Physio's in my clinic regularly treat trigger points with manual therapy to good affect. I've been reading about trigger point injection therapy with and without steroid. I've read that mepivicaine diluted with water to 0.25% without steroid is commonly used.
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Given that UK podiatrists holding LA certificates commonly use mepivicaine at 3% - would it be permissible for them to use this for injection therapy for trigger points (lower limb only) observing MSDs, best practise etc? Or would this throw up a whole barrow load of medico-legal issues?
Are there any courses on trigger point injection therapy for podiatrists that anyone knows of? Would podiatrists holding LA certificates be permitted to inject superficial lower limb trigger points without specific further training?
Thoughts anyone?
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