio Ramos Costa, Gabriel Ohana Marques Azzini, Tomas Mosaner, Daniel de Moraes Ferreira Jorge, Gabriel Silva Santos, Arthur Medeiros, and et al. 2024. "Upper Crossed Syndrome and Scapulae Upper-Trapping: A Mesotherapy Protocol in Cervicoscapulobrachial Pain—The 8:1 Block" Bioengineering 11, no. 11: 1142. https://doi.org/10.3390/bioengineering11111142
APA StylePires, L., Santos, N., Lana, J. V., de Macedo, A. P., Costa, F. R., Azzini, G. O. M., Mosaner, T., de Moraes Ferreira Jorge, D., Santos, G. S., Medeiros, A., Pereira, J. A. R., & Lana, J. F. (2024). Upper Crossed Syndrome and Scapulae Upper-Trapping: A Mesotherapy Protocol in Cervicoscapulobrachial Pain—The 8:1 Block. Bioengineering, 11(11), 1142. https://doi.org/10.3390/bioengineering11111142