A guide to trigger point injections for muscle pain

Written in association with: Dr Nofil Mulla
Published:
Edited by: Karolyn Judge

Muscle pain can be a debilitating condition in our day-to-day lives. Fortunately, those who experience severe or chronic complaints might be interested to know there are injections available to help ease the pain.   

Leading pain consultant, Dr Nofil Mulla, has put together an informative article about trigger point injections for muscle pain and how they can benefit people considering the procedure.  

 

Man with bald head and glasses grimacing and holding his neck

 

How can trigger point injections help people with muscle pain?

When pressure is put on a trigger point, it causes pain. A trigger point is a tender area of your body that is often a muscle. Normal muscles contract and relax. The muscle may fail to relax at trigger points and a knot or tight band of muscle is formed.           

 

 

When might someone benefit from this treatment?

In order to decrease swelling and inflammation, injecting local anaesthetic and steroid anti-inflammatory can help. Pain and abnormal sensations may be reduced and mobility can improve, too.

 

 

What does the procedure involve?

In an attempt to reduce muscle pain, trigger point injections usually contain local anaesthetic and a small amount of steroid.

A fine needle that feels like an innocuous pinprick or scratch is perceived, like the kind felt during a jab. Antiseptic solution will be used to clean the injection site and some local anaesthetic will be injected into your skin. This will sting briefly. As the needle is put into the right place, you may feel a pushing sensation and then the medication will be injected. After this, the needle will be removed. Before being able to go home, you will be asked to stay for 10 to 15 minutes in the waiting room.  

 

 

What should you do after having injections?

Usually, the procedural pain is tolerable and only requires simple painkillers like paracetamol. Occasionally, cold compresses and ice packs may be required.

 

 

When will you notice an improvement?

The local anaesthetic benefits are usually experienced within a day or two but the steroid may take up to seven to 10 days to work. The injection site may feel uncomfortable and sore. This is nothing to worry about. On rare occasions, you may feel some dizziness or be light headed when sitting or standing. Continue to take your painkillers if you get any pain over the first few days.

 

 

How many injections can you have a year?

The procedure may be repeated a couple of times a year. However, continued use of steroids is not advocated although and the steroids that are injected are not systemically absorbed to the same extent as that administered orally or intravenously.

 

 

If you’re considering trigger point injections or require advice regarding muscle pain, Dr Nofil Mulla can provide top, expert advice. Visit his Top Doctors profile here.

By Dr Nofil Mulla
Pain medicine

Dr Nofil Nisar Mulla is a leading consultant pain physician and intervention specialist, and clinical lead for the integrated pain services at the Luton and Dunstable University Hospital and Bedfordshire Hospitals NHS Foundation Trust. He has vast experience in the multidisciplinary management of all pain conditions and offers modern and superior pain management techniques.

His areas of expertise lie in treating back, neck and spinal pain; headaches; postoperative pain; sciatica; sports injuries; migraines and facial pain.

He offers treatments in the form of medication management and a broad range of injection therapies, including lumbar and cervical epidural injections, facet joint injections, medial branch blocks, joint injections, trigger point injections, botox injections and many more. He also holds expertise in the use of ultrasound-guided pain procedures, peripheral nerve stimulation and radiofrequency denervation/ablation.

In addition to his consultancy roles, Dr Mulla often presents scientific papers and lectures nationally and internationally within the field of pain management. Furthermore, he actively contributes to scientific journals and medical textbooks.

He also has a passion for education and is a tutor for pain education supervision and the examinations tutorials advisor for the Pain Faculty at The Royal College of Anaesthetists. He also regularly serves as an educational supervisor for anaesthesia trainees and a medical appraiser for consultants and non-consultant doctors.
 

View Profile

Overall assessment of their patients


  • Related procedures
  • Platelet-rich plasma
    Ozone therapy
    Botulinum toxin (Botox™)
    Sedation and general anesthesia
    Pelvic pain
    Neuropathic pain
    Ultrasound
    Epicondylitis (tennis elbow)
    Elbow Pain
    Shoulder
    This website uses our own and third-party Cookies to compile information with the aim of improving our services, to show you advertising related to your preferences as well analysing your browsing habits. You can change your settings HERE.