Trigger Point Injections
Andrew H. Messiha, MD, Double Board Certified in Anesthesiology and Pain Medicine, Laguna Hills, CA / Trigger Point Injections
Trigger Point Injections: Effective Pain Relief With Pain Management Doctor , CA
What is a Trigger Point Injection?
An injection of trigger points (TPI) can be described as a straightforward outpatient procedure that is minimally invasive and that is used to ease the pain in muscles due to tightly knit, tender knots inside muscles, referred to as trigger points. The purpose of these injections is to ease tension in the muscles and inflammation while also improving mobility and comfort.
The injection is typically a local anesthetic but can be coupled with a corticosteroid and is administered directly to the knot of muscle that is in pain to aid in relaxing the muscle and restoring normal functioning.
Trigger Points and Muscle Pain
Trigger points are tiny knots of firmness that develop in muscles after muscle fibers don’t relax properly following repeated use injuries, strains, or sprains. They can be sensitive to touch and cause pain that spreads to adjacent areas due to nerve irritation.
They typically develop in the muscles in the shoulders, neck, lower back, upper back, and hips, usually causing stiffness, decreased flexibility, and chronic discomfort.
Indications for Trigger Point Injections
The trigger point injections are suggested to treat persistent muscle pain that doesn’t get better with conventional treatments like rest, medication, massage, and physical therapy. They are particularly beneficial to those who experience pain that interferes with their daily activities, sleep, or rehabilitation exercises.
Conditions Treated With Trigger Point Injections
Injections of trigger points are often employed to treat pain that is associated with:
- Myofascial pain syndrome
- Fibromyalgia
- Headaches evoking tension
- Temporomandibular joint (TMJ) pain
- The shoulder and neck are both painful.
- Lower and upper back lower back pain
- Muscle pain in legs and arms
Procedure for Trigger Point Injections
- The doctor will locate the trigger site through physical examination and, in certain instances, ultrasound guidance.
- The skin is cleansed, and a topical pain cream can be used to help ease discomfort.
- A fine needle is placed right into the trigger area, then a tiny amount of anesthetic, either corticosteroid or not, is injected.
- There may be a slight discomfort as well as pressure or a slight burning sensation.
- The whole process typically takes between 15 and 20 minutes, and it is done in a workplace setting.
Dry Needle Technique
Patients who are not able to take anesthetic drugs or prefer an alternative that is not based on medication using a dry needle can be utilized. This is the process of inserting needles into the trigger point, without injecting any medication.
Its mechanical stimulation can relax muscles and increase circulation, which often results in relief from pain. Dry needling generally takes just few minutes to do.
Post-Operative Care and Recovery
The healing process after trigger point injections is typically fast. The majority of patients are able to resume work and normal routines the next day, however the strenuous exercise must be avoided for the duration of 24 hours.
Soreness, numbness or minor bruising around the site of injection could occur. The application of ice or heat or taking painkillers over-the-counter and performing gentle stretching can ease these discomforts. Physical therapy is frequently advised to prolong the advantages.
Risks and Complications
The injections of trigger points are typically safe; however, like any other injection, there are some risks that could occur, for example:
- Soreness or pain that is temporary
- Swelling or bruising
- Bleeding
- Infection
- A short-term numbness
The risk of serious complications is minimal when the procedure is carried out by a skilled professional.
How Long Should a Trigger Point Injection Last?
The pain relief typically begins within the first 24 to 72 hours after injection. The benefits can last for up to a few weeks and, in some cases, for as long as a month, or more. Some patients might require multiple injections for long-lasting relief.
Average Cost of a Trigger Point Injection?
The cost of an injection at the trigger point will vary based on the location, the number of injections and insurance coverage. In general, the cost could be as low as several hundred dollars per session. Insurance typically will cover the procedure if it is medically necessary.
What Not to Do After Trigger Point Injections?
Following the procedure, it is recommended to refrain from heavy lifting and intense workouts or strenuous exercise for a minimum of one day. Gentle stretching and gentle movements are recommended to help the muscles heal properly.
Are Trigger Point Injections Worth It?
For many people suffering from chronic muscular pain that hasn’t had a response to other treatments, trigger point injections can be extremely efficient. They can decrease pain, enhance mobility, and enable greater involvement in physiotherapy as well as everyday activities.
Why Can’t You Eat Before a Steroid Injection?
In some instances it is recommended to eat prior to injections containing steroids to minimize the risk of lightheadedness, nausea, or any other reactions that are not common to drugs or sedation if taken. Your physician will give you specific directions depending on your specific situation.
FAQ
1. How do you know if a steroid injection has worked?
You’ll notice reduced pain and improved mobility within a few days to a week after the injection.
2. What is the name of the injection for neck pain?
Cervical Epidural Steroid Injection (ESI), which delivers anti-inflammatory medication to the epidural space around spinal nerves for temporary neck pain relief.
3. Can you use a heating pad after a steroid injection?
Avoid using a heating pad for the first 24–48 hours; afterward, heat may be used to relax muscles, but follow your doctor’s advice
4. How long do steroid injections stay in your system?
Steroid injections can remain effective in the body for a couple of months, depending on the type used.