A trigger point is a painful area in a muscle. It may feel like there is “knot“ in the muscle or an area of tightness. When pressure is applied to the trigger point, the pain spreads out to other areas of the body.
Prior to the Procedure
Before the procedure you may need:
- A physical exam
- Imaging tests to evaluate the spinal structures with x-rays or an MRI scan
- To discuss allergies that you may have to the anesthetic, pain medication, or latex
- In addition, talk to your doctor about your medications. You may have to stop taking some medications up to one week or more before the procedure.
Depending on where your trigger point is, you may need someone to drive you home after the procedure.
First, the skin around the painful area will be cleansed with an antiseptic. Next, the doctor will locate the trigger point. This may be done by feeling for the painful area with his fingers. Once the trigger point in found, a thin needle containing medicine will be injected. The injection may contain a long-acting pain reliever, a water solution, or a corticosteroid to reduce inflammation. Botulinum toxin is also sometimes used for trigger point injections associated with muscle contraction. Sometimes the doctor will simply put the needle into the trigger point and not inject any medicine. This is all done to break the pain cycle at the trigger point. If you have more than one trigger point, you may need several injections.
Some doctors may use needle-guided electromyography (EMG) to locate the trigger point. With this approach, a needle will send information to a monitor, which will allow the doctor to make sure he has located the right spot.
At the Care Center
The hospital staff will apply pressure to the injection site and place a bandage. You will be observed for a short time to make sure you do not have any poor reactions to the injection. Then, you will be able to go home or return to work.
To reduce soreness, apply ice or a cold pack to the affected area to ease discomfort. Your doctor may advise pain medications. You may need to meet with your physical therapist soon after the injection to take advantage of the pain relief in your muscles. You may have pain relief for weeks or even months. In some cases, you may need to have more than one trigger point injection. Talk to your doctor about how often you will need this treatment.
You will typically remain awake during the procedure. A local anesthetic may be used to numb the area where the injection will be given.
The injection takes a few minutes.
When the doctor feels for the trigger point, you will have discomfort. You will also feel a pinching sensation when the needle goes through your skin. You may have pain, which should not last long.