Trigger Point Injection (TPI) for Pain Care
Trigger point and joint injections can help relieve muscle and joint pain. We offer standard medicines as well as alternative natural medicines such as homeopathic injections.
What are trigger points?
Trigger points are localized hyperirritable spots often detected as lumps or nodules in any of the body's muscles or connective tissue known as fasci. They can be extremely painful when touched. Trigger points can form when the muscle is injured or as a result of chronic inflammation brought about by abnormal biomechanical stress. Trigger points can also form through time by the process of wear and tear on the muscle. As a result of the increased tension occuring within the muscle, normally perpedicular muscle fiber arrangement is inflammed into areas much like nodules where muscle fibers get tangled and distorted out of their normal uniform pattern. Trigger points are palpable in the muscle as a taut band of inflamed muscle fiber and are painful when compressed. Trigger points are known as either active or latent. Active trigger points cause direct pain in the muscle and may irritate the nerves around them and refer pain to different areas. Trigger points may also be latent and only cause pain when they are compressed.
Many people who have trigger points may also have fibromyalgia and or myofascial pain syndrome.
What Happens During Trigger Point Injection?
In the TPI procedure, a health care professional inserts a small needle into the patient's trigger point. The injections can contain either a local anesthetic with a corticosteroid, a saline solution, a dextrose sugar or a variety of natural plant botanicals such as Traumeel which is a homeopathic agent. With the injection, the trigger point is made inactive and the pain is alleviated. The advantage of the natural plant botanicals like Traumeel is that they are not drugs and have little to no side effects and are non-toxic. Corticosteroids are more potent for more severe pains. With the trigger point injection it will stimulate healing as the circulation is increased into the deeper layer muscle fibers. Before injecting, the area will be prepped to ensure for a sterile procedure and a topical anaesthetic will be used for a pain free experience. The procedure will be guided through diagnostic ultrasound to ensure accuracy and safety. This will ensure the injection to the right location and avoid critical blood vessels and nerves.
When Is Trigger Point Injection Used?
TPI is used to treat many muscle groups, especially those in the neck, upper back, rotator cuff and lower back. It can also be used for tendonitis, bursitis or joint pain in the arms and legs. In addition, TPI can be used to treat fibromyalgia and tension headaches. TPI also is used to alleviate myofascial pain syndrome (chronic pain involving tissue that surrounds muscle) that does not respond to other treatments.
How long does it take to heal?
Usually, a brief course of treatment will result in sustained relief. Injections are given in a doctor's office and usually take just a few minutes. Several sites may be injected in one visit. The patient will then be referred to physical therapy for further therapeutic procedures like stretching, massage and exercise. It depends on the individual case, some peoples pain will resolve after their first visit, but usually it will take 5-6 visits.