Health Services
MSP referral is required to access Health Services. Please have your Doctor place a referral if you wish to be seen by Physiatry or Sports Medicine.
Physiatry
Consultations
What is a Physiatrist?
Physiatrists are physical medicine and rehabilitation specialists with five years of residency training. Physiatrists at Triumph Health specialize in non-operative musculoskeletal complaints and see patients with workplace, sports or motor vehicle accident-related injuries. Physiatrists are also experts in overuse tendinopathies, myofascial pain, and mild to moderate osteoarthritis.
What does a Physiatry consultation entail?
Patients undergoing a physiatry assessment are viewed in the context of the “whole” person. You will be asked about your medical history, medications, functional status and habits. A management plan is created considering both the physical and psychological aspects of a patient’s diagnosis.
How do Physiatrists help patients?
Physiatrists can make clinical diagnoses, order diagnostic tests and prescribe treatment. At the end of your initial consultation you will be provided with a summary of your diagnosis and next steps.
What treatments do Physiatrists offer?
- Education
- Exercise prescription
- Medications
- Bracing and device prescriptions
- Injections
Injections
Cortisone
What are cortisone injections for?
Cortisone is an anti-inflammatory steroid medication that is primarily used to treat pain flares.
How do cortisone injections work?
Cortisone injections work by reducing local inflammation and the irritation of joints or tendons. Pain reduction is a secondary benefit.
How much do cortisone injections cost?
We charge between $45-80 for a steroid injection depending on the types of medications used. MSP allows Physicians to charge for prescription medications used during the provision of services and the fee includes the cost of ordering and stocking the medication on site.
What are the possible side effects?
The risk of an adverse event from a local cortisone injection is low. Your physician will review the risks and benefits as part of the consent process prior to receiving an injection.
The most common side effects are 2-4 days of glucose intolerance (in people with diabetes), sleep disturbance the night after the injection or a transient pain flare 2-5 days after the injection.
What should I expect after my injection?
A cortisone injection is commonly combined with local anesthetic. This means the area will feel numb for 4 to 8 hours. After the “freezing” of the local anesthetic wears off, patients may experience a temporary increase in pain. It is reasonable to use over the counter pain relievers for 24 to 48 hours after the injection for local pain.
Cortisone injections typically take up to 7 days to reduce pain levels by more than 30%.
If, after 5 days, you are still experiencing worsening pain, a red, hot swollen joint or tissue and fever, seek medical attention by calling the clinic, making an appointment to be seen by your family physician or presenting yourself to the local emergency department for evaluation.
You can begin a supervised or home exercise program one week after cortisone injection unless otherwise specified by your physician.
Injections
Trigger Point
What are trigger point injections for?
Trigger point injections are injections of local anesthetic (usually lidocaine 1%) into taut bands within muscle tissue.
How do trigger point injections work?
There are several theories regarding how trigger point injections work. The needle fenestration of the taut band in combination with local anesthetic reduces muscle tension and pain.
How long do trigger point injections last?
Length of benefit depends on patient and injury factors. Expected benefits will be reviewed at the time of the injection.
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