Trigger Point Injection for Pain ManagementWhen Should They Be Used? If your cortisonf back pain is muscle-related, your steroid ladder skin may suggest a trigger point injection. Myofascial trigger points are felt to be hyper-irritable foci cortsione in muscles and fascia connective tissue associated with taut muscle bands. Trigger points are diagnosed by palpation and produce a local twitch cortisone shot in back muscle and a referred pain pattern distal to the site of muscle irritability. Trigger point injections can be help relieve painful muscle spasms in your neck, upper back and low back.
Lumbar Epidural Steroid Injections for Low Back Pain and Sciatica
When Should They Be Used? If your lower back pain is muscle-related, your doctor may suggest a trigger point injection. Myofascial trigger points are felt to be hyper-irritable foci points in muscles and fascia connective tissue associated with taut muscle bands. Trigger points are diagnosed by palpation and produce a local twitch response and a referred pain pattern distal to the site of muscle irritability. Trigger point injections can be help relieve painful muscle spasms in your neck, upper back and low back.
Sample triggers points is the upper back are depicted in this drawing. Trigger points cannot be properly diagnosed in the acute stages of low back pain when muscle spasm and inflammation are present.
Initially, trigger points generally respond to a program of stretching and correction of poor postural mechanics with or without other modalities, such as superficial heat or cold. Trigger point injections should be reserved for patients who have not responded in the first 4 to 6 weeks to a properly directed program and appropriate pharmacologic intervention.
There is little evidence to support any beneficial effect of adding corticosteroid to the injection. In fact, a saline injection can as effective as a local anesthetic. Injection of multiple trigger points should be avoided. Some trigger points may require more than one injection, but generally more than 3 injection of the same trigger point is not indicated. Repeated trigger point injections may cause local muscle damage and scarring, which may potentially lead to a poor functional outcome.
Trigger point injections should not be performed in isolation, but rather, in conjunction with a directed exercise program. Proper follow-up after injections is necessary in order to assess the patient's response to the injection and to progress the rehabilitation program.
Always consult your doctor about your medical conditions or back problem. SpineUniverse does not provide medical advice, diagnosis or treatment. Use of the SpineUniverse. Sign Up for FREE to spineadvisor, SpineUniverse's monthly eNewsletter and receive back and neck pain news, treatment updates, and lifestyle tips on managing your pain.
Please add newsletters verticalhealth. Epidural steroid injections may be part of a treatment program that includes an active exercise program and may assist in avoiding the need for surgical intervention.