What is a trigger point?

Trigger points, also known as myofascial trigger points (MTrPs), are tiny knots that can form in the muscles and fascia of the body. They are usually tender to the touch and can cause pain when pressed. Trigger points can be found in many body areas, including the pelvic area, leading to chronic pelvic pain.

How do trigger points cause pelvic pain?

Trigger points cause pain because they compress or irritate nearby nerves, leading to radiating sensations such as dull aches or burning sensations. In addition, they can reduce blood flow to the muscles surrounding them, causing further tissue damage, which leads to even more pain and discomfort. Some trigger points may also cause spasms which further contribute to pelvic pain.

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What are some of the symptoms of pelvic pain from trigger points?

Some people may experience localized abdominal pain, while others might feel the effects radiating down their inner thighs or up toward their lower back. Additionally, some people may find it challenging to sit for long periods due to the aggravation of these trigger points in their pelvic muscles.

What are trigger point injections?

Trigger Point Injections (TPIs) reduce pain caused by myofascial trigger points in various body areas, including pelvic muscles. The injection consists of a local anesthetic injected into the specific area of muscle or tissue where the trigger point is located. This injection is intended to:

  • Relax the muscle
  • Reduce inflammation
  • Reduce pain associated with the trigger point
  • Restore standard movement patterns in the affected area.

What are some of the benefits of trigger point injections?

Trigger point injections effectively treat musculoskeletal conditions such as myofascial pain syndrome and fibromyalgia. For people suffering from pelvic pain, the benefits of trigger point injections include the following:

  • Relief from chronic pelvic pain
  • Improved mobility, and range of motion in the affected area
  • Reducing inflammation and swelling
  • Improved overall quality of life
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How many trigger point injections will I need?

Trigger point injections inject medication directly into the pelvic floor muscles, usually through the vagina.

The number of injections needed will vary depending on the following:

  • The severity of the pain
  • Age
  • Medical history
  • Lifestyle
  • Generally, one injection every eight weeks is recommended to achieve the optimal level of relief.

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Why choose Pelvic Pain Doc for trigger point injections?

Patients choose Pelvic Pain Doc for trigger point injections because of our holistic approach, exceptional training in pelvic pain, and our warm, relatable doctor. The practice is led by a fellowship-trained physician who is board-eligible in urology and gynecology and specializes in sexual and pelvic health.

The mission of Pelvic Pain Doc is to empower patients with the tools to control their pain instead of having the pain control them. Patients can expect 5-star care from a thought leader in resolving pelvic floor disorders in New York City. In addition, Dr. Bahlani, the "Pelvic Pain Doc," educates patients through informational podcasts and media appearances on pelvic pain topics. Contact us today to learn more about trigger point injections.

Trigger Point Injections FAQs

What are trigger point injections used for?

How do trigger point injections work?

What conditions can benefit from trigger point injections?

What should I expect during the procedure?

Are trigger point injections painful?

How soon will I notice relief?

How long do the results last?

Are trigger point injections safe?

Can trigger point injections be combined with other treatments?

Who is a good candidate for trigger point injections?

What are trigger point injections used for?

Trigger point injections are designed to relieve muscle knots or “trigger points”, tight, painful bands of muscle that can contribute to chronic pelvic pain and dysfunction.

How do trigger point injections work?

A small amount of anesthetic, saline, or medication is injected directly into the affected muscle area to relax the tissue, improve blood flow, and interrupt pain signals.

What conditions can benefit from trigger point injections?

These injections are often used to treat pelvic floor myalgia, pelvic pain syndromes, muscle spasm, and referred pain from tight or inflamed pelvic muscles.

What should I expect during the procedure?

The treatment is performed in the office and typically takes only a few minutes. A fine needle is used to inject medication directly into the tense muscle while you lie comfortably.

Are trigger point injections painful?

You may feel mild pressure or temporary soreness during the injection, but most patients tolerate the procedure well. A local anesthetic is often used to minimize discomfort.

How soon will I notice relief?

Some patients experience improvement within hours or days, while others may need a few sessions to achieve lasting relief.

How long do the results last?

Relief can last weeks to months, depending on the severity of the muscle tension and underlying causes. Periodic maintenance injections may be recommended.

Are trigger point injections safe?

Yes. The procedure is considered very safe when performed by an experienced pelvic pain specialist. The most common side effect is mild bruising or tenderness at the injection site.

Can trigger point injections be combined with other treatments?

Yes, they are often part of a multimodal treatment plan that includes pelvic floor physical therapy, BOTOX injections, or lifestyle modifications.

Who is a good candidate for trigger point injections?

You may be a candidate if you have chronic pelvic pain or muscle tension that has not improved with medication, stretching, or physical therapy alone.

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