At Advanced Hemorrhoid Centers, we understand that chronic pelvic pain and anorectal discomfort can be confusing. Many patients visit us in Scottsdale or Phoenix expecting a diagnosis of internal hemorrhoids, only to discover that their pain stems from muscle knots in the pelvic floor.
Trigger Point Injections (TPI) offer a highly effective, non-surgical hemorrhoid treatment alternative for those suffering from muscular tension. Below are the most frequently asked questions from our patients in Tempe, Mesa, Chandler, and the surrounding Valley.
General Questions About Trigger Point Injections
What exactly is a trigger point in the pelvic floor?
A trigger point is a “knot” or a hyper-irritable spot within a taut band of muscle. In the pelvic area, these often occur in the levator ani or the anal sphincter. These knots stay contracted, causing anal spasm, referred pain to the lower back, and a persistent “aching” or “heavy” sensation in the rectum.
How do I know if I need an injection or hemorrhoid treatment?
It is difficult to tell the difference without a professional evaluation. Both conditions cause rectal pressure and discomfort. However, if your pain worsens with stress or sitting, and if topical creams fail to help, the cause is likely muscular. We use gentle anoscopy and a precise diagnosis to determine the exact source of your pain.
Are trigger point injections the same as surgery?
No. At Advanced Hemorrhoid Centers, we focus on in-office hemorrhoid treatment and non-surgical care. TPI is a minimally invasive procedure that takes only a few minutes. You stay awake, and we do not use general anesthesia. This approach offers better value and safety by avoiding hospital surgery for most cases.
The Procedure and Comfort
Is the injection painful?
Most patients describe the sensation as a tiny pinch or a brief moment of pressure. We use ultra-fine needles and often mix a local anesthetic into the injection. This numbs the area almost immediately, providing “diagnostic relief” while we work.
What is injected into the muscle?
We typically inject a local anesthetic (like lidocaine) to break the pain cycle. In some cases, we may include a small amount of an anti-inflammatory medication to reduce swelling in the muscle tissue and promote long-term healing.
How long does the appointment take?
Your confidential consultation and symptom review take the most time. The actual injection process usually takes less than five minutes. Our streamlined process ensures you get back to your day in Tempe or Scottsdale quickly.
Recovery and Results
When will I feel relief?
Many patients feel an immediate reduction in pain due to the local anesthetic. As the “numbing” wears off, you might feel some mild soreness for 24 to 48 hours. Most patients notice significant, long-term relief from anal spasm and pressure within three to seven days.
Can I drive myself home to Tempe after the procedure?
Yes. Since we do not use sedation or general anesthesia, you are perfectly fine to drive. You can return to your normal activity almost immediately, though we recommend avoiding heavy lifting for the first 24 hours.
How many injections will I need?
Every patient is unique. Some experience total relief after a single session. Others with chronic, long-term tension may require a series of two or three injections spaced a few weeks apart to fully “reset” the muscle.
Connection to Other Anorectal Issues
Can trigger points cause internal hemorrhoids?
Indirectly, yes. Chronic muscle tension leads to excessive straining during bowel movements. This pressure swells the veins in the rectum, leading to internal hemorrhoids. Treating the muscle knots helps with long-term prevention of future hemorrhoid flare-ups.
Can I get an injection and hemorrhoid banding at the same time?
Yes. We often combine treatments for the best results. We might perform rubber band ligation (hemorrhoid banding) to treat the veins and a trigger point injection to relax the surrounding muscles. This dual approach provides the most comprehensive care in the Valley.
How to stop rectal bleeding in Arizona?
Trigger point injections treat muscles, not bleeding. If you see blood, you likely have a hemorrhoid or an anal fissure. You should seek an anorectal specialist immediately for rectal bleeding treatment. We can identify the cause and provide a non-surgical solution during your visit.
Why Choose Advanced Hemorrhoid Centers?
We are the local expert authority in non-surgical anorectal care. Our team serves Phoenix, Scottsdale, Mesa, Chandler, Gilbert, Tempe, Paradise Valley, Fountain Hills, Cave Creek, and Glendale. We provide:
Call today at (480) 359‑2290 to schedule your consultation!