Trigger point injection

I do them too. Very very easy. I will say though that I've successfully avoided injecting some trigger points just by simple OMT--in the few seconds it takes me to find the trigger point I've successfully released it manually. Once in the ED I had to go get the supplies and when I came back to the room the patient said "hey, it's all better now, I think I'll skip the needle"

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Trigger point injection

Trigger point injection

I was taught in residency how to do them. I use a combination of lido/steroid if there is no allergies/contraindications. I have done it with lido alone. I believe there is a *large* placebo effect with these - but its better than adding or increasing opiates. Having done a few hundred, I think my success rate for pain relief is around 66%

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Trigger point injection