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TPI treatment
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needingpainanswers posted:
a friend of mine just had this treatment done yesterday, should she still be feeling pain or is this like cortisone and take days or weeks to take effect?
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Anon_160307 responded:
Trigger Point Injections (TPIs) use a steroid medication that is injected into the muscle tissue where an active trigger point is believed to be. The medication used is cortisone and is very similar to the medication used for epidural steroid injections. It takes up to two weeks to receive maximum benefits from epidural steroid injections. I would expect that it would also take some time for the TPI to take effect so it may be 1-2 weeks for your friend to know whether or not the TPI was beneficial.
 
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Peter Abaci, MD responded:
Trigger point injections usually involve injecting medication into tight, inflamed, or painful muscles or other soft tissues. Most commonly, some type of local anesthetic is used for these procedures which means that they will start to have an effect on the muscle within minutes. Cortisone could potentially be mixed into the solution that gets injected, but that is probably done less commonly and would take a few days to kick in. Trigger point injections can actually be done with no medication at all. This is called dry needling, and the idea behind this is that the needle itself changes the activity of the muscle.

I typically do these with just local anesthetic. The effects can be optimized when they are done in conjunction with stretching, exercise, or soft tissue work.
 
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annette030 responded:
It depends on what medicines were used, if any. I had one tight muscle area injected and the relief was immediate. I do not know why she had trigger point injection, it is probably for a totally different problem than I had.

Who knows except her doctor, she should ask him what the prognosis is and when she might feel relief.

Take care, Annette


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