bandage-green

Trigger Point and Botulinum Toxin Injection

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Sitting / Beach Chair, Prone, arms free at side
Time : 5-30 min (very short)
Blood Loss : Zero
Post-op Pain : Minimal (0-3)
Maintenance Paralytic : No
Considerations : Off-site, Anticoagulation / Antiplatelet Therapy, Opioid Tolerance

Anesthetic Approaches

1Local Anesthetic
The Surgery

Identify the point - the muscle is palpated for the taut band and the tender nodule, and the referred pain pattern the patient describes is used to confirm it. Needling and the twitch - the needle is...

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