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Old 05-20-2011, 09:20 PM   #1
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Having my first Trigger Point Injections Monday

Hi,

I've had unexplained pain for 5 years. Finally I get sent to a pain specialist. He took one look at my symptoms and said I have Myofascial Pain Syndrome and that he wanted to get me off the pain meds.

I'm scared to death to have these injections. if you've had them can you please tell me about your experience. The good and the bad. I want to know

Thank you in advance.

 
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Old 05-20-2011, 09:52 PM   #2
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Re: Having my first Trigger Point Injections Monday

My experiences have generally been good. I've had pain for 12 years now, and I've had trigger point injections a few times a year for the last 3-4 years.

Occasionally they just don't seem to help. That's always disappointing.

I find it's most useful if I can locate the particular knots that seem to be the worst and most stubborn. For example, my lower back likes to grow these walnut-sized trigger points, and they seem connected to a lot of other pains. When the doctor hits the center of the knot in the right way, it just melts away, and I feel better for months afterwards.

In my upper back, I have dozens of smaller trigger points. The doctor doesn't like to do more than 6 at a time, so wiping out just a few doesn't seem to help my pain much.

Sometimes the injection hurts no more than any other shot, sometimes I get a couple seconds of sharp pain before the lidocaine kicks in. My current doctor seems more skilled at it than my last doctor, and he rarely causes much pain.

The weirdest part is afterwards. For an hour or so, I tend to get happy and very relaxed emotionally and sometimes a little woozy, like maybe he shot me full of something more entertaining than plain old lidocaine I've always assumed that's just the release of severe muscle tension.

I do make sure to ice for 30 minutes after the injection, and again that evening, and I don't exercise until the next day. I could if I had to, it just seems to work better if I take it easy for a few hours.

Overall, I think of a set of trigger point injections like a dental cleaning. (only faster and less unpleasant.) You brush, you floss, and twice a year, you go to the dentist and get your teeth cleaned professionally.

I deal with my muscle pain the same way. Stretching every day (Should be twice, but I'm lazy), exercise a few times a week, self-massage, I get professional massages when I can afford them. All this helps keep me in good shape. But sometimes the trigger points flare up anyway, and then I need my PM doctor's needle. Afterward, I use the stretching and massaging to keep the muscles loose for as long as possible.

So, in conclusion, sometimes they help, sometimes they do nothing. I've never had a bad experience.

 
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Old 05-21-2011, 08:19 AM   #3
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Re: Having my first Trigger Point Injections Monday

I've had pretty much the same experience as Jane...The injections do really well for the muscle knots that I have...

Erosangel...will the Dr. at least let you stay on a muscle relaxer to take as needed? There are plenty out there that are very helpful for MPS...Flexeril, Robaxin, Skelaxin, Baclofen....I can't imagaine he would have trouble prescribing one of these for you as they are non narcotic as then you can have something in addition to the injections...

Also like Jane...I make sure to stretch, which is crucial for MPS...I do yoga in the AM/PM and it feels GREAT!! to help relieve the sore muscles...I walk my dog every morning as well to keep in shape..

Good luck at the Dr.s....try not to worry about these...and the best part is that hopefully it will help with your pain!!

 
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Old 05-22-2011, 01:45 PM   #4
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Re: Having my first Trigger Point Injections Monday

Ive been getting TP injections for 18 years for multiple failed back surgeries that also cause muscle problems. Like the others said, sometimes they help, sometimes they do nothing, But I have never had increased pain or a bad reaction. It seems to be more skill related. A couple docs couldnt hit a TP or the broad sid of a barn and some others are very skilled. There are also multiple types of TP injections, Some simply use Lido, Some mix an antinflamatory in them and some believe in dry needle, Which simply means the action of the needle going into the TP releases the knot or spasm. Cant say I get lasting relief like months, but if they help for a week it's better than nothing. I haven't met a doc that had a limit on the number of injection he would do at one time, Ive had anywhere from 5 or 6 to a dozen done, depending on the doc. I can see the neeed to limit when using lido because their is usually a small amount of epi in each injection. Too much epinephrine and you heart will start pounding. Their certainly nothing compared to denervation, RFA, discograms, or meylograms. Like others have said, excercise and streching are important with any muscle problem. The less you use them the more they hurt when you do.
Good luck, Dave

 
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Old 05-23-2011, 04:06 PM   #5
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Re: Having my first Trigger Point Injections Monday

Ok so the injections weren't too back except for two that made me want to scream but I kept it undercontrol. He was pleased with getting those two spots and laughed at me when I said I'll be glad once it stops hurting.

I was feeling great for about two hours but now I'm starting to I want to say Hurt but it's more a pulling ache. I'm not sure that make sense. Maybe I shouldn't have come back to the office but I can't afford not to. Sigh

Oh well thank you all for the information it really did help me alot. I'm a total needle phobe.

Again Thanks

Patsy

 
Old 05-23-2011, 04:21 PM   #6
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Re: Having my first Trigger Point Injections Monday

There may be some soreness at the injection site, especially if there was any cortisone in the needle. Get some ice on it, and see how it feels in 2 days.

 
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