Trigger Point Injections

Frozen Shoulder

Pain Management and Trigger Points.

Trigger points are focal areas of spasm and inflammation in skeletal muscle.  You generally feel them as a knot or nodule that is tender or painful to the touch. In some cases the pain then radiates out to the surrounding area.  Common areas to use TPI are the arms, legs, neck/shoulders and lower back region.

A trigger point injection (TPI) involves the injection of medication directly into a trigger point.  These injections are used as part of a pain management treatment plan.  By making the point inactive, pain is relieved.

Trigger points commonly accompany chronic musculoskeletal disorders and conditions such as:

  • Fibromyalgia
  • Headaches
  • Neck Pain
  • Low Back Pain
  • Frozen Shoulder
  • Myofascial Pain Syndrome

Acute trauma or repetitive minor injury can also lead to the development of trigger points.

Your trigger points are found through a physical exam and manual palpation.  Once the location(s) are found, the number of injections will be determined.  An anesthetic such as lidocaine is then injected in the site.  If needed, an anti-spasmodic or other medication may be included.

Resolution of the trigger point(s) can be different in each person and condition.  If there is only one point, and it is not caused by a chronic condition, you may only need injections once.  However, if the underlying cause is chronic, injections may be ongoing.

Trigger point injections are conducted in the Revolution Health Medical Center office.  Our doctors will discuss with you the frequency of visits for your particular treatment plan.  A brief treatment course will often lead to sustained relief.