Trigger Point Injections For Pelvic Floor Dysfunction

Trigger points can be a source of pain in any part of the pelvic floor and cause the affected muscle s not to function properly.

Trigger point injections for pelvic floor dysfunction.

A vaginal exam is performed to confirm the location of the trigger points and the planned site s of injection. If you have pelvic pain chances are you have trigger points somewhere within or adjacent to your pelvic floor muscles. The effectiveness of manual physical therapy was evaluated in patients with interstitial cystitis and the urethral syndrome that is urgency frequency with or without pelvic pain. Trigger point injections should be performed using sterile technique.

Injections typically consist of local anesthetics and a steroid. 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. Trigger points are generally caused by a muscle being overloaded following an acute prolonged or repetitive incident. So for example the perineum vagina urethra and rectum are often considered to be referral sites where pain seemingly manifests but the issue actually stems from the pelvic floor muscles.

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. Conditions that may benefit include. Chronic pelvic pain cpp pelvic floor dysfunction pfd. Ultrasound guided trigger point injections can be an important part of pelvic floor treatment.

Indeed trigger points are a key factor in many pelvic pain syndromes. These injections can be done almost anywhere on the body but certain urinary conditions may benefit as well. The rationale was based on the hypothesis that pelvic floor myofascial trigger points are not only a source of pain and voiding symptoms but also a trigger for neurogenic bladder inflammation via antidromic. For that reason i m dedicating this week s blog post to them.

Trigger point injections refer to the injection of numbing medication into areas of the body that have persistent pain due to muscle knots. The pelvic floor muscles control the bladder and the bowels. The injections are a natural anti inflammatory medication with the gentle pain reliever lidocaine. When injecting myofascial trigger points present in the levator ani the patient should be placed in the dorsal lithotomy position prepped and draped.

Trigger point pain causes.