Injections

Botox

Overview:

Botox, or botulinum toxin, is a protein that blocks signals from the nerves to the muscles. The injected muscle can no longer contract.

Uses:

Hemi-facial spasms, blepharospasms, chronic migraines, cervical dystonia, and limb spasticity.

Median nerve blocks

Overview:

A combination of local anesthetics (lidocaine and Marcaine) as well as steroids (usually triamcinolone) injected near the median nerves in the wrist.

Uses:

Pain associated with median nerve compression at the carpal tunnel (carpal tunnel syndrome)

Occipital nerve blocks

Overview:

Large volumes of local anesthetics are injected near the greater occipital nerves to reduce the inflammation and swelling of tissue around the occipital nerves. This may in turn reduce pain, and other symptoms caused by inflammation or irritation of the nerves and surrounding structures.

Uses:

Headaches over the back of the head, including certain types of tension headaches and migraine headaches.

Trigger point injections

Overview:

A combination of local anesthetics (lidocaine and Marcaine) as well as steroids (usually triamcinolone) injected into painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax.

Uses:

Muscles in the arms, legs, lower back, and neck. TPI can also be used to treat fibromyalgia and tension headaches.