Trigger Point Injections
Trigger point injections are used to reduce or relieve the pain caused by trigger points. The procedure is done in our office and takes only a few minutes of your time. Many people experience immediate relief from pain after receiving trigger point injections.* Trigger point injections can be used to treat many conditions including fibromyalgia and headaches as well as other forms of chronic pain.
Painful areas of muscle that are tender and may feel like tight bands or knots are referred to as trigger points. A trigger point is often sore to the touch and can also “trigger” pain in other areas of your body. For example, pressing on a trigger point at the top of the shoulder may send pain down the arm or up into the neck.
Trigger points are overactive muscle areas, and sometimes scar tissue. This develops when muscles tighten to guard unstable areas.
Remember muscles never tighten because they can’t think of anything else to do….muscles tighten to PROTECT structures that cant protect themselves (the spine and spinal cord, nerves and moveable joints).
Tight muscles and trigger points are helped by:
Exercise: strengthens the overused/overactive muscle
Chiropractic: Stabilizes the spine so the muscles do not have to stay as tight
Trigger Point injections: Directly breaks down the scar tissue in the muscle
Deep Tissue Massage
Trigger points are often misdiagnosed as other conditions such as repetitive motion injuries. This happens because trigger points tend to cause referred pain or pain that is felt elsewhere in the body such as in the example above where the trigger point in the shoulder causes neck and arm pain.
Trigger points have many causes including muscle overload, disease, distress, trauma, radiculopathy, infections and even habits such as smoking. Trigger points form as a contraction in a portion of the fibers in a larger muscle or muscle bundle. This can then pull on tendons and other connective tissues associated with the affected muscle. This pulling can result in pain deep within joints. Pain and weakness in associated structures are often found in conjunction with trigger points. Study of these patterns has made it possible for diagnosis and treatment of trigger points to provide relief from the associated referral pain. Extensive treatment is sometimes needed to relieve multiple trigger points which can often contribute to each other in addition to creating the associated pattern of pain.
Treatment of trigger points begins by locating the knots within the muscles which are causing the pain. Once located a combination of massage, dry needling or injection with a solution is used to relax the knot and begin the healing process. Immediate pain relief is often experienced by people receiving trigger point injections. Long term relief is often achieved with a short course of treatment.*
Proper diagnosis and treatment of trigger points helps restore and maintain natural ease of movement.*
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