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I am wondering if anyone has had sucess with trigger point injections? How many are the max? Also about Adhesions, how do they get diagnosed? Through Laparoscopy? Is it worth it if they will just come back? Are there other ways of being diagnosed? Granulation-I have had some removed.
At what point do you stop if they are going to maybe come back again? To those who do not know what is going on.
I have had some large granulation removed about a month ago on the top where my cervix used to be. From the info that I have been reading they have a pretty good chance of coming back. My Gyn and PT are working with me right now with biofeedback and also other physical therapy. The trigger point injections and the possiblity of adhesions are the next step they are looking at. I guess I am trying to figure out if all this is worth it. Hopefully someone will be able to answer these questions.
I've had 5 sets of vaginal trigger point injections. Three times during surgery and twice in the office. I have never heard of a max number of injections but I would think if they weren't working why would you continue to have more? They are painful and I haven't had much success with them.
As far as the adhesions question are you talking about abdominal adhesions or vaginal? it's my understanding that there is no diagnostic test to determine adhesions. It's pretty much based on history of symptoms. If there is high suspicion of adhesions then laparoscopic surgery is usually considered.
I'm not sure if mine were trigger point injections, but my urogyn did two nerve blocks for adhesions where my right ovary is. they were uncomfortable, but it did help for awhile. I wouldn't say I'd continue to do them though and he didn't say if there was a certain number to do!
Michelle, To answer your question as to if they are abdominal or vaginal. I'm not sure how to answer that but the Dr is suspecting them to be the reason why I have had on and off again pain around my right hip and in the back. According to my Operative Report the pedicules where inspected after the uterus was handed off field. There was some bleeding from the right ovarian pedicule and it was grasped and clamped further back. I checked on the report to see if they had had any problems with the right side. And apparently they did.
I would think that would be considered abdominal. I haven't tried the trigger point injections as of yet. Apparently my Uro/Gyn is quite skilled with these so I would have to drive once again 4 hrs to go have them done. I knew that I had read about a max on trigger point injections. It was on The Road Less Traveled under the Sticky Valuable Resouce Info Is Available. I found it under Steroid Injections for Pelvic Pain. There are several that say that their Dr had max amounts. Also that it is not a long term solution. But I still would like to know more about these issues.
I realize that your Uro/Gyn is handling your case but a 4 hour drive for a trigger point injection is such a long drive. Can you check to see if there is a pain management specialist in your area who could maybe perform the injections with the information from your Uro/Gyn? That certainly would save you such a drive, not to mention the price of gas these days.
I have had abdominal trigger point injections also. I was being treated for ilioinguinal neuralgia after the hysterectomy. The injections are a bit painful and depending on the placement you may be a little unsteady on your feet for a little while after the injection. That's one of the reasons why the Drs want someone to come with you to your appointment and drive you home later.
Hope you find the reason for all this pain soon!