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Old 02-08-2013, 03:45 AM   #16
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Katherine14 HB User
Re: Trigger Point Injections - Lidocaine - Did not work for me

Quote:
Originally Posted by ammerybob View Post
My back story:
I have suffered from chronic neck pain for approximately 10 years. I have taken many approaches, such as physical therapy, yoga, massage, heat, chiropractic, traction, medications, you name it.. I have never been able to free myself of this burden. My actual diagnosis is chronic myofascial pain, and it's been attributed to postural and muscular issues, but I also have scoliosis.
Over the years it has varied from tolerable (ever present, but something I can live with) to intolerable (can't sleep for nights on end, have to call out of work, sometimes leading to headaches and vomiting). Years went by where I simply attempted to ignore the problem and simply slept with props (a rolled towel under my neck, heating pad, etc) and self-medicated, etc. The bad days have outnumbered the tolerable days however and I have waged a full-scale attack against this issue recently.
I started going to the Mayo Clinic, and I had x-rays done, and eventually was referred to the Pain Management Department and Physical therapy. They have attempted multiple techniques, of which I noticed no improvements, and so currently I am seeing a Pain Management specialist, who actually specializes in TMJ and all pain in the surrounding areas.
My current approach:
The latest approach we have taken is trigger point injections. I had done trigger point injections in the past with Mayo, and those did not change things in the slightest. I think I had more pain afterward actually. Those were simply filled with saline however. This TMJ specialist recommended them again because he said he was highly trained and had large success with them, and he recommended lidocaine. I received over a dozen injections in my neck and lower scalp. I noticed a numb sensation after he was finished, but later that same evening my pain was back, and now it is the next day, and I am having typical neck pain and headache symptoms.
I am very frustrated because every time a new approach doesn't work, I get overwhelmed that this will continue the rest of my life.
Question (finally!):
Does anyone have any experience with lidocaine trigger point injections for neck pain? If I am experiencing pain as usual the next day, should I assume it just didn't work, or is it possible it takes time to sink in? I am crossing my fingers that it takes time, or else I really don't know what my options are at this point.

 
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Old 02-08-2013, 03:49 AM   #17
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Katherine14 HB User
Re: Trigger Point Injections - Lidocaine - Did not work for me

I was given 3 'trigger point injections' yesterday afternoon in my neck muscles. This morning I am in as much pain as when I went in. The injections brought tears to my eyes; the pain was almost unbearable! I was advised that I should get these treatments 3 times a week for 8 weeks at the tune of $3,000. I have no insurance, naturally - I am an American. I have no idea how long I can take these injections, but I was told they would get easier the more of them I receive. Lord, I hope so. If the sticker shock doesn't kill me the pain of the shots just might!

 
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Old 02-08-2013, 04:24 AM   #18
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kairla HB User
Re: Trigger Point Injections - Lidocaine - Did not work for me

Hi there Katherine- so sorry you are facing this issue, its a very frustrating one. a couple suggestions, if you would like them! Have you asked for lidocaine patches? They are an expensive RX, but not like your quote for the injections. Also, Lidocaine injections from my experience should be given directly into trigger points and more on an as needed basis (not saying you don't need it, just that a minimalist approach is what I was told by the best if the best- bit i am definitely not a doctor
They also have a cry freeze spray that numbs the skin before the injection. They should definitely be using that for you.
Does your state have an insurance health connector?
Best of luck to you, and feel better.

It will pass. It will get better.

 
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Old 02-08-2013, 06:10 AM   #19
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Katherine14 HB User
Re: Trigger Point Injections - Lidocaine - Did not work for me

Hey, Kairla. Thanks for the message. I do have some of those lidocaine patches, actually, My ex-husband's wife has a prescription for them and she gave me several of them last week. I do not notice any relief from them, but maybe I haven't given them time to work. They are pretty ridiculous to use since I need to place at least one on the back of my neck. My hair gets caught up under the patch and the patch itself lifts up on the corners and doesn't stay on well at all. However, I think I am getting a bit of relief on my left hip when I use one of the patches. My team of experts who I am going through now have not even addressed the arthritis situation in my hip since my neck is what is bothering me so much that I cannot even complete all the work that I need to do at my part time job. (1/2 day a week.) I am a data entry person for a tiny municipal court and sitting at a computer for hours on end is pure torture. I cannot afford to quit this job, even though it only pays a measly $10/hr. I have been there for 2 1/2 years and am quite sure I will not get a raise EVER because they claim the money is just not there. My current husband, (soon to be ex), constantly rags me about finding a full-time job with health insurance. I will be 59 yrs. old in 6 days and, although I have a resume posted on the internet, no business has contacted me for a job interview, so that is absurd thinking on my dear hubby's part! After all, I cannot even complete my job duties at my part time job, much less think about taking on 40 hours a week. Duh! I did, however, convince my husband to sell some of our stocks so I can put $3,000 in our Health Savings Acct. in order to pay my team of physical physicians. At least I have that going for me!
Thanks again for your suggestions and concerns as I appreciate them. I became a grandmother for the 1st time in 1/12 and I adore my granddaughter so. I have her over to our home every Saturday for over-night visits and watch her at least one more day during the week for my daughter and my son-in-law so they can have a date night once a week. Lately it is all I can do to hold Ellie, much less carry her up and down our stairs. It just breaks my heart. These trigger point injections better work for me, otherwise, I am running out of options. Little did I know that arthritis could be so painful!

 
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Old 02-08-2013, 07:38 AM   #20
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kairla HB User
Re: Trigger Point Injections - Lidocaine - Did not work for me

Katherine,
So glad the lidocaine patches are giving some relief to your hips. Every bit counts. I can sympathize with your frustration. I've been to the point where I wasn't sure I could work anymore. And then I broke my leg, to add insult to injury! What worked for me finally was so very basic, but sometimes hard to achieve when in chronic pain. The key was a good sleep cycle. For me this encompassed pain management that didn't simulate false sleep, sleeping in the correct positon(brook stone pillows I love) and making myself close my eyes the same time each night.
Some tools I used were: meditation tapes, getting rid of caffeine, a massage to break the pain cycle, and plain old Advil.
Once you break the pain cycle, you can get on top of everything, I swear!
Good luck, and remember to take care of you!!!

 
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chronic pain, myofascial pain, neck pain, trigger point injections



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