Trigger Point Injections Pelvic Floor

Single or multiple trigger point s 3 or more muscles.

Trigger point injections pelvic floor. Ultrasound guided trigger point injections can be an important part of pelvic floor treatment. Cpt provides 2 codes to report these. Now let s get to the main reason you re reading this blog about trigger points. So trigger point maps do exist complete with referral patterns and that goes for the pelvic floor too.

Single or multiple trigger point s 1 or 2 muscle s 20553 injection s. Trigger point injection process. An underutilized treatment for chronic pelvic pain. Trigger point injection as an adjunct to physical therapy is well tolerated and improves symptoms of pelvic floor muscle spasm in approximately 50 of patients with chronic prostatitis chronic.

A mixture of a numbing medication anesthetic and an anti inflammatory steroid medication is injected in the tender muscles in the pelvic floor. Injections typically consist of local anesthetics and a steroid. Neurourol urodyn 2007 26 1 59 62 after identifying the location of the trigger points the needle is inserted which may elicit a local twitch response 4 5. Trigger points can be the cause of sexual pain in women and ejaculatory pain in men.

If physical therapy doesn t effectively reduce pain trigger point injections may offer effective pain relief. Injections with anti inflammatory and anesthetic agents to trigger points in the muscles of the pelvic floor may help to ease pain and improve pelvic function in people with endometriosis a small study suggests. Trigger points and the pelvic floor. Trigger points play a role in the vast majority of pelvic pain syndromes.

Another treatment option is the use of trigger point injections to control pelvic pain. But notable limitations to the work necessitates further research before firm conclusions can be drawn. Levator ani trigger point injections. A total of four injections are given over four weeks.

Ultrasound is a safe non invasive technology that helps pinpoint the muscle locations requiring relief. 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.