Pelvic Floor Injections

Just like you can have knots (aka trigger points), tension, and muscle spasms in your neck, you can have trigger points, tension, and spasms in your pelvic floor muscles that may be responsible for your:  pelvic pain, painful sex (dyspareunia), urinary frequency, urinary urgency, interstitial cystitis, constipation, vaginismus, vulvodynia or other pelvic floor dysfunction. We often use pelvic floor injections as an adjunct to help decrease the tension in the pelvic floor that is contributing to your symptoms. If need be pelvic floor injections can be repeated every 3 months.

Your nurse practitioner will decide which is the right option for you.

Pelvic floor trigger point injections: You’ll get local numbing medication into the vagina. Your nurse practitioner will inject a combination of steroid and numbing medication through the vagina into the pelvic floor muscles to help reduce the painful knots in your pelvic floor muscles.

Botox injections: Botulinum toxin (Botox) is a neurotoxin that temporarily relaxes specific muscles. The use of Botox in the vagina is a relatively new procedure but has been clinically proven to be safe and effective. The procedure remains officially ‘off-label’ meaning that it is not FDA approved. However, the use of Botox for pelvic floor muscle tightness is supported by scientific evidence and clinical results.

Botox is a highly effective treatment for tight pelvic muscles that are constantly in spasm. You’ll get local numbing medication to the vagina.  Your nurse practitioner will inject the Botox into the vagina into the painful pelvic floor muscles.