Trigger point injection

Myofascial pain syndrome originates in the fascia, the thin layer of connective tissue that encases and separates muscles and muscle fibers, enabling them to function independently. In the trunk and limbs, deep fascia separates groups of muscles into well-defined spaces called compartments. Fascial tissue has large numbers of collagen fibers and nerves that make it very sensitive. When stressed, fascia causes muscle tissue to tighten up, restricting movement and causing pain. Stressed and overworked fascia can form tight knots, called myofascial trigger points.

A trigger point is a tender area of muscle that develops when the tissue surrounding the muscle, called fascia (or myofascia) contracts and sticks to itself. A trigger point is often identified as a “knot,” a bump under the skin that can cause pain in the area where it has developed. In some cases, a trigger point can even cause pain in another area of the body when it affects a nearby nerve; this is called referred pain. 

We select the most effective combination of treatment modalities, based on the unique condition of each individual patient.