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Specialist Orthopaedic Doctors

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Back Pain Injections

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Fluoroscopically Guided Digital X-Ray Injections

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Spinal Manipulation

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Exercise & Rehabilitation Programmes for the Young...

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...and the Not So Young

Trigger Points

Trigger points are often treated successfully with a course of local injections containing a small dose of corticosteroid combined with local anaesthetic, unless the spinal joints nearby are the source of the problem. If this is the case, the joints themselves have to be treated first and the muscles should then relax of their own accord. Local injections are often most helpful if they are combined with stretching exercises to help muscles relax. If the pain comes from sprained ligaments, you might find that the injury is slow to heal. A few people need a local injection of steroid with some local anaesthetic added.

The doctor will identify your strained ligament with his fingers and inject a drop at one end, shift the needle slightly and inject another drop, working this way until the ligament has been injected along its entire length and breadth.

You may feel some soreness or aching for 24 to 28 hours after a steroid injection. Your doctor will tell you to rest the joint by refraining from excessive lifting, carrying and bending. You will also be advised not to sit in one position for long periods. After about ten days, your doctor will see you again so that he can assess your progress.

The reason why you need to rest is because the collagen (protein fibre) that provides tension in the ligaments is affected for the first 10 to 14 days after a steroid injection, which makes the tissues a bit weaker. After this the ligament collagen returns to normal. A small amount of steroid will probably be absorbed into your blood, but not enough to cause any side-effects.