TRIGGER POINT INJECTIONS

Myofascial pain is among the most common complaints for which patients seek care from their Physicians.  There are over 600 muscles in the human body and many chronic and complex medical conditions can have an element of Myofascial injury.

Myofascial pain is associated with pain within the fascia.  Fascia is a band or sheet of connective tissue beneath the skin.  This tissue attaches, stabilizes, encloses, and separates muscles as well as other internal organs.  Fascia can be found throughout the entire body within superficial and deep layers.  This tissue has a lot of nerve supply which is one contributing factor to the pain that fascia can manifest.

Myofascial pain can also be associated with muscle tenderness arising from Trigger Points within a specific muscle.  Trigger Points are described as focal points of tenderness caused by contracted muscle fibers which are only a few millimeters in diameter.  Upon examination these Trigger Points are identified as painful bands/nodules found at singular and/or multiple sites within the effected muscle as well as the fascia of the muscle tissue.  They form as a local contraction in a small number of muscle fibers within a muscle bundle or even the larger muscle itself.  These Trigger Points can pull on tendons and ligaments associated with the muscle they are found in and can cause pain deep within a joint where there are no actual muscles.

TRIGGER POINT INJECTION THERAPY

Trigger-Point Injection Therapy is used to treat muscular and fascial pain.  Treatment can help improve muscular range of motion and function.  It is performed by injecting the Trigger Point with a small amount of anesthetic.  This may elicit some discomfort at first but when the Trigger Point is gone so is the pain.  

When the needle is inserted a "twitch" response may occur.  The injection of a local anaesthetic as well as the insertion itself can facilitate the relaxation of the effected muscle fibers, ie the Trigger Point.  The anesthetic also helps numb the area the Trigger Point was in allowing the patient to move more freely without pain.  This increase in movement may also help treat other possible Satellite Trigger Points found within the effected muscle.  The final result is the entire muscle being able to relax.  The anesthetic wears off in less than an hour but the pain free range of motion has been known to last.

The average patient can have positive results within 3-8 treatments.  This depends on where the Trigger Points are located and how chronic the issue is. 

A rest period of 3-5 days is recommended after each treatment to allow the treated muscles to recover.  This means DO NOT over use the muscles that have been treated with moderate to extreme exercise.  It is suggested to maintain mobility with basic movement such as walking and gentle stretching.

All treatments at our clinic are provided by a fully licensed Medical Doctor who has many years of experience with Trigger Point Injection Therapy.  Often people confuse Trigger Point Injection Therapy with Acupuncture, IMS or other types of injections.  It is not the same at all.  It is important for the patient to understand that Trigger Point Injection Therapy is a procedure and, in this case, is performed by a Medical Doctor. The injectable is a short acting local anesthetic (without steroids or adrenalin).  No other medication is injected.

Patients who cannot be treated include:

 

Trigger Point Injection Therapy may not be considered as a beneficial treatment for some patients.  These patients have a higher risk for complications.  Please consult with your Family Doctor before treatment if you are one of the following: 

Patients who have been prescribed blood thinners

Patients who have a Compromised Immunity

Patients who are pregnant

Patients with blood disorders like hemophilia

Patients who have an infection around the area the needles need to be inserted

Patients who are severely scared on needles

Conditions that could benefit from Trigger Point Injection Therapy include:

Pain in the muscles without injury or cause

Whiplash of the shoulder & neck (e.g from a Motor Vehicle Accident)

Tension Headaches and/or Migraines

Strain or Sprain injuries of any part of the body 

Mechanical back pain

Frozen Shoulder

Plantar Fasciitis

Achilles Tendinitis

TMJ (jaw) pain

As with any procedure, side effects may occur during and/or after treatment. Patients may have some varying degrees of the following symptoms.

Side Effects of treatment can include (but are not limited to):

Parasympathetic reactions such as feeling warm, full body sweats, dizziness

Tenderness where the needle was inserted

Bruising

Bleeding where the needle was inserted

Tiredness or Exhaustion

Rare side effects can include:

Flare-up of initial complaint

Dizziness resulting in the patient fainting

Infection where the needle was inserted

Nerves and/or blood vessel injury

Skin irritation caused by an adverse reaction to the anaesthetic

 

Depending on the area treated, Pneumothorax may occur.  This is a serious condition and needs emergency treatment.

The MD will go over all possible risks of treatment during the consultation.  

If you are a resident of BC with valid MSP coverage then treatment is provided at No Charge.

 

To be seen at VIP Therapy for Assessment and/or Treatment, a referral is required from your Family Doctor and/or Specialist.  It is absolutely necessary that you and your Doctor/Specialist have a clear discussion about receiving Trigger Point Injection Therapy.  There may be other medical conditions that need to be treated prior to receiving this treatment.

Please be sure to bring your Physician Referral Form with you to your first appointment or make sure that we have received the form via fax from your Physician.  Without this form the MD cannot perform treatment.  The referral form can be found on the "Referrals and Forms" page of this website where you can download and print it. The form needs to be completed by your Doctor and the appropriate investigations and/or history is to be provided

Please note that VIP Therapy does not accept open WorksafeBC cases without prior WorksafeBC approval.

If you have further questions regarding the Trigger-Point Injection procedure or general inquiries please call VIP Therapy @ 604-948-0260.  Be aware that we cannot discuss your case or provide specific medical advice over the phone.