Carolyn/ Is this different then botox? Im confused:(

[Guest guest]

Carolyn – that’s me – that is exactly what I had done yesterday.

But I am having the Botox injected down lower into the upper part of the butt.

nne

From:

VulvarDisorders [mailto:VulvarDisorders ] On

Behalf Of Carolyn52192@...

Sent: Friday, May 02, 2008 4:00 PM

To: happypelvis ; VulvarDisorders

Subject: Is this different then botox? Im confused:(

Levator ani

trigger point injections: An underutilized treatment for chronic pelvic pain.

Langford

CF, Udvari

Nagy S, Ghoniem

GM.

Section of Voiding Dysfunction, Female Urology and Reconstruction,

Department of Urology, Cleveland Clinic, Weston, Florida 33331, USA.

langfoc2@...

AIMS: We conducted this study to examine the role of trigger point

injections in females with chronic pelvic pain (CPP) of at least 6 months duration

and specific levator ani trigger points. METHODS: This prospective study

included 18 consecutive female patients with CPP and specific palpable levator

ani trigger points. Pain was evaluated before and after trigger point injection

on a Visual Analog Scale (VAS). Patient global satisfaction (PGS) and cure

rates (PGC) were also measured by a VAS on a scale of 0-100%. The trigger

points were identified manually by intravaginal palpation of the levator ani

bilaterally. A mixture of 10 cc of 0.25% bupivacaine, 10 cc of 2% lidocaine and

1 cc (40 mg) of triamcinolone was used for injection of 5 cc per trigger point.

A 5.5'' Iowa trumpet pudendal needle guide was used for injection. All but one

injection were performed in the office setting without sedation. Pelvic floor

muscle exercises were taught for use after injection. Success was defined as a

decrease in pain as measured by a VAS of 50% or more, as well as PGS and PGC

scores of 60% or greater. There was a mean follow up of 3 months after trigger

point injection. RESULTS: Thirteen of 18 women improved with the first trigger

point injection resulting in a comprehensive success rate of 72%. Six (33%) of

18 women were completely pain free. CONCLUSION: In the management of CPP, a

non-surgical office-based therapy such as trigger point injections can be

effective in selected patients. Copyright 2006 Wiley-Liss, Inc.

PMID: 17195176 [PubMed - indexed for MEDLINE]

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