Trigger Point Injections

Trigger point injections are a medical procedure used to treat pain and dysfunction associated with trigger points. Trigger points are tight knots or bands of muscle fibers that can be felt under the skin and can cause pain, tenderness, and restricted movement.

The involved area is cleaned with antiseptic. Trigger points are identified by palpating the underlying tissue. A small needle is then carefully inserted directly into the trigger point and a small amount of medication is injected. The medication typically consists of a local anesthetic (bupivacaine or lidocaine), with or without the addition of an anti-inflammatory steroid (cortisone). Depending on the area being treated, 20 to 45 injections are generally administered per session.

Most people experience some discomfort during the injections, but they are generally well-tolerated by most individuals.

Following the injection, you may experience temporary soreness or aching at the injection site, but this usually subsides within a day or two. It's common to feel immediate relief from pain and a reduction in muscle tension. The effects of the injection can vary depending on the individual and the specific condition being treated.

Although trigger point injections are generally safe, like any medical procedure, they carry some risks. Possible side effects include temporary numbness, weakness, bruising, or infection at the injection site. Rarely, nerve damage or an allergic reaction to the medication used may occur.

The duration of pain relief varies greatly from person to person. Some individuals experience immediate and long-lasting relief (weeks to months), while others may experience minimal or short-term relief only. When used in conjunction with manual therapy, trigger point injections will often contribute to gradual reduction in symptoms and improvement in function, which can be quite durable.

Trigger point injections can be beneficial for individuals experiencing muscle pain and tightness associated with conditions such as neck pain, low back pain, myofascial pain syndrome, headaches (tension and migraine), and fibromyalgia. It's important to consult with us to determine if trigger point injections are appropriate for your specific condition.

Yes, there are alternative treatments available for muscle pain and trigger points. These may include, but are not limited to, manual therapy, massage, stretching exercises, heat or cold therapy, and medications.

Insurance coverage for trigger point injections can vary depending on your insurance plan and the specific medical condition being treated. We will usually check with your insurance provider prior to performing the nerve block to determine coverage and if prior authorization is required.

The self-pay price for trigger point injections is $200 plus the cost of a follow-up visit ($200).