Myofascial Pain Trigger Point Injections Explained
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- เผยแพร่เมื่อ 19 มิ.ย. 2024
- Why Trigger Point Injections Work for Muscle Knots. Everything about how injections work, causes, symptoms, treatment. A trigger point is a hyperirritable, hypersensitive, and hypercontracted knot in a muscle. This video will discuss how trigger point injections work. Trigger point injections are one of the fastest and most effective ways to treat trigger points.
Trigger points are common causes of musculoskeletal pain. They are often overlooked, misdiagnosed, and undertreated. A trigger point is also known as a muscle knot. It is a hyperirritable and hypersensitive spot in a muscle. Compressing, stretching, or overloading the muscle elicits pain. Pain can radiate to other parts of the body. This is called referred pain. Severe trigger points can cause pain at rest.
Recommended Textbooks & Resources
The Trigger Point Manual: amzn.to/4340cTt
Trigger Point Wall Charts: amzn.to/47SjGft
► TIMESTAMPS:
0:00 - Introduction
1:23 - What are trigger points?
3:07 - Symptoms and diagnosis
3:48 - Treatment and trigger point injection
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Recommended Textbooks & Resources
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Trigger Point Wall Charts: amzn.to/47SjGft
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► ABOUT ME
Jeffrey Peng MD is a nonoperative orthopedist and sports medicine specialist. He created a TH-cam channel and blog to translate cutting edge medical knowledge and clinical research to benefit all those looking to live an active and healthy lifestyle. He focuses on maximizing non-surgical treatments for sports injuries and orthopedic conditions. He specializes in using orthobiologics and ultrasound guided minimally invasive techniques to treat osteoarthritis, tendinopathies, and musculoskeletal disorders.
Dr. Peng is board certified in sports medicine and family medicine. He completed residency with the Stanford family medicine residency program and completed his sports medicine training with the Stanford primary care sports medicine fellowship in San Jose. He is an active faculty member for both programs and is excited about training the next generation of physicians.
Dr. Peng’s sports medicine clinic is located in Campbell, California.
Twitter: @JeffreyPengMD; / jeffreypengmd
Website: www.jeffreypengmd.com/
► Disclaimer
My content reflects my own opinion and does not represent the views or opinions of my employers or hospital systems I am affiliated with. They are meant for educational purposes only. They do not substitute for the medical advice of a physician. Always seek the advice of your physician with any questions you may have regarding your health.
I had pain in my shoulder and neck and head. It caused headaches daily. Just got a treatment in my muscles. Wow what a difference. I feel so much better!!
Very intelligent Dr
Wonderful video, well explained. Thanks to Dr. Peng
Thanks for taking the time to comment!
I like the video it's well done and I have had posterior bilateral laminectomy and I'm having rump and leg numbness
Hi... I really enjoy the way you break this down. Do you ever use a little corticosteroid with 2% lidocaine for your trigger point treatments or do you recommend dry needling? Thank you
Thanks a lot Doctor...
You're welcome! Thanks for commenting
Thank you doctor
You're welcome!
Thank you doc
You're welcome! Thanks for your comment
Thanks a lot.
You're very welcome! Thanks for your comment
Good,thank you.
You're welcome!
Very good info. I gain knowledge. 👍
Glad to hear it!
Thank you for breaking this down!
You’re welcome!
I am about to give up.
In so much pain.
Went for a trigger point injection two days ago.
I waited nearly 4 hours, early in the morning, waiting for someone to take me to the theatre. i am baffled as to why a theatre was necessary for a one minute injection. There were 7 people in the room, plus the doctor.
Then someone came in with a wheelchair for me.
I felt terrible whilst waiting and even worse when i left.
As i said above, it has been 2 days now. Still in horrid pain.
Also asked if i could have injections on both shoulders as the pain is equally there.
No the doctor said, you're only down for one. No concerns for my pain. They just leave me to suffer.
Don't mean this in a bad way but i hope one day the doctor feels like i do now.
I have been in the pain described in this video, day and night for six months.
Feel like I've reached my limit.
I am going to natural remedies, listening to amazing people and watching their videos.
Praying, of course.
By his stripes, I'm healed.
It's coming.
Doctors Just want to make a drug addict out of me. Good job I'm aware of this and don't take their toxic drugs.
God help us all.
Blessings.
It's a challenge for me every day.
I pray it ends soon.
I'll keep the cameras rolling.❤
Thanks
Welcome!
I just got trigger point injections in my neck and upper back yesterday. I feel amazing. I don't need any NSAIDS or muscle relaxers or all my massager devices I have.
Wow, amazing! Thanks for sharing
What kind did you get??
