Trigger Point Injections

In the trigger point procedure, a health care provider inserts a small needle into the patient’s specific area of pain (trigger point) in a muscle. The injection usually contains only a local anesthetic, but occasionally may contain a steroid medication. This procedure can be performed in a doctor’s office and does not require sedation. The patient is positioned sitting or lying down. Your doctor will first palpate and identify the painful areas within a muscle. After identifying such trigger points, your doctor will inject those areas. Depending on how many trigger points are identified, more than one injection may be required.   Some headache specialists perform trigger point injections along with   peripheral nerve blocks in   the same treatment session.






Dr. Spiel’s unique clinical background has enabled him to view the practice of interventional pain through a broader perspective...

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A fellow of the American Academy of Orthopedic Surgery, Dr. Pflum earned his undergraduate degree at Georgetown University, Washington, DC ...

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