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Trigger Point Injection

Effective interventional pain management method in myofascial pain syndrome with focused muscle injection.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Trigger Point Injection?

Trigger point injection is a method of injecting hyperirritable focal points (trigger points) in skeletal muscle directly with local anaesthetic, saline, corticosteroid or botulinum toxin.

Trigger point identification: hard, tender area on palpation, taut band sensation in the muscle, pain radiating to the typical referral zone with palpation.

It is used in myofascial pain syndrome, chronic neck and low back pain, tension headache and fibromyalgia; high success rate with diagnostic-therapeutic combination.

Symptoms

Localised, deep muscle pain
Limitation of range of motion
Tender taut band on palpation
Referred pain (occipital pain in trapezius, headache)
Pain not responding to muscle relaxant
Muscle weakness and weakness in fine movements

Risk Factors

Chronic muscle overload and poor posture
Repetitive injury and sports trauma
Stress and anxiety (muscle tension)
Sleep disorder and unrefreshing sleep
Vitamin D, B12 and magnesium deficiency
Concurrent fibromyalgia or chronic pain syndrome

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Inadequate response to muscle pain and conservative treatment
  • Reduction of activity and restriction of daily life
  • Spreading muscle pain accompanied by referred pain
  • Acute increase of chronic pain

Treatment Methods

01
Trigger point identification (palpation, sonographic guidance)
02
Lidocaine 1% (1 to 2 mL) or bupivacaine 0.25% injection
03
Saline (dry needling) alternative
04
Corticosteroid addition in selected cases (limited dose)
05
Botulinum toxin in chronic refractory cases
06
Combination with stretching exercises and physical therapy

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.