I did the ones with cortisone in it, but he said next time I don't have to if I don't want to. My insurance covers 4x a year, every 3 months and about 12 shots each time
I'm going to try it without. I haven't been in pain since tge first injections in November 2022. I got them again for other areas around my shoulders. So I really don't need the cortizone. The doctor feels around for tight spots and knots. I feel amazing. Nothing worked since I was 23. Now I'm 43
I'm looking forward to this treatment
Very informative, thank you 🙏🏻
Glad it was helpful!
Do you know anything about whiplash and musclespasms in the musculus Trapezius? I seem to have this already 3 years. It makes me even walk very weird because it pulls very hard on my head
Informative to the max doc, need more how to do that needling 🙏 thankyou
Yes, I've been wanting to make a needling video. Will need to find volunteers to be recorded during a treatment!
Hi Dr. Peng, thank you for this video and demonstrating trigger points with your props. This definitely helped me understand the importance of treating these aggressively. I am curious, you mentioned that two direct treatment methods are injections vs. needling the trigger point where you think needling is a more effective treatment (your video does show an injection). I’ve had both dry needling and trigger point injections, and personally the trigger point injections works best. May I ask what your reason of determination is where needling (assuming dry needling) is better than injections (assuming you mean that better means a better response in the patient receiving the treatment). Did you make this determination from FDA studies, university studies, personal research during fellowship or residency, or just in personal experience? I would think that the moa of the medication injected into a know would be superior to needling as the medication does travel through the entire muscle band associated with the knot(s) under injection treatment vs. needling out a trigger point in the muscle. Since insurances pay for injections but not needling (correct me if I’m wrong please), you have a benefit of cost in the injection but a time limit in foi but a benefit of frequent of needling in the dry needling vs a loss in high out of pocket cost in the needling. In my personal experience, the ratio of good results to treatment is excessively higher in the injection vs the needling due to amount of needling needing to break up a trigger point(s)or a muscle. What is your reasoning of one verses the other. Wouldn’t the mechanism of action be superior in injections vs how trigger points are released in needling? Thanks again for taking the time to read this and answer, I really am curious on the perspective of PMR (assuming you are PMR) vs. pain management. Regards.
In my experience, the only thing that matters is getting the local twitch response from needling. It doesn't matter what you load in your syringe (lidocaine, ropivacaine, botox, dextrose, etc etc etc). I use lidocaine because then insurances will cover the procedure and my patients don't have to pay excessive amounts of $ for treatment. Here's more info: th-cam.com/video/WdMzryOU5DI/w-d-xo.html
Whats the difference between injections and acupuncture? Does acupuncture also address these knots similarly?
Great video. Thank you for this information. This was really helpful in understanding what I just received. How many times is acceptable getting trigger point injections.I had a treatment in my right arm and still not feeling relief?
It can take 2-4 times before you realize the benefits. I took time off injections cause I thought it didn't help and by week 2 or 3 my full pain was back ans I was in an emergency state to get another injection.
th-cam.com/video/1ZANJ7veqtM/w-d-xo.html
I think I have this in my abdominal wall muscle underneath my right rib cage. Either the internal oblique or transverse abdominal muscle. It refers pain and tightness to the pelvic floor muscles and genitals. Every time I lift the tight band of muscle with my fingers, the referred pain goes away.
Sounds like it!
Thank you! What kind of doctor perfoms therapeutic needle?
Therapeutic needling also goes by dry needling or trigger point injections. I've found technique really matters when doing these and will dictate whether a treatment is successful or not. More and more sports medicine doctors are learning/performing these simple, safe, and effective treatments. Pain management doctors also perform these treatments.
Hi sr trigger point injections gives yo temporary or permanent pain relief
from a clinical perspective. can trigger points exacerbate pain associated with foraminal stenosis , bulging disc, etc... in the spine. Can this just be a band aid that addresses symptoms but not necessarily the underlying cause?
Very complicated question. You're essentially asking the chicken or egg question. Which came first? Did chronic underdiagnosed undertreated trigger points CAUSE foraminal stenosis / bulging disc or is it the other way around? You can make arguments on both sides. Definitely something to discuss with your health care provider about.
Why don't most medical professionals use Sarapin for trigger point injections?
Sir dry needling is good for this ?
Yes! Dry needling to get muscle twitches works great!
Hi sr
I do have an appointment for a trigger point
Nice
Ive done dry needling 2x a week for four weeks now. Still there is pain in my upper back.
Thanks for your comment. Unfortunately I cannot give medical advice over the internet. Please seek the advice of your trusted health care provider. Best of luck!
I hope your pain has gone away but another method to treat back pain which I found has helped over many months is to begin low-intensity strength training on your core muscles. This helped with my back pain over several months and now it is not a problem