Trigger points are a source of muscular pain and stiffness. Often, they are the result of a muscle being pulled or overworked. They can also be caused by an injury or dysfunction in the body’s movement patterns.

Trigger points are often identified as “knots” within a muscle. When pressed, trigger points can be painful not only in the immediate area where they occur but also in distant areas of your body. This is called referred pain.

Trigger points can be a pain in the neck (or shoulder, or lower back, or wherever else they happen to develop). Sometimes they resolve on their own. Sometimes they disappear after a chiropractic adjustment, self-massage, stretching, or a massage by a licensed professional. However, there are times when they cause significant pain or discomfort and refuse to go away no matter what you do.

If this is the case for you, you may have to treat your trigger point with an injection of local anesthetic and cortisone. This is done by a medical professional who specializes in this type of treatment; it’s not something you should try at home! The injection will need to be repeated every few months until the trigger point goes away completely or significantly reduces its symptoms and causes less pain for you.

If you’re experiencing muscle pain in the form of knots, trigger point injections (TPI) can help. Trigger point injections are a type of injection that targets specific points in the body. These injections are used to relieve pain and other symptoms caused by muscle spasms and other issues in the body.

In these cases, trigger point injections (TPI) can provide immediate and long-term pain relief from these knots.

What causes trigger points to develop?

Trigger points are places in your body where there is increased muscle tension, which causes pain to radiate from the trigger point. They tend to form in predictable patterns across your body.

The reason why they form is not always clear, but it is believed that they are caused by acute trauma or repetitive minor traumas to your muscle, which places increased stress on that area and causes it to spasm.

The theory behind this line of thinking is due to the fact that trigger points are very common in people who have chronic musculoskeletal disorders such as carpal tunnel syndrome, epicondylitis, muscle sprains, etc.

Trigger points are also common in people who do not exercise regularly, and who work at jobs that require poor body mechanics and long periods of sitting or standing.

How Do I Know If My Pain is From a Trigger Point?

When you feel pain, what do you think? A bruise, a burn, or something else that comes to mind?

You might be surprised to learn that most pain is caused by trigger points. These are areas of tightness and tension in your body that can cause pain to radiate all the way to your arms and legs. They’re usually triggered by stress, injury, or overuse. They’re also easy to fix! All you need is some time and a foam roller!

So how do you know if your pain is from a trigger point? Here are some of the signs:

* Your pain feels like it’s coming from deep inside your body (instead of just on the surface)

* It hurts no matter where you press on it (an injury should only hurt when pressed)

  • It doesn’t change when you move around (injuries tend to loosen up as you move around)

What Are Trigger Point Injections?

DreamWork’sTrigger Point Injections are injections of a local anesthetic directly into the knots in your muscle to help stop the muscle from spasming. These kinks are called trigger points and they occur when your muscle involuntarily contracts or spasms, this can cause the area to become tender and painful and the pain can radiate elsewhere in your body.

A very small needle is used to inject a local anesthetic directly into the trigger point. The most commonly used local anesthetic is lidocaine, but many other medications have been tried with success, including steroids and NSAIDs.

This works to relieve trigger points and associated pain in several ways: The needle helps to disrupt the signals that are telling your muscle to spasm (similar to dry needling, which is often performed by physical therapists). When the needle is inserted, it stimulates nearby nerve fibers, which then release substances that interrupt pain signals and stimulate a “twitch” response. This causes the muscle tissue to depolarize and relax.

Second, injecting a substance into the trigger point itself can help to break up the dense tissue that is causing the problem. Massage works to break up trigger points from the outside, but sometimes that isn’t enough to get things to relax and stay that way. Going from the inside out can help to continue to disrupt the nerve signals that were telling your muscles to spasm in the first place.

As a numbing medication, lidocaine works to temporarily relieve pain. The numbness it produces is not the main way that this procedure provides relief, but it can be welcomed by those experiencing significant discomfort. The numbness produced by lidocaine kicks in within a few minutes and lasts for about 4-6 hours.

For whom are trigger point injections appropriate?

Trigger point injections can be a safe, effective treatment for people who suffer from chronic back, neck, arm, or leg pain. Some people with pain in other areas of their bodies have also found relief through TPIs. If you are having pain that makes it difficult to sleep or perform daily tasks, you may want to consult a doctor about trigger point injections as a possible treatment option.

Trigger points are tight knots of muscle tissue that appear when the muscle is injured or overused. They are common causes of chronic muscle pain and stiffness.

TPI injections work by injecting a steroid medication directly into the trigger point. This relaxes the muscle and reduces its ability to contract and cause pain. The steroid medication is safe and has few side effects when used correctly.

What to Expect at Your Appointment

Trigger points are knots in a muscle that is painful to the touch. They can be caused by injury, overuse, or other factors, and they can cause pain in the area of the trigger point itself and sometimes even beyond it.

Trigger point injections are a treatment option for this condition. During a trigger point injection, your doctor or other healthcare provider palpates the painful area with their fingers and then injects a small amount of anesthetic into the exact spots. You may sit or lie down, depending on where the trigger point is located. Usually, you will only need one injection to treat each trigger point.

Who should not have trigger point injections?

Trigger point injections are great for muscle pain relief, but some people should avoid trigger point injections.

You should avoid trigger point injections if you have any of the following conditions:

  • Severe allergic reactions to any of the ingredients used in the injection or to lidocaine (a local anesthetic).
  • history of a blood clotting disorder, such as hemophilia.
  • A history of anaphylaxis (severe allergic reaction) to lidocaine or other types of anesthetic.
  • The history of severe asthma or bronchitis that may be triggered by an injection containing lidocaine.

What are the possible complications of this procedure?

Trigger point injections are a common treatment for chronic back pain and other muscle issues. However, they can be associated with certain risks, which are detailed below:

1. Infection: The needle used during the procedure can introduce bacteria into your body. It’s also possible that the injection itself can cause an infection if not done properly.

2. Nerve damage: If the needle hits a nerve, it can cause temporary or permanent nerve damage to that area of your body

3. Blood clots: If you have a blood clotting disorder such as hemophilia, you may be at an increased risk of having one after receiving trigger point injections because they usually involve puncturing deep layers of tissue where blood clots often form

4. Bleeding: If there is too much bleeding during or after the procedure, it could lead to anemia (low levels of red blood cells) or even death if left untreated.


Trigger point injections, especially when combined with massage and chiropractic care, are a safe and effective way to resolve the pain associated with muscle knots or trigger points. They can provide immediate and long-term pain relief.

A trigger point is a spot in a muscle that is painful when pressed. When these points are pressed on by a skilled healthcare professional, they can release the knots that cause the pain, which helps reduce or eliminate it altogether.

Trigger point injections are generally given in combination with other treatments like massage therapy or chiropractic care because these therapies help to keep your muscles healthy and free from knots in the first place.