Shoreline

Hi Steckles, There is more than one technique and phylosophy when it comes to TP injections. What you had done sounds more like the doc using a needle to break adhesions loose rather than what most people have experienced with TP injections.

The idea behind TP injections is to numb and break up a spasm, but you don't bruise from being numbed, you bruise from tearing away scar tissue. Unfortunately this type of procedure can also cause more scar tissue. Ideally you should get back in for myofacial release techniques and massage to keep the fascia from becoming tacked back down. Stretching is another way to keep from ending up in the same position you were prior to the needle treatment. Now that the scar tissue has been broken loose, you need to prevent it from growing back. You can do this with various stretching techniques like walking the wall with your hands, the same way woman that have mastecectomies need to to prevent scarr tissue from laying down and limiting range of motion to the point they can't even stand up straight from scar tissue restricting range of motion..

Ideally the doc should have you get in with PT that can use myofacial release and massage to prevent the area she broke loose from tacking back down. If you do nothing to prevent the areas she broke loose from tacking back down, I would expect the same experience 3 months from now. Where a PT working on the area as soon as some of the bruising deminishes can prevent adhesions from forming again. Otherwise you will just go through cycles of breaking it loose and then letting it grow back. You have to be pro active in preventing formation of new scar tissue after this kind of procedure.

Unfortunately some people lay down more scar tissue than others. Have you ever had myofacial release or scar management from a PT? When do you follow up with the doc that did the "TP" injections/ needle work?
Someone using their hands to manipulate and seperate the fascia where it's become tacked down from scar tissue isn't quite as painful as piercing a nerve with a needle. Right now your in the position where inactivity and doing nothing will just bring you back to where you were. Where being proactive to maintin the benefit of breaking the scar tisue loose will hopefully benefit you more than quaterly torture sesions where the doc does it all with a needle and and a little lidocaine.

Personally I would call the doc and let them know you want to get in with a PT for scar management so you don't loose any benefit from what she did the other day. Part of the problem may be having too many docs where one thinks it's the others job to do the folllow up or order the PT or request myofacial release or scar management. Try to put you care in the lap of one doc whos going to follow through with needed after care rather than check and see how much you benefited from having some scar tissue ripped away from the fascia 3 months down the road.

This is really more of pain management procedure where a doc would follow up and order the needed after care. Physcial medicine docs do this type of procedure and pain manegment docs do it, but what is a gyno going to do as far as recovery from surgery and bringing you back to maximum function,range of motion and comfort if they only do one step of the process. It's normal for docs to do the needle work, and PT's do do the hands on part that obviously needs to be done at this point.

So you don't sound like your being demanding or know more than the doc, I would just call the gyno back and ask what are you supposed to do in the meantime to prevent the scar tissue from regrowing. You might ask if there is some type of PT, myofacial release and massage or scar management program you can get into to maximize benefit from the treatment she did.

Good luck, Dave