Pelvic Floor Trigger Point Injections

A mixture of a numbing medication anesthetic and an anti inflammatory steroid medication is injected in the tender muscles in the pelvic floor.

Pelvic floor trigger point injections.

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. 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 total of four injections are given over four weeks.

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. Ultrasound is a safe non invasive technology that helps pinpoint the muscle locations requiring relief. Another treatment option is the use of trigger point injections to control pelvic pain. Cpt provides 2 codes to report these.

An underutilized treatment for chronic pelvic pain. Single or multiple trigger point s 1 or 2 muscle s 20553 injection s. 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. Ultrasound guided trigger point injections can be an important part of pelvic floor treatment.

Trigger points can be the cause of sexual pain in women and ejaculatory pain in men. Injections typically consist of local anesthetics and a steroid. If physical therapy doesn t effectively reduce pain trigger point injections may offer effective pain relief.