Spineworks – Trigger Point & Joint Injections.Pdf

PATIENT INFORMATION

TRIGGERFACET JOINT POINT AND AND SACROILIAC JOINT INJECTIONSJOINT INJECTION

TriggerFacet joint point and injections Sacroiliac are Joint offered Injections to people are sufferingoffered to withpeople painful suffering points withwhich significant they can pain Jointjoints injections and sacroiliac are jointssimilar leading to trigger also point to pain confidentlythat is interfering identify. with Thesetheir everydayare points life. of pain injectionsin the back, and buttocks are carried and theout inouter the sidessame of way.the thoughtThe aim toof thebe in injection association is to reducewith muscle pain, spasm. swelling, Thethighs. difference There are is oftenthat the muscle injection spasms is inserted around the Thepressure action and of inflammation the injections isaround to reduce the joints.the It can intoaffected a joint facet or a joints bursa andthat sacroiliac is inflamed. joints This that can can spasmalso be to a usefulallow activitydiagnostic levels tool to toincrease not only and identify for bemake useful moving for reducing very stiff pain and and painful. inflammation as a rehabilitationthe site of your to pain be butmore also effective. to assess whetherTheir precise it is result of arthritic change. Again it is hoped that this mechanismcoming from of the action facet is joints poorly or sacroiliacunderstood joints but or willAlthough aid further relatively physical mobile, activity sacroiliac and rehabilitation. joints can theyindeed can elsewhere. be effective in some cases. It is important cause pain which can mimic facet joint symptoms. to have a painful spot or obvious target to guide InTypically general, if theit should facet bejoints noted are thatthe sourcehydrocortisone of the theThe injectionspine is composed as this is ofnot 24 a bonesuniversal called panacea. injectionspain then it dowill not be last painful for tomore bend than backwards. a few weeks Also vertebrae. These are block shaped bones with rigid althoughthere is pain the associatedeffects of withthe treatment stiffness if firstcombined thing in Thediscs procedure in between is them.carried The out facet under joints local are the withthe morning increased or levelsafter ofprolonged activity immobilityor rehabilitation such anaesthesiaarticulating in surfaces an outpatient between setting. the vertebrae In the which canas sitting be long orlasting. standing for long periods of time. It Hampshireenable stability Clinic and I do movement. a dedicated The session sacroiliac in the is possible to irritate the nerve roots that pass Minorjoints are Ops in Theatre the pelvis located and generally on the ground do not floor move BEFOREimmediately in front of the facet joint, which can ofso theoften hospital. except In during Mount pregnancy Alvernia thisand woulddelivery. be produce symptoms very much like sciatica. This Please advise us of any medical conditions you carriedHowever, out the in sacroiliacthe examination joints can room be theduring source a clinic. of presents as pain down the leg on the same side as have prior to your attendance such as high blood Thesymptoms injection in the itself pelvic is composed area, sometimes of hydrocortisone, causing the affected facet joint. areferred strong anti-inflammatory,pain in the back or legs. and local anaesthetic. pressure, diabetes, asthma, heart problems etc.Should To avoidexamination, bleeding afterhistory the and procedure investigation it is Inflammation, degenerative change and abnormal importantsuggest that to muchstop blood-thinning of the pain comes medication from the such loading of the spine can cause pain in the facet asfacet Warfarin joints orabout sacroiliac 72 hours joints, beforehand. they can be This injected needs towith be a discussed mix of local before anaesthetic the procedure and slow takes release place. Itsteroids is important with the that aim we of have reducing a list ofinflammation, medications youirritation have beenand painprescribed around bythe you affected doctor orarea. have The boughtprocedure at the is done chemist under and x-ray are controlcurrently to taking.allow Thisaccurate includes needle homeopathic placement. remedies. The injection is given whilst you are under sedation so there is very little If you feel unwell on the day then please contact or no discomfort felt during the procedure. Mr Quaile’s office or the hospital before you make the journey in, as it may be necessary to BEFORE reschedule the procedure. Please advise us of any medical conditions you have prior to your admission such as high blood pressure, diabetes, asthma, heart problems etc. To avoid bleeding around the spinal nerves it is important to stop blood-thinning medication such

