Trigger Point Injections
(TPIs) have been widely used to facilitate this process and are the gold standard for the treatment of MPS. They are relatively safe when performed by clinicians with appropriate training.
MYOFASCIAL PAIN SYNDROME – TRIGGER POINT INJECTIONS
What is Myofascial Pain Syndrome?
Myofascial pain syndrome (MPS) is a common cause of soft tissue pain. MPS can occur primarily, or can present as a reactive component to other conditions. The primary feature of MPS is the trigger point, a localized, tender, and firm or taut region within muscles or their fascia. These are thought to arise from trauma or microtrauma to the area that causes the muscle fibers to shorten. When shortened for a prolonged period, the muscle fibers become sore, tender, and even develop firm/crunchy knots due to calcium deposits. Patients with MPS can also develop central sensitization, a state of increased pain perception resulting from increased gain of the painful signals.
What is the treatment for Myofascial Pain Syndrome?
Treatment of MPS focuses on the deactivation of the trigger points themselves as well as addressing any causative factors. Eliminating trigger points to break the cycle that enhances chronic pain and to restore normal tone and function of the affected muscles is the overarching goal. Trigger Point Injections (TPIs) have been widely used to facilitate this process and are the gold standard for the treatment of MPS. Relying on TPIs as sole treatment is not recommended – they should be used in conjunction with post-injection stretching or exercise therapy as part of a comprehensive, multidisciplinary pain management regimen.
What are Trigger Point Injections?
Trigger Point Injections (TPIs) have been widely used to facilitate this process and are the gold standard for the treatment of MPS. They are relatively safe when performed by clinicians with appropriate training.
What should I expect during Trigger Point Injections?
During the Trigger Point Injection procedure, the doctor will identify the trigger points by feeling them. After cleaning the area with an alcohol swab, the doctor will place a thin needle into the trigger point and move it around to break up the knot. As the doctor is moving the needle around, he or she will inject numbing medicine into the area.
What should I do after the Trigger Point Injections?
Post-injection stretching, kneading, and movement are an important part of the procedure. The patient should plan to go home or to physical therapy in order to get the maximum benefit from the procedure.