What are you using for Muscle Injections?

What are you using for Muscle Injections?

What are you using for your muscle injections?  The injections that we're doing are really to traumatize the tissue.  It's not truly dry needling because we are identifying a specific muscle and not going to a tender point but rather to the entirety of that muscle. What we're using is a half percent of Lidocaine just for comfort. We're prepping the area with Betadine, and then we're doing a subcutaneous injection of Lidocaine over the entirety of that muscle using about five cc's of a half percent.  Then we're doing the injection into the muscle itself using another three ccs of a half percent throughout the injection cycle in that muscle.  These injections are constable, and we do use intravenous ketamine prior to an injection. We do anywhere from 15 to 50 milligrams or so along with a half to two milligrams of Versed and patients can interact with us and they can have zero pain with these very aggressive injections.