Trigger Point Injections Pelvic Floor Dysfunction

Understanding trigger point injections.

Trigger point injections pelvic floor dysfunction.

Trigger points may form in pelvic floor muscles for a variety of reasons including. 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. Myofascial trigger points can develop in any of the pelvic floor muscles and these trigger points usually refer sensation or pain to adjacent sites. Injections typically consist of local anesthetics and a steroid.

These injections are an important part of pelvic floor treatment at our practice. 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 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 point injections refer to the injection of numbing medication into areas of the body that have persistent pain due to muscle knots.

The technique is also used when the pain in the body s fascia does not respond to other treatments. Conditions that may benefit include. 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 reflexes. Chronic pelvic pain cpp pelvic floor dysfunction pfd.

Trigger point injections are able to get medication directly into the muscle knot and can often release the spasm immediately. 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. A vaginal exam is performed to confirm the location of the trigger points and the planned site s of injection.