Pelvic Floor Trigger Point Injections Procedure

Trigger point injections involve the infiltration of muscles with an anesthetic solution sometimes with steroids as anti inflammatories which is useful in identifying the exact location of the pain and simultaneously relieving the pain.

Pelvic floor trigger point injections procedure.

This can provide significant relief of symptoms. Trigger point injections are also used to treat chronic pelvic pain syndrome which involves lower urinary tract symptoms chronic pelvic pain sexual dysfunction interstitial cystitis painful bladder syndrome in women and chronic prostatitis in men 17. Injections typically consist of local anesthetics and a steroid. Ultrasound is a safe non invasive technology that helps pinpoint the muscle locations requiring relief.

If the muscles are not able to properly support these structures incontinence may occur and can eventually lead to pelvic organ prolapse or urinary tract infections. 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. 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. Trigger point injections should be performed using sterile technique.

There may be an association between myofascial trigger points and reported painful sites. These muscles known as the pelvic floor support the bladder urethra and other organs within the pelvis to allow for normal functioning. Trigger points can be the cause of sexual pain in women and ejaculatory pain in men. A vaginal exam is performed to confirm the location of the trigger points and the planned site s of injection.

Ultrasound guided trigger point injections can be an important part of pelvic floor treatment. When injecting myofascial trigger points present in the levator ani the patient should be placed in the dorsal lithotomy position prepped and draped. Musculoskeletal issues with pelvic floor muscle spasm levator spasm may be treated with meditative techniques physical therapy including massage heat biofeedback with a therapist trained in pelvic floor problems counseling trigger point injections of anesthetic and or steroids into the trouble spots or botox injection to relax the. Ultrasound is a safe non invasive technology that helps pinpoint the muscle locations requiring relief.