Pelvic Floor Trigger Point Injections | Allyson Shrikhande MD | Pelvic Rehabilitation Medicine скачать в хорошем качестве

Pelvic Floor Trigger Point Injections | Allyson Shrikhande MD | Pelvic Rehabilitation Medicine

The PRM Protocol™ is a proprietary, simple, office-based procedure to treat the symptoms of chronic pelvic pain by a direct treatment of inflamed pelvic nerves and spastic pelvic muscles. Learn about our ultrasound-guided injection treatment series, which allow us to treat our patients externally to relieve tension in the pelvic floor. Dr. Allyson Shrikhande of Pelvic Rehabilitation Medicine walks you through how and why they work, using our unique process of creating space, resetting the hyperactive nerve temporarily, and decreasing any inflammation around where the nerve is flowing. Topics discussed include: What a trigger point is Responses that occur when a trigger point is touched What happens when a trigger point is present What happens when a trigger point is broken up How we conduct our injections for our treatments What we are doing during our treatments How often we do our treatments for a patient What the goal is for our treatment Where trigger point injections are commonly done Why they are unique at PRM Dr. Shrikhande is the Chief Medical Officer of Pelvic Rehabilitation Medicine. She distilled her global expertise into a minimally invasive, cutting-edge approach to the treatment of pelvic pain and pelvic floor muscle dysfunction. With an extensive background in mainstream clinical medicine, she also makes use of many alternatives, holistic and homeopathic approaches. She has published peer-reviewed articles on the treatment of muscle pain in academic journals and works closely with renowned pelvic pain gynecologists and urologists. At Pelvic Rehabilitation Medicine, our pelvic pain specialists provide a functional, rehab approach to pelvic pain. When you visit one of our offices, you spend an hour with your doctor reviewing in detail your medical history and symptoms. Then, we perform an internal exam (no speculum) to evaluate your nerves and muscles. Together, we'll discuss an individual treatment plan that gets to the root cause of your pain and helps you to feel better. The best part: you can begin treatment the same day! At PRM, our mission is to decrease the time patients are suffering from pelvic pain symptoms. LEARN MORE: https://www.pelvicrehabilitation.com/ JOIN OUR COMMUNITY and get in on the discussions happening: ✨ Facebook -   / pelvicrehabilitation   ✨ Instagram -   / pelvicrehabilitation   ✨ Twitter -   / pelvicrehab   **** A trigger point is a palpable taut band in the muscle. There is a loss of the linear pattern of the muscle. Quite often, you can get referred pain patterns when you touch a trigger point to other areas of the body. And sometimes you can get something called a twitch response. And you can have an autonomic response when you touch a trigger point. You can get vasodilation where you can have increased heat in the area. Overall, when the trigger point is present, there is a restriction in the blood flow which ultimately leads to an ischemia and neurogenic inflammation and pain in the area. So the pelvic floor musculature, which is a sling of muscles, can have trigger points just like any other muscle in the body. It can benefit from a release of the trigger point. Sometimes it's myofascial release from a physical therapist. And sometimes it can be from a trigger point injection performed by a physician, where you would like to break up the trigger point and release the tension ultimately increasing blood flow to the area. And blood flow is healing and provides oxygenation and will overall make the muscles feel better. Trigger point injections to the pelvic floor muscles are external ultrasound-guided injections. The ultrasound is what allows us to do everything externally, the ability to visualize what we're doing without going inside. We also do something called peripheral hydrodissection nerve blocks. So there's three things that we were doing: creating space, resetting the hyperactive nerve temporarily and decreasing any inflammation that's around where the nerve is flowing. The treatment frequencies are either once a week for six weeks or twice a week for three. We describe it as, for the muscles, a trip around the pelvis where the three major muscles on the right of the sling and the three major muscles on the left of the sling, they each get one treatment. The goal of the series of trigger point injections is to release tension in the pelvic floor, to improve blood flow and oxygenation to the muscles of the pelvic floor and to break up specific trigger points in the pelvic floor and overall, create space in the muscles of the pelvic floor and lengthen the muscles that are short and contracted. Trigger point injections are commonly done in the sports and pain medicine world throughout the body. However, doing them externally under ultrasound to the pelvic floor is unique to something that was created here at Pelvic Rehabilitation Medicine.