Trigger points are local, tender, and hyperirritable spots located next to or within the skeletal muscle. They not only produce pain locally but also can produce referred pain in other parts of the body. Trigger points are commonly associated with acute trauma, such as Motor Vehicle accidents, or chronic musculoskeletal conditions. Management of trigger points is a challenging problem. There is limited research on the etiology of trigger points. The treatment is usually limited to attempts to reduce stress, overuse, anti-inflammatory medications, muscle relaxants, antidepressants, neuroleptics, acupuncture, osteopathic manipulations, massage, heat and cold applications, ultrasound, nerve stimulators, dry needling, and trigger point injections with local anesthetic or steroids.
Dr. Volshteyn’s approach adds an additional minimally invasive way to manage trigger points – by excising diseased fascia through a small, about 1-inch, incision. It was originally pioneered by a retired Texas plastic surgeon over 30 years ago, who performed over 2000 procedures with an internal success rate of 98% but it never became mainstream. The procedure is elegant and simple. The trigger point is identified with manual examination and ultrasound and is tagged and internally marked. Through a small incision, diseased fascia and muscle are gently removed and then the muscle defect is repaired/reconstructed. The procedure is usually performed in the surgery center or hospital on an outpatient basis under local anesthesia and mild sedation and takes about an hour. In most cases, general anesthesia and overnight stay are not required.
After the procedure, most patients experience significant improvement in trigger point symptoms. The trigger point pain is temporarily replaced with usual postsurgical pain, which is much different than trigger point pain. Recovery from surgery takes about 1-3 weeks depending on complexity, amount of fascia removed, and other factors. Give Atlantic Surgical Associates’ office a call to schedule an evaluation for a minimally invasive trigger point excision procedure.
Call (732) 641- 3350 or visit the website
Atlantic Surgical Associates PA
107 Monmouth Rd