Treatment of neck and shoulder pain in whip-lash syndrome patients with intracutaneous sterile water injections

Acta Anaesthesiol Scand. 1991 Jan;35(1):52-3. doi: 10.1111/j.1399-6576.1991.tb03240.x.


Ten whip-lash syndrome patients treated with intracutaneous triggerpoint injections with sterile water for pain relief were followed for 2 months. Pain intensity was evaluated with the Visual Analogue Scale (VAS). Eight patients became free from pain (VAS 0) and two patients improved to VAS 2 immediately after the treatment. Nine patients remained free from pain, three of them after one treatment, while six patients needed 2-4 treatments. One patient responded only a few hours after each of three treatments. Remarkably, with the relief of pain mobility was normalised in all patients. The method is suggested to be a first choice in the treatment of not only whip-lash patients but also for most acute and chronic musculo-skeletal triggerpoint pain syndromes.

MeSH terms

  • Adult
  • Female
  • Humans
  • Injections, Intradermal
  • Male
  • Middle Aged
  • Myofascial Pain Syndromes / etiology
  • Myofascial Pain Syndromes / therapy*
  • Water / administration & dosage
  • Water / therapeutic use*
  • Whiplash Injuries / physiopathology*


  • Water