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Trigger Point Injections-Who does them? Trigger Point Injections-Who does them?

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Unread 11-14-2003, 03:22 PM
Trigger Point Injections-Who does them?

Hi All,

Yes I'm back.

To make a long story short, it looks like I may have endo in an incision for my hernia repair (but personally I think it's adhesions, but either way). Anyway, my surgeon wanted to refer me to a pain management center but NO center in my area takes my insurance and the reps at the insurance company say they don't cover "PM clinics". SO, is there a certain type of physician that could perform these types of services, so that I can search by provider instead of "pain management provider"?

And I guess I should ask if trigger-point injections help, but I'm a little afraid to. But go ahead and tell me.

Thanks much,

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Unread 11-14-2003, 09:18 PM
Trigger Point Injections-Who does them?

Dear VLT,
I am sorry that you are still having pain problems.... I hope it isn't endo....

I have had multiple rounds of trigger point injections in my abdominal wall around my pelvis. I also had two vaginal trigger point injections and two presacral nerve blocks (those helped but only for a couple of hours).

My trigger point injections were done by 2 different doctors... and the third doctor who did the nerve blocks also does the trigger point injections. THe first was a family practise doctor who specialised in rehabilitation. The second doctor was a Gyn who specialised in pelvic pain and worked at a pelvic pain center. The doctor who did the nerve blocks was an anesthesiologist who specialised in pain mgt. It is my impression that alot of anesthesiologist do pain mgt as well.... maybe you could contact the anesthesia groups where you live? Or look for medical groups that advertise that they do rehab.

I did not find the trigger point injections helpful.... in fact for some reason they just made everything worse. I have myofascial trigger points that appear to be a result of referred pain from some primary pain source that is still there.... The Gyn at the pelvic pain center told me that he didn't think the trigger point injections would help until the primary pain source was gone and stopped referring pain.... It is complicated I know.

I also tried neuromuscular massage for 3 1/2 months. This is an alternative to myofascial trigger point injections..... so I guess it depends on what type of trigger point the doctor thinks you have... That didn't help me either because the primary pain source apparently is still "feeding" the trigger points.

I hope this helped.

Unread 11-15-2003, 11:32 AM
Trigger Point Injections-Who does them?

Hi Sarah,

Thanks for the info.

Now that the insurance shock/quandry has settled I'm now really thinking about whether or not I want to pursue this treatment at all. I'll keep your info in mind.

Take care and thanks again for you help.

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Unread 11-17-2003, 09:53 AM
My 2 cents

I have had good luck with the trp injections. But you must find a doc who knows what he is doing. My first time was with my pain/neuro doc. He asked me to point out the trp with my finger and then he injected some lidocaine. This only helped for a couple of hours. I then went to a sports medicine/ortho doc who used a totally different technique. First I pointed out the spots. Then he used a probe that the needle was attached to. The probe was hooked up to an emg machine(this shows the muscle's activity on a graph). He then went into the trp with the probe and had to kind of dig aroung alittle to hit it exactly. This is the most important step b/c if you dont hit it EXACTLY the shots wont work. When he found it the graph went bonkers as well as my pain level. It was then that he injected me with some lidocaine, cortisone and that was it. Within 2 weeks my trps were gone and have not returned. I hope this helps.Donna

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