Trigger Point Injections

These rank very close to acupuncture in my view as a therapy. If someone thinks they can permanently affect pain caused by a mechanical impingement upon nerves by injecting an anesthetic at some distant point, they are only masking the pain if it helps at all. My suspicion is that when it is used for focal inflammatory conditions of the back but not the spine, it can be successful; however, this relies upon the misdiagnosis of tendinitis or fasciitis (inflammation of fascia, tendons or other ligaments, etc.) with disc disease. If it does work in the presence of disc pain, it is probably only deadening any input from the nerves that provide input for referred pain or capitalizing upon the above described "gating theory." If the nerve supplying the same area as the fibers that travel from the disc region are anesthetized, nothing will be felt from that area to be confused with pain. But admittedly, I can't give any reason for why it would even help in discogenic pain, that's why I don't use it, and never have, in my practice.

Further Reading

Introduction
TENS (Transcutaneous Electrucal Nerve Stimulation)
Ice and Heat
Acupuncture
Trigger Point Point Injections
Epidural Steroid / Aneshetic Injections
Chemonucleolysis
Surgery
Percutaneous Diskectomy
Microdiskectomy
Laminectomy
Artificial Discs
Fusion

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