Obesity trauma injury or previous surgery in the pelvic region joint problems stress tension held in pelvis misuse of pelvic muscles such as a change in walking or performing kegel exercises incorrectly an.
Trigger point injections pelvic floor dysfunction.
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 reflexes.
Trigger points may form in pelvic floor muscles for a variety of reasons including.
Trigger point injections should be performed using sterile technique.
The technique is also used when the pain in the body s fascia does not respond to other treatments.
When injecting myofascial trigger points present in the levator ani the patient should be placed in the dorsal lithotomy position prepped and draped.
Trigger point injections are able to get medication directly into the muscle knot and can often release the spasm immediately.
A vaginal exam is performed to confirm the location of the trigger points and the planned site s of injection.
Conditions that may benefit include.
These injections can be done almost anywhere on the body but certain urinary conditions may benefit as well.
Trigger point injections refer to the injection of numbing medication into areas of the body that have persistent pain due to muscle knots.
These injections are an important part of pelvic floor treatment at our practice.
Injections typically consist of local anesthetics and a steroid.
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.
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.
Understanding trigger point injections.