Announcement

Collapse
No announcement yet.

Trigger point injections

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

  • Trigger point injections

    In a consult to another specialist, my urologist wrote that I'd be getting trigger point injections.

    I read up on them after he said that, and from what I read, I understood that after poking and prodding around, the most sensitive spots were identified (bladder? pelvic floor) and then something was injected into those spots. I think of 'injections' as needles - I haven't seen any needles or specific-spot targeting with anything, on my body, that I'm aware of. But today when I asked the urologist, he said that the instillations I've been getting have been trigger point injections. Now I'm really confused.

    I get two kinds of instillations - the heparin/lidocaine/sodium bicarbonate ones ('rescue cocktail'), and the Uracyst. But they just get put in the bladder with the catheter.

    Can anyone help clarify, based on their own experiences? How can the instillations I've been getting be trigger point injections?
    ______
    Severe IC developed fairly quickly, autumn 2010.
    So severe that I was bed-bound & on 160mg/day morphine to cope with torturous pain levels, and unable to function other than hospital/medical appointments, for seven months. Then, miracle of miracles, something started working. I am steadily lowering the methadone dose level. I have been far out of that desperate nightmare hell zone for several months now and continue to improve.

    - Ranitidine (anti-histamine, H2-inhibitor) 300mg/day
    - Methadone 9 ml/day
    - Instillations:
    - 40ml Kenalog (steroid for inflammation) 2 x per
    week, along with rescue cocktail of heparin,
    lidocaine, sodium bicarbonate
    - 20ml Uracyst, monthly @ $100/per
    - Depo lupron injections for endometriosis, monthly @ $88/per

  • #2
    Unrelated to my question but related to 'trigger points', I found this interesting (excerpt - authors Paul Ingraham & Tim Taylor, MD).

    Not sure if this should be going in the forums to do with pelvic floor physiotherapy??? But I'm confused re: instills & urologist's reference to 'trigger point injections' so I'll leave it here for now...

    Trigger points are good, hard science

    Trigger points are not a flaky diagnosis. This isn’t hippie health care! You can:

    take photomicrographs of TrPs
    measure their electrical activity
    take samples of their acidic and toxic tissue chemistry
    and a new MRI-like technology can now show them as well
    ______
    Severe IC developed fairly quickly, autumn 2010.
    So severe that I was bed-bound & on 160mg/day morphine to cope with torturous pain levels, and unable to function other than hospital/medical appointments, for seven months. Then, miracle of miracles, something started working. I am steadily lowering the methadone dose level. I have been far out of that desperate nightmare hell zone for several months now and continue to improve.

    - Ranitidine (anti-histamine, H2-inhibitor) 300mg/day
    - Methadone 9 ml/day
    - Instillations:
    - 40ml Kenalog (steroid for inflammation) 2 x per
    week, along with rescue cocktail of heparin,
    lidocaine, sodium bicarbonate
    - 20ml Uracyst, monthly @ $100/per
    - Depo lupron injections for endometriosis, monthly @ $88/per

    Comment


    • #3
      I have not had trigger point injections for IC but I have had several intraritcular injections in my hip. It is a trigger point injection into the hip joint. It is done under fluoroscope. A 25g spinal needle is inserted into the groin area next to the femoral artery and guided into the hip joint. The steroid cocktail is then injected directly to the spot of the decayed femoral head. I don't know if the procedure for the trigger point injections similar to this or not.
      TREATMENT: PRN lidocaine/heparin Home Instillations since 2004
      My Helpful Hints for Home Instillation: http://www.ic-network.com/forum/show...985#post309985

      Institute of Female Pelvic Medicine (J. Dell, My MD) http://www.mypelvicmedicine.com/index.asp
      Thank you for allowing me to share my experiences and offer support. Your physician is the only one to give you medical advice. I hope sharing the information from this site will help you and your physician develop successful management of your IC.
      I post to encourage and offer total support for rescue instillations.
      Find me on facebook: L. Clark Thomas
      Louann

      Comment


      • #4
        I had trigger point injections to treat my IC. They did not help and they hurt really bad. I have also had pudendal nerve blocks 3 of them a month apart and they didnt help.
        Diagnosis: IC '09, vulvodynia '10, fructose intolerance '06, GERD '06, fibromyalgia '09, IBS '10 and TMJ '09, PCOS '11, genital herpes '12

        Current Meds: Butrans patch, welbutrin, lamictol, geodon, xanax, aldactone, linzess, topimax, trazadone and diflucan as needed.

        Meds tried before: Elmiron, elavil, antibiotics, welbutrin, cymbalta, prozac, nerve blocks, instills, nyastatin, flexerol, percocet, naproxen (which was what I was given for pain for years).

        Comment


        • #5
          ginaaa22,

          Hi I have a few off topic questions....

          yu take Cystoprotek - how did it start out for you? Was there a lot of urgency and frequency? And how do you feel about the Neurontin? I hear all kinds of stuff about it.

          Thanks,
          Shamay
          Live Well
          Love Much
          Laugh Often!




          Diagnosed:
          Dec 2005
          Diagnosis:
          IC
          Cysto/Hydro:
          Dec 2005
          Other Conditions:
          Anxiety, Insomnia, Chronic Sinusitis, Bursitis of the hip, Chronic Fatigue Syndrome, PFD, Inflamitory Arthritis of the neck, Allergy to Yeast and Dairy
          Meds for IC:
          Prosed/DS as needed which works much better for me than Pyridium, Prelief, Coffee Tamer, Claritin 5mgs and sodium bicarb as needed.
          Alternative Treatments
          Physical therapy for 8 weeks, Acupuncture (just started).
          Other Meds:
          Skelaxin (as needed)
          Didn't work:
          Detrol LA (didn't help symptoms), Pyridium 200mg isn't working very well anymore.
          Tried:
          Elmiron (Major Dizziness), Hydrodistention (Greatly exacerbated IC symptoms), Urised (hard time breathing), Ditropan (bladder pain the next day), Rescue Instillations - Lidocane, sodium bicarb (all over body rash with itching),

          Comment

          Working...
          X