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Trigger Point Injection
(Injection, Trigger Point)
|If you have a trigger point in the thigh muscle, the doctor can give an injection to relieve pain.|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for the Procedure
- Tenderness, bruising, or bleeding at the injection site
- Allergic reaction to the local anesthetic or medicine
- Damage to organs, such as the lung (rare)
- The need for other treatments if this injection is not effective
- Have allergies to the local anesthetic or medicines being used
- Have a current infection
- Have a bleeding disorder
- Are pregnant
What to Expect
Prior to the Procedure
- Do a physical exam and ask you about your medical history
- Have tests done (eg, x-rays , MRI scan )
- Ask you about any allergies that you may have to the anesthetic, pain medicine, or latex
- Aspirin and other nonsteroidal anti-inflammatory drugs (eg, ibuprofen , naproxen )
- Blood-thinning drugs, such as warfarin
- Anti-platelet drugs, such as clopidogrel
Description of the Procedure
How Long Will It Take?
Will It Hurt?
Post Procedure Care
- To reduce soreness, apply ice or a cold pack to the affected area for 15-20 minutes, four times a day. You may want to do this for several days. Wrap the ice in a towel. Do not apply it directly to your skin.
- Take over-the-counter pain medicine as recommended by your doctor. The soreness should go away in a couple of days.
- Follow your doctor’s instructions for doing physical therapy. You may need to meet with your physical therapist soon after the injection to take advantage of the pain relief in your muscles.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, bleeding, or discharge from the injection site
- Numbness, tingling, pain, or weakness
- Any new or unexplained symptoms
American Chronic Pain Association http://www.theacpa.org/default.aspx/
National Fibromyalgia Association http://www.fmaware.org/site/PageServer.html/
The Arthritis Society http://www.arthritis.ca/
Fibromyalgia Information and Local Support http://fibromyalgia.ncf.ca/
Alvarez D, Rockwell P. Trigger points: diagnosis and management. American Family Physician website. Available at: http://www.aafp.org/afp/2002/0215/p653.html . Published February 15, 2002. Accessed March 3, 2011.
Trigger point injection. St. Francis Hospital website. Available at: http://www.stfrancishospitals.org/painclinic/Trigger%20Point%20Injection.pdf . Accessed March 3, 2011.
Trigger point injection. St. John Health System website. Available at: http://www.stjohnprovidence.org/HealthInfoLib/swArticle.aspx?3,83753 . Accessed March 3, 2011.
Trigger point injections. Integrative Pain Center of Arizona website. Available at: http://www.ipcaz.org/pages/procedures/trigger.html . Accessed March 3, 2011.
Trigger point injections. Memorial Sloan-Kettering Cancer Center website. Available at: http://www.mskcc.org/patient%5Feducation/%5Fassets/downloads-english/416.pdf . Updated 2009. Accessed March 3, 2011.
Trigger point injections. University of Wisconsin Hospital website. Available at: http://www.uwhealth.org/healthfacts/B%5FEXTRANET%5FHEALTH%5FINFORMATION-FlexMember-Show%5FPublic%5FHFFY%5F1126652225741.html . Updated June 21, 2010. Accessed March 3, 2011.
Trigger point injection therapy. Fibromyalgia Symptoms website. Available at: http://www.fibromyalgia-symptoms.org/fibromyalgia%5Finjections.html . Accessed March 3, 2011.
6/6/2011 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Teresa Briedwell, DPT, OCS
- Review Date: 03/2013
- Update Date: 03/15/2013