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trigger point pain

so my story is long (approx 2 years) and i've posted before, i have a small t8-t9 disc protrusion which gives me no neurological symptoms. i've had loads of treatment, acupucture, trigger points stuff, infra red, traction etc etc everything. i've steroid epidurals, facet joint injections etc. i've recently had a course of trigger point injections using steroids and local anaesthetic, when ever i have them it has a very positive effect and on some days i wake up in almost no pain, the issue is the injections only ever seem to last approximately a week. so i think i can safely say that my pain is trigger point related. i try to treat them at home using ischemic pressure with a theracane and then heat pad etc but i think they are too deep for me to get to and sometimes very difficult to find, does anyone know anything that might help? a cream? or something else....?


  • Hi. Have you tried the Botox & steroids or just the lidocaine & steroids? The Botox last longer for me. I also have what's commonly called Ketamine cream. It's a prescription compounded topical cream that contains ketamine & lidocaine to numb (doesn't numb like the shots) & nerve & muscle relaxant meds. It's best as a long term treatment that builds in my system. For me it's not an immediate numbing thing but it really helps. Like most meds I've been through some adjustments. Being compounded they can put anything in any quantity that your doc tells them to put in it. Make sure it's covered by your insurance. People I know are starting to have problems.ugh!
    I used to have a fantastic pregnancy massage specialist. She never hurt me & was a life saver! Sadly I've never been able to replace her but if you can find a talented massage specialist it can make all the difference. I also use aromatherapy massage.
    All shots work best if you ice them on the way home & gently stretch when you can. Hope this helps ;-)
    Osteoarthritis & DDD.
  • thanks for the reply, i'm in the uk and they seem to be somewhat behind the US. ive got private healthcare as well as NHS but private wouldn't pay for botox stating the evidence that they are better than normal trigger point injections is sketchy. i will speak to my consultant about a similar cream but the NHS seem a little funny about what medicines they will prescribe etc.....
  • EnglishGirlEEnglishGirl Posts: 1,825
    edited 11/19/2014 - 3:43 AM
    I moved from England to the USA. I bet you've got Algesal already. It's only so so for me. What meds are you on? I take a muscle relaxant.
    I find stretching after the shots can lessen the spasms as they return. Have you tried massage? Aromatherapy or are you looking for a more medical fix?
    Let me have a think....
    Osteoarthritis & DDD.
  • Only meds I'm on is dosulepin, it's an amitriptyline derivative. Did try baclofen a year or so ago but it didn't do much! Haven't tried Algesal, in regards to physio/massage I've had boat loads both private/nhs and a relative of mine is also a qualified physio!
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