Tender point (trigger point) in the thigh successfully treated with local injection of cortisone then with pulsed radiofrequency

10th June 2008 at 07:58 BST by Dr.C.A.Jenner MB BS, FRCA. Permalink.

Tender point (trigger point) in the thigh successfully treated with local injection of cortisone then with pulsed radiofrequency

Tender point (trigger point) in the thigh successfully treated with local injection of cortisone then with pulsed radiofrequency

A 42 year old gentleman was found to have a specific tender point on the right medial part of the thigh at the top, which was believed to be a localised area of inflammation of tendon or local inflamed muscle.

He had had some benefit from non-steroidal anti-inflammatories but unfortunately, this was only short lived.

Tender point (trigger point) in the thigh treated with local injection of cortisone

The gentleman was brought into the clinic and the area was injected with 1 ml of 0.5% Bupivacaine and 80 mg of Depo-Medrone. This gave him good relief for about 3 months. The procedure was then repeated and again he got good benefit for about 3 months.

Tender point (trigger point) in the thigh successfully treated with pulsed radiofrequency

The patient was very keen not to take any further medication but to find a more long term solution. He had pulsed radiofrequency applied locally to the area with 80 mg Depo-Medrone. He was seen 4 months later in the Pain Clinic and still was found to be having good pain relief. He was then discharged from the clinic.

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