Trigger Point Injections Pelvic Floor Dysfunction

Understanding trigger point injections.

Trigger point injections pelvic floor dysfunction. Trigger points may form in pelvic floor muscles for a variety of reasons including. These injections can be done almost anywhere on the body but certain urinary conditions may benefit as well. Injections typically consist of local anesthetics and a steroid. 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.

Myofascial trigger points can develop in any of the pelvic floor muscles and these trigger points usually refer sensation or pain to adjacent sites. When injecting myofascial trigger points present in the levator ani the patient should be placed in the dorsal lithotomy position prepped and draped. 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 point injections are able to get medication directly into the muscle knot and can often release the spasm immediately.

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. Trigger point injections refer to the injection of numbing medication into areas of the body that have persistent pain due to muscle knots. 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.

These injections are an important part of pelvic floor treatment at our practice. Chronic pelvic pain cpp pelvic floor dysfunction pfd. Pelvic floor physical therapy the pelvic floor physical therapy clinic provides examination and treatment of pelvic floor muscle dysfunction related to urinary and bowel incontinence and associated symptoms pelvic organ prolapse constipation and pelvic pain symptoms.