Trigger Point And Joint Injections PATIENT INFORMATION

ONFACET THE JOINT DAY AND SACROILIAC JOINT INJECTION On the day of the procedure please arrive promptly.Facet joint As and these Sacroiliac procedures Joint Injectionsare done under are localoffered anaesthetic to people it suffering is advised withthat significant you either pain Thisjoints is and normal, sacroiliac however joints do leading not hesitate also to to pain contact bringthat is someone interfering along with with their you everyday who can life. drive you usin theif you back, are buttocks worried. and the outer sides of the homeThe aim or ofuse the public injection transport is to orreduce taxi. Bepain, aware swelling, thighs. There are often muscle spasms around the You should continue to take your usual medication thatpressure joint andinjections inflammation will make around the joint the numbjoints. for It can affected facet joints and sacroiliac joints that can and analgesia as required and return to work as aalso period be a anduseful it may diagnostic be unsafe tool to to drive not asonly a resultidentify make moving very stiff and painful. untilthe site the of local your anaestheticpain but also hasto assess worn off.whether You are it is soon as you feel able. verycoming welcome from the to bringfacet jointssomeone or sacroiliac along with joints you or Although relatively mobile, sacroiliac joints can You will be reviewed approximately 3 weeks after forindeed company. elsewhere. cause pain which can mimic facet joint symptoms. the procedure to assess the effects. Physical Typically if the facet joints are the source of the therapy such as physiotherapy, chiropractic PleaseThe spine try isto composed reduce pain of medication24 bones called before the pain then it will be painful to bend backwards. Also management and osteopathy can recommence injectionvertebrae. to These allow are accurate block shapedidentification bones with of rigid your there is pain associated with stiffness first thing in about 7 to 10 days after the procedure when we triggerdiscs in pointsbetween for them.injection. The facetThe jointsmore accurate are the the the morning or after prolonged immobility such hope your practitioner can take advantage of the injectionarticulating the surfacesbetter thebetween result. the vertebrae which as sitting or standing for long periods of time. It ‘window of opportunity’ provided by the injection. enable stability and movement. The sacroiliac is possible to irritate the nerve roots that pass On arrival at the hospital you will be asked to joints are in the pelvis and generally do not move immediately in front of the facet joint, which can complete various forms. One of these will be the WHAT SHOULD I EXPECT so often except during pregnancy and delivery. produce symptoms very much like sciatica. This consentHowever, form the sacroiliacfor the procedure. joints can Mr be Quaile the source will of Somepresents people as pain experience down the immediate leg on the relief same of side their as marksymptoms the areas in the of pelvic pain toarea, be injectedsometimes for accuracycausing symptomsthe affected that facet can joint. last for weeks or months, andreferred to confirm pain in the backarea toor legs.be treated. Please do others find that it takes 6 weeks or so before they not hesitate to ask any questions or mention any Should examination, history and investigation find any relief and for others, regrettably, there is concernsInflammation, that you degenerative may have at thischange time. and abnormal suggest that much of the pain comes from the little or no benefit. No treatment is guaranteed loading of the spine can cause pain in the facet facet joints or sacroiliac joints, they can be injected to work for all. However, it can be the start of an AFTER with a mix of local anaesthetic and slow release effective treatment plan in improving pain and steroids with the aim of reducing inflammation, You may be able to go home independently function by providing that ‘window of opportunity’ irritation and pain around the affected area. The depending upon your procedure. The local for rehabilitation to be successful. We advise a procedure is done under x-ray control to allow anaesthetic is likely to wear off in 4 to 5 hours return to physical therapy about 7 to 10 days after accurate needle placement. The injection is given in the same way as a dental injection. treatment to maximise the benefits of injection. whilst you are under sedation so there is very little We recommend that you rest and take things easy or no discomfort felt during the procedure. SIDE EFFECTS AND RISKS for the next 24 hours. If you have a small dressing or plaster that can be removed the next day. TheBEFORE main but small risk is that of infection. If that occurs in a joint it can be very serious and may You may find that you feel more pain for a few days needPlease extensive advise us treatment of any medical including conditions surgery. you afterwards as initially the injection may stir things Therehave prior are small to your risks admission of bleeding, such swelling as high bloodand a up before the slow release steroids start to be reactionpressure, todiabetes, steroid. asthma, heart problems etc. effective. It can take between 7 days and 6 weeks To avoid bleeding around the spinal nerves it is before the full effects of the injections are known. important to stop blood-thinning medication such

Trigger Point And Joint Injections PATIENT INFORMATION www.spine-works.com

EMERGENCY INFORMATIONINFORMATION

IfIf youyou developdevelop anyany of thesethese followingfollowing symptoms followingfollowing your discharge please contact youryour general practitioner immediately:

• Severe headache or pain

• Fever or chills

• Redness and swelling around the injection site

• Loss of bladder or bowel control

• Numbness in the saddle area

• Numbness in legs or arms

• Weakness in legs or arms

• Pins and needles in legs or arms

CONTACT

Please contact us if you have any problems or questions.

email: [email protected] [email protected]

telephone:telephone: 01256 377653

Facet Joint/ Sacroiliac Joint Injection