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Myofascial pain with an “active” trigger point that is unresponsive to trigger point injection treatment Active trigger point is defined as a pain site within a taut muscle band with referred pain on palpation Referred pain should be elicited by compression of the trigger point for 3 seconds, producing pain in a referred but nearby site. Arthrocentesis is indicated in those patients who do not improve with anesthesia assisted joint mobilization. The primary goal of this procedure is to lavage the joint space to remove inflammatory by-products in the joint and attempt to mobilize the TM Joint. This procedure involves lavage and mobilization of the joint under sedation. Joint pumping with a single needle or the double needle technique dubbed “arthrocentesis” does not require the patient to be sedated to do either procedure, steroid-europe.com reviews.
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