E-ISSN 2534-9821
 

Case Report 


Myofascial Pain Secondary to Cannabinoid Hyperemesis Syndrome: A Case Study

Jereen Chowdhury, Rebecca Chanmin , Ilana Urman, Danessa Bradley, Devi Nampiaparampil.

Abstract
Background: Marijuana- both medical and recreational- is often used to manage pain and nausea. However, there is emerging evidence that marijuana may have adverse effects on pain and nausea. It appears cannabis can not only suppress nausea in certain situations, but also cause it in vulnerable patients. Cannabinoid hyperemesis syndrome (CHS) can cause chronic pain.

Objective: This case report assesses the potential link between myofascial pain affecting the abdominal musculature and marijuana use. It also raises awareness about cannabinoid hyperemesis syndrome in patients with chronic pain who are not requesting opioid therapy.

Result: We present the case of a 22-year-old male with acute on chronic abdominal pain and recurrent vomiting for over two years. He had multiple evaluations by various gastroenterologists and psychiatrists with no specific cause found for his symptoms. The patient had previously tried zofran, hydroxyzine, and sertraline without benefit. He reported smoking marijuana on a daily basis to address the pain and nausea. The patient experienced > 50% relief of his chronic abdominal pain with a combination of trigger point injections and abstinence from marijuana.

Conclusion: To our knowledge, this is the first case in the literature of marijuana discontinuation leading to a greater than 50% improvement in myofascial pain symptoms in the abdomen and pelvis. Cannabinoid hyperemesis syndrome is a potential cause of chronic pain in a minority of patients.

Key words: CannabinoidS, Marijuana, Myofascial Pain, Trigger Points, Hyperemesis, Vomiting


 
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How to Cite this Article
Pubmed Style

Chowdhury J, RC, Urman I, Bradley D, Nampiaparampil D, . Myofascial Pain Secondary to Cannabinoid Hyperemesis Syndrome: A Case Study . Int J Med Rev Case Rep. 2019; 3(10): 649-651. doi:10.5455/IJMRCR.Myofascial-Pain-Secondary-Cannabinoids


Web Style

Chowdhury J, RC, Urman I, Bradley D, Nampiaparampil D, . Myofascial Pain Secondary to Cannabinoid Hyperemesis Syndrome: A Case Study . http://mdpub.net/?mno=26759 [Access: December 10, 2019]. doi:10.5455/IJMRCR.Myofascial-Pain-Secondary-Cannabinoids


AMA (American Medical Association) Style

Chowdhury J, RC, Urman I, Bradley D, Nampiaparampil D, . Myofascial Pain Secondary to Cannabinoid Hyperemesis Syndrome: A Case Study . Int J Med Rev Case Rep. 2019; 3(10): 649-651. doi:10.5455/IJMRCR.Myofascial-Pain-Secondary-Cannabinoids



Vancouver/ICMJE Style

Chowdhury J, RC, Urman I, Bradley D, Nampiaparampil D, . Myofascial Pain Secondary to Cannabinoid Hyperemesis Syndrome: A Case Study . Int J Med Rev Case Rep. (2019), [cited December 10, 2019]; 3(10): 649-651. doi:10.5455/IJMRCR.Myofascial-Pain-Secondary-Cannabinoids



Harvard Style

Chowdhury, J., , R. C., Urman, I., Bradley, D., Nampiaparampil, D. & (2019) Myofascial Pain Secondary to Cannabinoid Hyperemesis Syndrome: A Case Study . Int J Med Rev Case Rep, 3 (10), 649-651. doi:10.5455/IJMRCR.Myofascial-Pain-Secondary-Cannabinoids



Turabian Style

Chowdhury, Jereen, Rebecca Chanmin, Ilana Urman, Danessa Bradley, Devi Nampiaparampil, and . 2019. Myofascial Pain Secondary to Cannabinoid Hyperemesis Syndrome: A Case Study . International Journal of Medical Reviews and Case Reports, 3 (10), 649-651. doi:10.5455/IJMRCR.Myofascial-Pain-Secondary-Cannabinoids



Chicago Style

Chowdhury, Jereen, Rebecca Chanmin, Ilana Urman, Danessa Bradley, Devi Nampiaparampil, and . "Myofascial Pain Secondary to Cannabinoid Hyperemesis Syndrome: A Case Study ." International Journal of Medical Reviews and Case Reports 3 (2019), 649-651. doi:10.5455/IJMRCR.Myofascial-Pain-Secondary-Cannabinoids



MLA (The Modern Language Association) Style

Chowdhury, Jereen, Rebecca Chanmin, Ilana Urman, Danessa Bradley, Devi Nampiaparampil, and . "Myofascial Pain Secondary to Cannabinoid Hyperemesis Syndrome: A Case Study ." International Journal of Medical Reviews and Case Reports 3.10 (2019), 649-651. Print. doi:10.5455/IJMRCR.Myofascial-Pain-Secondary-Cannabinoids



APA (American Psychological Association) Style

Chowdhury, J., , R. C., Urman, I., Bradley, D., Nampiaparampil, D. & (2019) Myofascial Pain Secondary to Cannabinoid Hyperemesis Syndrome: A Case Study . International Journal of Medical Reviews and Case Reports, 3 (10), 649-651. doi:10.5455/IJMRCR.Myofascial-Pain-Secondary-Cannabinoids