Trigger Point Injections Pelvic Floor Dysfunction

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.

Trigger point injections pelvic floor dysfunction. Obesity trauma injury or previous surgery in the pelvic region joint problems stress tension held in pelvis misuse of pelvic muscles such as a change in walking or performing kegel exercises incorrectly an. The technique is also used when the pain in the body s fascia does not respond to other treatments. Myofascial trigger points can develop in any of the pelvic floor muscles and these trigger points usually refer sensation or pain to adjacent sites. Trigger point injections should be performed using sterile technique.

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. Conditions that may benefit include. Trigger point injections refer to the injection of numbing medication into areas of the body that have persistent pain due to muscle knots. 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.

When injecting myofascial trigger points present in the levator ani the patient should be placed in the dorsal lithotomy position prepped and draped. 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. Chronic pelvic pain cpp pelvic floor dysfunction pfd. Trigger points may form in pelvic floor muscles for a variety of reasons including.

Trigger point injections are able to get medication directly into the muscle knot and can often release the spasm immediately. These injections can be done almost anywhere on the body but certain urinary conditions may benefit as well. A vaginal exam is performed to confirm the location of the trigger points and the planned site s of injection.