Pain Injections

Trigger Point Injections

Trigger point injections are a therapeutic technique used to alleviate pain caused by muscle knots or “trigger points.” These injections target specific points in muscles where pain and tension are concentrated, helping to reduce discomfort, improve mobility, and restore normal function.

What to Expect

• Treatment Duration: The procedure typically lasts 10-30 minutes, depending on the number of trigger points being treated.
• Preparation: No special preparation is usually required. However, it’s advisable to inform Dr. Duyvewaardt of any medications you are taking and to avoid blood-thinning medications (e.g., aspirin) before the procedure to minimize the risk of bruising.
• Procedure: A fine needle is used to inject a local anesthetic into the trigger point. Some discomfort or a sensation of pressure during the injection is common, but the procedure is generally well-tolerated.
• Aftercare: You can usually resume normal activities immediately. It’s recommended to avoid strenuous exercise and heavy lifting for 24-48 hours post-procedure.

Expected Outcomes:

• Onset of Relief: Pain relief from trigger point injections may begin within a few hours to a few days after the procedure.
• Duration of Effect: The relief can last from a few weeks to several months, depending on the individual and the nature of their condition. Typically patients require 4-6 treatments weekly to alleviate the myofacial knot, then regular maintenance thereafter.
• Additional Benefits: Improved muscle function and reduced tension in the affected areas.

Pre-Treatment Consultation:

A thorough consultation with Dr. Duyvewaardt is essential to determine if trigger point injections are appropriate for you. This will involve discussing your medical history, current symptoms, and any other treatments you may be receiving.

Post-Treatment Care:

• Avoid: Rubbing or massaging the injection site and engaging in intense physical activities for at least 24-48 hours.
• Be Cautious: Follow any specific aftercare instructions provided by your healthcare provider to optimize healing and pain relief.
• Follow-Up: Attend any recommended follow-up appointments to assess the effectiveness of the treatment and plan further management if needed.

Perineural Injections

Perineural injections are a specialized treatment designed to alleviate pain by targeting the nerves responsible for transmitting pain signals. This procedure involves the precise injection of medication, such as local anesthetics, dextrose, or other agents, around specific nerves to reduce inflammation and interrupt pain pathways. Perineural injections are commonly used to treat conditions like neuropathic pain, radiculopathy, and certain types of chronic pain.

How Do Perineural Injections Work?

Perineural injections work by delivering medication directly to the area around a nerve, which can help in several ways:

• Reduce Inflammation: Medications like corticosteroids can decrease inflammation and swelling around the nerve, which may alleviate pain.
• Block Pain Signals: Local anesthetics can temporarily block nerve signals, providing immediate relief from pain.
• Improve Function: By reducing pain and inflammation, these injections can improve overall function and mobility.

The Procedure: What to Expect

• Consultation: Before the procedure, you will have a consultation with your healthcare provider to discuss your medical history, symptoms, and treatment goals. Your provider will determine if perineural injections are suitable for your condition.
• Preparation: There is minimal preparation required. You may be advised to avoid blood-thinning medications and alcohol for a few days before the procedure to minimize bruising and bleeding.
• During the Procedure:
• The procedure typically lasts 15-30 minutes.
• A fine needle is used to inject medication around the targeted nerve. Imaging guidance, such as ultrasound, may be employed to ensure accurate placement.
• Some discomfort or pressure may be felt during the injection, but the procedure is generally well-tolerated.
• Post-Procedure Care:
• You can usually resume normal activities immediately.
• Avoid strenuous exercise and heavy lifting for 24-48 hours.
• Follow any specific aftercare instructions provided by your healthcare provider.

Expected Outcomes:

• Onset of Relief: Pain relief may begin within a few hours to a few days following the injection.
• Duration: The effects can last from several weeks to several months. Initially patients do best with a series of 4-6 injections. Follow-up treatments may be necessary to maintain or extend relief.
• Additional Benefits: Improvement in function and reduction in pain-related symptoms are often reported.

Potential Side Effects

• Common: Temporary soreness, tenderness, mild swelling, or redness at the injection site.
• Uncommon: Allergic reactions, infection, or a brief increase in pain.
• Rare: Severe allergic reactions or systemic effects. Contact your healthcare provider if you experience severe pain, difficulty breathing, or any signs of infection.

Who Should Consider Perineural Injections?

Perineural injections may be suitable for individuals experiencing:

• Chronic pain conditions not fully managed by other treatments.
• Neuropathic pain or radiculopathy.
• Pain that affects daily activities and quality of life.

Why Choose Perineural Injections?

Perineural injections offer a targeted approach to pain management, potentially providing relief where other treatments have failed. This minimally invasive procedure can offer significant improvements in pain levels, function, and overall quality of life.