Trigger Point Injections
What are Myofascial Trigger Points?
Normal muscle tissue consists of various fibers and components intricately organized to facilitate contraction and relaxation. However, following an injury, a muscle may experience sustained contraction due to factors such as:
- Trauma to the muscle
- Strain from repetitive use
- Poor posture
- Spinal conditions like herniated discs
This sustained focal nodule of muscle contraction is referred to as a trigger point. Trigger points are localized areas of chronic muscle tightness that can be irritable. If the trigger point is not painful, it is classified as a ‘latent’ trigger point. Conversely, an ‘active’ trigger point is painful, irritable, and difficult to relax. If left untreated, active trigger points can lead to limited mobility, poor posture, chronic pain, and the development of additional trigger points.
What are Trigger Point Injections?
Injecting an active trigger point with anesthetic, saline, or simply a needle can help relax the muscle, enhance blood flow, and prevent the formation of further trigger points. This procedure promotes healing in overused muscles and alleviates pain.
How Do Trigger Point Injections Work?
Before the trigger point injection, the skin is cleaned with an antiseptic, and a numbing spray is applied to the area around the muscle. A small needle is then inserted into the active trigger point. You may feel the needle as it is inserted and may experience muscle contraction during the injection. The process of ‘needling’ is started, which involves maneuvering the needle within the muscle to break up knotted fibers. While this may cause some discomfort, it has been shown to reduce pain and improve the effectiveness of the injection. Once the needling is complete, Lidocaine may be administered into the muscle, although this may vary depending on your specific condition. This technique is sometimes referred to as ‘dry needling.’
Post-injection, you may experience numbness for approximately one hour, as well as stiffness and soreness lasting no more than one to two days. You can remove any band-aid dots upon returning home. Additionally, you may be referred to further physical medicine care following the procedure, which may include chiropractic treatment, laser therapy, or manual therapies to promote further muscle relaxation.