A vaginal exam is performed to confirm the location of the trigger points and the planned site s of injection.
Pelvic floor trigger point injections procedure.
Pelvic floor physical therapy the pelvic floor physical therapy clinic provides examination and treatment of pelvic floor muscle dysfunction related to urinary and bowel incontinence and associated symptoms pelvic organ prolapse constipation and pelvic pain symptoms.
Trigger point injections are recommended as a treatment for pain flares or for patients with pelvic floor myofascial spasm with tender trigger points who are unable to tolerate physical therapy.
This can provide significant relief of symptoms.
Injections typically consist of local anesthetics and a steroid.
Ultrasound guided trigger point injections can be an important part of pelvic floor treatment.
Trigger point injection process.
Ultrasound is a safe non invasive technology that helps pinpoint the muscle locations requiring relief.
There may be an association between myofascial trigger points and reported painful sites.
Minimally invasive procedures for pelvic floor disorders transvaginal trigger point injections in the office an anesthetic and steroid anti inflammatory can be injected directly into the spastic pelvic floor.
Trigger point injections involve the infiltration of muscles with an anesthetic solution sometimes with steroids as anti inflammatories which is useful in identifying the exact location of the pain and simultaneously relieving the pain.
If the muscles are not able to properly support these structures incontinence may occur and can eventually lead to pelvic organ prolapse or urinary tract infections.
When injecting myofascial trigger points present in the levator ani the patient should be placed in the dorsal lithotomy position prepped and draped.
Trigger points can be the cause of sexual pain in women and ejaculatory pain in men.
Trigger point injections are also used to treat chronic pelvic pain syndrome which involves lower urinary tract symptoms chronic pelvic pain sexual dysfunction interstitial cystitis painful bladder syndrome in women and chronic prostatitis in men 17.
These muscles known as the pelvic floor support the bladder urethra and other organs within the pelvis to allow for normal functioning.
In refractory conditions botulinum toxin can be injected into the muscle to force.
