Kosin Med J.  2021 Jun;36(1):34-39. 10.7180/kmj.2021.36.1.34.

The Management of Foreign Body Sensation in the Throat after Stroke by Trigger Point Injection on Posterior Belly of Digastric Muscles

• Kim H
• Yang HS
• Cheon JH
• Won KH

• KMID: 2517223
• DOI: http://doi.org/10.7180/kmj.2021.36.1.34

Abstract

Foreign body (FB) sensation in the throat is often a common symptom encountered in clinical practice. FB sensation in throat has numerous causes mainly caused by reflex diseases such as laryngopharyngeal reflux. Its treatment has been focused on organic problems or hysteria while musculoskeletal problem has been neglected. We hereby report a patient with dysphagia and complaint of FB sensation in the throat after nasogastric tube removal. It was relieved by trigger point injection on the posterior belly of digastric muscles.

Keyword

Globus Sensation; Neck Muscles; Trigger Points

Figure

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  Fig. 1 Schematic anatomical location of posterior belly of digastric muscle.

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  Fig. 2 Video fluoroscopy swallowing study (VFSS) showing below 10% of the vallecula and pyriform sinus residues accompanied by water penetration and pharyngeal coating.

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  Fig. 3 Schematic surface anatomy of examination of the posterior belly digastric muscle.

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  Fig. 4 Surface anatomy of injection site of myofascial trigger point in the posterior belly of digastric muscle (X).

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  Fig. 5 Injection site of myofascial trigger point in the posterior belly of digastric muscle (arrowhead) in posterior and below the submandibular gland (asterisk) by ultrasound guidance.

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