Botox at stanford pain management(need trigger point map)

[ramana]

Just thought I would post my conversation with the doctor at stanford pain management. They just said that they need trigger point map from someone (either the PT or the patient). Further they will first inject a local anasthetic and then Botox later. Does not look very encouraging. I forgot to ask if they have done Botox on similar patients.

[kevin]

Just thought I would post my conversation with the doctor at stanford pain management. They just said that they need trigger point map from someone (either the PT or the patient). Further they will first inject a local anasthetic and then Botox later. Does not look very encouraging. I forgot to ask if they have done Botox on similar patients.

Hi Ramana,

What's the part that doesn't look encouraging?

[ramana]

Sorry I assumed it was self evident or maybe I am wrong. The doctor asked me to point at places where it hurts. I said it hurts internally in the rectum. Then he said get a trigger point map from the PT. From my experience, it seems that trigger points can change e.g when I went to Dr Wise clinic, I had a major flare up and Tim put trigger point all over the place. Few months later, I don't have that much pain and the trigger points are much reduced. My understandig is that someone should be able to decide on which muscles to inject, not just the trigger points which keep on changing.(until the trigger points are localized to one muscle)

Kevin - did you get to see Dr Weiss?

[kevin]

I haven't seen Dr. Weiss yet.

[webslave]

For a trigger point map you can print out for your PT or doc, try
http://ucpps.men/1/