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Background <p>These case reports focus on successful pain management with ultrasound-guided serratus posterior superior muscle (SPSM) block using 30&#xa0;mL of 0.25% ropivacaine or physiological saline in three myofascial pain syndrome (MPS) patients presented with cervicoscapular pain.</p> Case presentation <p>The SPSM block was administered to three ambulatory patients (cases #1, #2, and #3) who presented with cervicoscapular pain. The SPSM block with 30&#xa0;mL of 0.25% ropivacaine drastically decreased an NRS score and provided 2–3&#xa0;weeks of pain relief in cases #1 and #2. On the contrary, the SPSM block with 30&#xa0;mL of physiological saline also mildly decreased an NRS score and provided 3&#xa0;weeks of pain relief in cases #1 and #3.</p> Conclusions <p>The SPSM block using 30&#xa0;mL of 0.25% ropivacaine or physiological saline successfully decreased the NRS scores in three MPS patients. These findings suggest that the SPSM block may serve as a useful therapeutic option in MPS patients presenting with cervicoscapular pain.</p>

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Ultrasound-guided serratus posterior superior muscle block for myofascial pain syndrome in the cervicoscapular region: a report of three cases

  • 期刊论文

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  • 发表日期：

    2025年7月29日

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  • Atsushi Sawada,
  • Michiaki Yamakage

摘要

Background

These case reports focus on successful pain management with ultrasound-guided serratus posterior superior muscle (SPSM) block using 30 mL of 0.25% ropivacaine or physiological saline in three myofascial pain syndrome (MPS) patients presented with cervicoscapular pain.

Case presentation

The SPSM block was administered to three ambulatory patients (cases #1, #2, and #3) who presented with cervicoscapular pain. The SPSM block with 30 mL of 0.25% ropivacaine drastically decreased an NRS score and provided 2–3 weeks of pain relief in cases #1 and #2. On the contrary, the SPSM block with 30 mL of physiological saline also mildly decreased an NRS score and provided 3 weeks of pain relief in cases #1 and #3.

Conclusions

The SPSM block using 30 mL of 0.25% ropivacaine or physiological saline successfully decreased the NRS scores in three MPS patients. These findings suggest that the SPSM block may serve as a useful therapeutic option in MPS patients presenting with cervicoscapular pain.