Trigger Point Injections For Pelvic Floor Dysfunction

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Trigger point injections for pelvic floor dysfunction.

For that reason i m dedicating this week s blog post to them. Trigger points can be a source of pain in any part of the pelvic floor and cause the affected muscle s not to function properly. The effectiveness of manual physical therapy was evaluated in patients with interstitial cystitis and the urethral syndrome that is urgency frequency with or without pelvic pain. Trigger point injections refer to the injection of numbing medication into areas of the body that have persistent pain due to muscle knots.

A vaginal exam is performed to confirm the location of the trigger points and the planned site s of injection. Trigger point pain causes. So for example the perineum vagina urethra and rectum are often considered to be referral sites where pain seemingly manifests but the issue actually stems from the pelvic floor muscles. Understanding trigger point injections.

Ultrasound is a safe non invasive technology that helps pinpoint the muscle locations requiring relief. Trigger point injections should be performed using sterile technique. Trigger point injections are recommended as a treatment for pain flares or for patients with pelvic floor myofascial spasm with tender trigger points who are unable to tolerate physical therapy. Indeed trigger points are a key factor in many pelvic pain syndromes.

When injecting myofascial trigger points present in the levator ani the patient should be placed in the dorsal lithotomy position prepped and draped. The pelvic floor muscles control the bladder and the bowels. Trigger points are generally caused by a muscle being overloaded following an acute prolonged or repetitive incident. The rationale was based on the hypothesis that pelvic floor myofascial trigger points are not only a source of pain and voiding symptoms but also a trigger for neurogenic bladder inflammation via antidromic.

Injections typically consist of local anesthetics and a steroid. Myofascial trigger points can develop in any of the pelvic floor muscles and these trigger points usually refer sensation or pain to adjacent sites. The injections are a natural anti inflammatory medication with the gentle pain reliever lidocaine. If you have pelvic pain chances are you have trigger points somewhere within or adjacent to your pelvic floor muscles.

Ultrasound guided trigger point injections can be an important part of pelvic floor treatment.