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Facet Block or Trigger Point?  Confused! Facet Block or Trigger Point? Confused!

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Unread 10-12-2004, 09:10 AM
Facet Block or Trigger Point? Confused!

I went to my appointment with my physiatrist yesterday thinking that I would probably be getting my first set of trigger point injections. Didn't happen! She said that she feels the majority of my pain is from arthritis so, she wanted to try and find a NSAID that I can tolerate and refer me to her another doctor (in their group) for facet block injections.

Well, we are trying Lodine now. Anyone have any experience with this particular NSAID? I'm still taking the Darvocet and Soma along with this, but the idea is to wean me off them and stay on the NSAID long term. Great if it works and my stomach doesn't get torn up from it. Then I have an appointment scheduled with the other doctor on the 27th. (That will depend on how things go with my gyn on Friday as I may be post op again by then.) Anyway, what is the difference between a facet block and a trigger point injection???? I'm so confused! The day I had my EMG she acted as if the pain was mostly trigger point pain....now she says arthritis is the bigger culprit. I just want some relief!!!!!!!!!!!!!!!!!!!!!
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Unread 10-12-2004, 09:37 AM
Facet Block or Trigger Point? Confused!

Well I have had both trigger point and facet joint injections.
For me the dr told me the trigger points can be just about anywhere(I had mine in back and pelvic region). So with the trigger point they push around and find the point and inject lidocane to numb the nerves and so the places around it can relax and be pain free.

The facet injections I just had 6 of them last month in my back. The way the dr explained those was when I bend backwards the nerves behind the discs were bieng pinched. So the dr went into the space behind the disc in the joints and injected the steriods and the lidocane.

Personally the facet hurt more than the trigger. I needed a few days to recover from the facet. I also had a emg and my dr said that mine was very little sciatic and more so just nerves in my back so....

I hope this has helped. I found no relief from the facet, trigger or the epidurals. I hope this turns out better for you. You deserve some relief.

Unread 10-12-2004, 12:53 PM
Facet Block or Trigger Point? Confused!


Geez ... I'm aggravated just reading your post ... I hate it when you can't get a clear answer as to what their best guess is ... dang!

So, whats the scoop on the Lodine? Is that looking promising?

I hope you get some relief soon! You have had more than your share of the run around!

Lots of s , dear.

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