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Posted Jul 02 2013 2:56pm


Chronic pain can come from painful areas of muscle that contain knots of muscle that form when the muscles do not relax (trigger points).

People suffering from Fibromyalgia, Myofascial Pain, Back Pain, Headaches and other muscle problems fall into this category. TPI (Trigger Point Injections) are used to treat the muscle pain in arms, legs, lower back and neck.

I have this treatment on a regular basis (your allowed them every four months) and went yesterday for my usual lower back injections. This time I also had two in my shoulders for my neck pain.

You may be offered a sedative before the procedure as this relieves anxiety and helps your relax although I've never needed nor been offered this. A consultant or health care professional using a small needle injects local anaesthetic which sometimes includes steroid into the trigger point.

The reason for this is that it makes the trigger point inactive and the pain alleviated and for some can result in quite a substantial relief.

You are soon allowed home after this procedure but you need a friend or relative to pick you up and stay with you for the first 24 hours after the injection(s). The pain may initially feel worse than before you had the injection, but that's quite normal and is mostly temporary and settles within three to four days.

Some other problems can be infection, bruising, loss of sensation or muscle weakness but are hardly ever present and all treatable. Another side effect which I get every time is facial flushing from the steroid which only lasts a day or two then settles down again.

Although slightly unpleasant the benefits out way the short discomfort you feel as I can reduce my pain relief quite a bit over the next few months.

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