Pelvic Floor Trigger Point Injections Procedure

Ultrasound guided trigger point injections can be an important part of pelvic floor treatment.

Pelvic floor trigger point injections procedure. Musculoskeletal issues with pelvic floor muscle spasm levator spasm may be treated with meditative techniques physical therapy including massage heat biofeedback with a therapist trained in pelvic floor problems counseling trigger point injections of anesthetic and or steroids into the trouble spots or botox injection to relax the. Trigger point injection process. Ultrasound is a safe non invasive technology that helps pinpoint the muscle locations requiring relief. There may be an association between myofascial trigger points and reported painful sites.

If the muscles are not able to properly support these structures incontinence may occur and can eventually lead to pelvic organ prolapse or urinary tract infections. This can provide significant relief of symptoms. 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. 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 involve the infiltration of muscles with an anesthetic solution sometimes with steroids as anti inflammatories which is useful in identifying the exact location of the pain and simultaneously relieving the pain. Injections typically consist of local anesthetics and a steroid. These muscles known as the pelvic floor support the bladder urethra and other organs within the pelvis to allow for normal functioning. Trigger point injections are also used to treat chronic pelvic pain syndrome which involves lower urinary tract symptoms chronic pelvic pain sexual dysfunction interstitial cystitis painful bladder syndrome in women and chronic prostatitis in men 17.

Trigger point injections should be performed using sterile technique. In refractory conditions botulinum toxin can be injected into the muscle to force. A vaginal exam is performed to confirm the location of the trigger points and the planned site s of injection. Ultrasound is a safe non invasive technology that helps pinpoint the muscle locations requiring relief.