Myofascial Pain Trigger Point Injections Explained

Very intelligent Dr

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

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?

I do have an appointment for a trigger point

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

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.

Thanks

Good,thank you.

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.

Thanks a lot Doctor...

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.

Thank you doc

Thank you doctor

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?

Thanks a lot.

Ive done dry needling 2x a week for four weeks now. Still there is pain in my upper back.

I’m not in pain although I feel heated sensation on my penis base and testicles to go with the above. I’m hoping to find out if it’s curable and what package to buy and how long does an average male take to get out of this mess. I get a pressure or electric kind of sensation. On the fermium or below at the base of the penis where the radiative pain is. Pain is a 1 to 4 at worst and doesn’t last long only when I get an mini arousal due to my penis suddenly getting hyped. The pain goes after peeing though. It’s so weird I don’t have a clue. The shock only happens once or twice during the whole process. Most days it’s not there. The buzz sensation, very similar to when urine about to come out it’s like something feels like it’s seeping but it’s not urine just a sensation. Non of the sensation on the glans or the top side of the penis just the bottom (base). Want to know if it’s CPPS or pudental nurelgia. Which is harder to cure and can both be done. Does trigger point injections help cure this?

Sir dry needling is good for this ?

Wonderful video, well explained. Thanks to Dr. Peng

Thank you! What kind of doctor perfoms therapeutic needle?

Informative to the max doc, need more how to do that needling 🙏 thankyou

Very good info. I gain knowledge. 👍

Very informative, thank you 🙏🏻

Thank you for breaking this down!