Pain Management Procedure - Trigger Point Injection


		Pain Management Procedures

	Dmitri Petrychenko Pain Management Office offers following procedures (to view description of the procedure, click on the name below):

Caudal steroid injection Celiac Plexus Block Cervical Epidural Steroid Injection Dekompressor Discectomy Discography Facet joint injection Femoral Nerve Block Intradiscal Elektrothermal Therapy Intrathecal Pump Implant Lumbar Epidural Steroid Injection Lumbar Radiofrequency Neurotomy Lumbar Sympathetic Block Lumbar Transforaminal Epidural Steroid Injection Percutaneous Disc Nucleoplasty Peripheral Nerve Block RACZ Caudal Neurolysis Sacroiliac Joint Steroid Injection Spinal Cord Stimulator (SCS)/Implant Stellate ganglion block Trigger Point Injection Vertebroplasty

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	Trigger Piont Injection

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Trigger point injection (TPI) is used to treat extremely painful areas of muscle. Normal muscle contracts and relaxes when it is active. A trigger point is a knot or tight band of muscle that can be felt under the skin and forms when muscle fails to relax.

The trigger point can irritate surrounding nerves and cause referred pain felt in another part of the body. Over time scar tissue, loss of range of motion, and weakness may develop.

This Pain Management Procedure is taken approximately 30 minutes. Before performing Trigger Point Injection, the physician may give the patient a local anesthetic to prevent pain from needle penetration.

A small needle is inserted into the trigger point and steroid-anesthetic mixture is injected. Injection of medication inactivates the trigger point and thus alleviates pain. Sustained relief usually is achieved with a brief course of treatment. The injection may cause a twitch or pain that lasts a few seconds to a few minutes.

Numbness from the anesthetic may last about an hour and a bruise may form at the injection site. Pain can be relieved by alternately applying moist heat and ice for a day or two. In most cases, stretching exercises and physical therapy are performed following Trigger Point Injection.

Trigger Point Injection is used to alleviate myofascial pain syndrome (chronic pain involving tissue that surrounds muscle) that does not respond to other treatment. Many muscle groups, especially those in the arms, legs, lower back, and neck, are treated by this method. Trigger Point Injection also can be used to treat fibromyalgia and tension headaches.

Possible side-effects are comparable with side-effects of a simple injection: patient may have allergic reactions, bacterial infection or bleeding, which occurs rarely.

Steroid side-effects: swelling of the face, arms and legs, diabetics may have their blood sugar level raised.

It is obligatory to inform your physician about pregnancy or the use of ‘blood thinning’ medications.


	Dmitri Petrychenko, M.D., 1660 East 14th Street, second floor, Suite 202, Brooklyn, NY 11229, Tel: (718) 336-5123 info@freeofpain.org


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