Injections

At Lancaster NeuroScience & Spine Associates we offer a variety of Injections including Trigger Point, Sacroiliac Joint, Trochanteric Bursitis and Botox. Each injection is unique in its application and what conditions it is used for. For more information or to set up an appointment simply fill out the contact form in the right sidebar or email [email protected].
 
After a thorough examination it may be determined that another service such as Acupuncture may be a better treatment option. Our evaluation process will help determine the best course of action for your specific condition.

Below you will find an explanation of the types of injections we offer. To learn more about each specific injection simply click on the name.

• Trigger Point Injection  (Click to Expand)

  • Trigger Point Injection (or TPI) is a procedure used to treat painful areas of muscle that contain ‘trigger’ points - or ‘knots’ of muscle that form when muscles do not relax. Nerves surrounding the knots become irritated and can cause pain that is felt in other parts of the body.
     
    To relieve this pain with TPI a small needle is inserted into the ‘trigger’ point and an injection of a local anesthetic is administered. This causes the trigger point to become inactive and the pain is alleviated. Injections are performed on-site and the procedure takes only a few minutes. Typically a brief course of treatment will lead to sustained pain relief. TPI is used for a variety of muscle groups including the arms, legs, lower back and neck.
     
    

• Sacroiliac Joint Injection  (Click to Expand)

  • Also known as a Sacroiliac Joint Block, a Sacroiliac Joint Injection (or SI) is used primarily to diagnose and treat lower back pain or sciatica associated with sacroiliac joint dysfunction. The Sacroiliac Joints are located next to the spine, connecting the sacrum with the hips.
     
    To begin, an injection of a local anesthetic is administered directly to the inflamed Sacroiliac Joint. To ensure proper diagnosis patients are then asked to perform normal activities that were causing them pain. If pain is significantly decreased while the anesthetic is active the diagnosis can be confirmed. A similar procedure can then be performed except that anti-inflammatory medication will be administered to reduce inflammation within the joint. If relief is apparent the patient can begin Physical Therapy to further reduce pain and resume normal activities.
     
    This process can be performed up to three times per year. When used in conjunction with an individualized Physical Therapy program patients will be more likely to return to normal function.
     
    

• Greater Trochanteric Bursitis Injection  (Click to Expand)

  • Greater Trochanteric Bursitis is the inflammation of a bursa, or a fluid-filled space surrounding a bony prominence. This inflammation causes pain. Many times simply resting and immobilizing the area, applying ice and/or taking anti-inflammatory medication will relieve pain and reduce inflammation.
     
    If these self-treatment options bring little relief our Physiatrists would inject a corticosteroid directly into the bursa to reduce inflammation and bring relief within one to two weeks. The procedure itself takes just 10-15 minutes to complete and pain relief, in some cases, can be immediate. Generally, the steroid takes 2-3 days to take effect and 2 weeks to reach its peak.
     
    

• Botox Injection for Cervical Dystonia & Spasticity  (Click to Expand)

  • Cervical Dystonia (pulling, twisting and involuntary turning and spasm of the neck and shoulder muscles) and Spasticity (excessive muscle spasm due to stroke, MS and other brain conditions) are both effectively treated with Botox Injections. Botox (or Botulinum Toxin) blocks action of acetylcholine between nerve cells and the muscles, reducing activation and in-turn controlling spasm and pain.
     
    Botox Injections are administered directly into the muscles requiring attention. Effects typically begin within 3 days and last roughly 3 months. Typical side effects include muscle weakness, dry eyes/mouth and bruising at injection site.