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okay so weamp;#39;re going to do some trigger point injections today and actually going to talk a little bit about management of the trigger points and um so Dr bur here is going to uh mix up some steroid Dr B you want to talk to us a little bit about what youamp;#39;re doing okay so weamp;#39;re going to use solumedrol um this standard vial is 125 mg and 2 Mill of fluid so weamp;#39;re going to draw up about6 millit which is about 40 m and then dilute that with uh about 4 uh 4.4 milliliters of 0.5% bupivicaine for a total of 5 milliliters for our injection today what size need are we going to be using today weamp;#39;re going to be using a 27 gauge inch and a/ quarter needle all right good enough all right hereamp;#39;s our patient how are you good so um youamp;#39;re okay with uh helping create a teaching video that ends up on YouTube and now weamp;#39;re going to find the area that U is spasm for sure and then weamp;#39;re going to mark it so