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Trigger Point Injection Procedure

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By Jerome Hoffman


Trigger Point injections are intended to treat pain that radiates from a trigger point to a hypersensitive area in the muscle or connective tissue (fascia). Trigger Point injections are used to treat health conditions such as Myofascial Pain Disorder, Fibromyalgia or other severe pain syndromes.

During the procedure, the patient lies down on his/her belly. A local anesthetic is used to numb the skin and the tissue down to the sacroiliac joint. The doctor will use touch and a fluoroscope to find the sacroiliac joint and then, carefully advancing the needle to the joint, inject the medicine. The needle is then removed and a small bandage is applied. The patient will remain in the surgery center for at least 30 minutes for observation after the procedure. If there are no adverse reactions (allergic reaction or leg numbness/weakness), the doctor will release the patient to go home.

How is the trigger point injection procedure performed? The trgger point injection is performed in the health-care professional's office, usually with the patient either lying on the exam table on the stomach or sitting on the exam table. The specific protocol varies. The health-care expert performing the procedure locates the trigger point by manual palpation and marks the site. Ultrasound assistance is not normally necessary. The injection site is then sanitized. Alcohol or another skin cleanser such as betadine is commonly used to clean the injection site. Frequently, a numbing spray such as ethyl chloride is used to anesthetize the skin and make the actual injection less painful. The needle is then inserted into the trigger point and the medication is injected. After the treatment, a simple adhesive bandage may be applied. If the area hurts following the injection, ice, heat, Tylenol, or over-the-counter nonsteroidal anti-inflammatory medications such as Advil or naproxen sodium can be used.

When is a trigger point injection used? Trigger point injection is used when a patient has a painful trigger point, especially when pain emits from the trigger point to the bordering location. Trigger point injections may be used as a treatment for conditions such as fibromyalgia and myofascial pain syndrome. However, the trigger points frequently recur with chronic pain syndromes.

To schedule an appointment for diagnostic or therapeutic injections, call SpineOne in Denver, CO. Our back specialists offer the most recent in non-invasive and minimally invasive techniques to resolve your back pain. We'll work very closely with you to customize a treatment plan that suits your unique needs.




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