Speakers - WNSC 2024

Abstract

It has been noted by multiple researchers that there is Spontaneous Electrical Activity (SEA) at painful trigger points. This author has studied chronic muscle spasms and found that SEA is always present and appears to be the cause of the chronic nature of muscle spasms and resulting chronic pain. Chronic muscle spasms and resulting chronic pain can last for years, and cases, where the spasm lasted for decades, were not only found but successfully treated with the CMECD® procedure. This procedure consists of EMG guidance searching for the SEA and using a combination of phenoxybenzamine, Lidocaine, and dexamethasone to extinguish the SEA. Large areas of muscle often need to be treated. Thanks to lidocaine acting as an antiarrhythmic, the SEA is extinguished within seconds, and the phenoxybenzamine then takes over after about one hour. With the resolution of the SEA, the muscle can immediately relax. The phenoxybenzamine forms a covalent bond on the alpha motoneuron receptor, resulting in a duration of 2-3 months of action. This is enough time for the muscle to recover from the prolonged effect of ischemia resulting from the prolonged spasm. Muscles treated in this fashion need only a single injection. Recurrences are rare and only occur if there is a repeat overuse or traumatic injury. The CMECD® procedure is available for use by any licensed medical caregiver to give injections. The ability to permanently relieve chronic pain without the use of opioid drugs should prompt interest in this procedure.