Trigger Point Injections

A trigger point, also known as myofascial pain, refers to a sensitive region within a muscle that can induce generalized musculoskeletal discomfort when excessively stimulated. These painful "knots" arise when a muscle fails to relax properly and are often palpable beneath the skin. Neuro Spine & Pain Center, located in Key West, specializes in treating trigger pain or myofascial pain, providing comprehensive solutions such as trigger point injections.

Myofascial pain syndrome is a persistent and distressing condition characterized by chronic pain that impacts the fascia, the connective tissue covering the muscles. This syndrome can manifest in a singular muscle or affect a group of muscles, leading to ongoing discomfort and functional limitations.

Trigger point injections serve as a highly effective treatment method for deactivating trigger points and alleviating symptoms associated with myofascial pain syndrome. These injections provide targeted relief for muscle pain in areas such as the arms, legs, lower back, and neck, which often arises from the presence of these painful knots or inflammation. Trigger point injections can also be effective in addressing conditions such as fibromyalgia and tension headaches.

What causes trigger points?

Trigger points are the result of repeated contractions of a muscle. The condition can occur due to the following:

Overuse of an Injury – This is when the patient uses the same muscles repeatedly.

Loading - Carrying or lifting heavy items can cause trigger points.

Acute Injury – Injuries as a result of falls and sports injuries also lead to trigger points.

Tense Muscles – Caused by chronic stress.

Poor Posture – It can cause excessive pressure on specific muscles.

Inactivity - Trigger points can also be caused by being inactive for an extended period.

Symptoms of a trigger point?

The main symptom of trigger points is pain. Patients may experience different types of pain, including the following:

  • Aching pain throughout the muscle.
  • Tenderness localized around the trigger point.
  • Intense pain upon pressing the trigger point.
  • Radiating pain that travels away from the muscle knot Stubborn trigger-point pain can cause muscle stiffness and restrict your movement. The intensity and type of pain caused by trigger points depend on their location. It can lead to tension headaches, restricted range of movement in the legs, temporomandibular joint pain, and lower back pain.

The Process

The treatment procedure includes the following steps:

Step 1 : The patient is made to either sit or lie down.

Step 2 : Our doctor will press on the muscles to locate the exact site.

Step 3 : The affected area is cleaned, and an anesthetic is applied.

Step 4 : We will use a targeted approach to insert a needle into the affected muscle. The expert will help muscles relax by using a specific needle motion. Once the muscle is relaxed, we will use a local anesthetic to cool the area down, minimize soreness, and treat the next painful muscle.

Trigger point injections are considered a safe procedure, with complications and side effects being exceptionally rare occurrences. Patients may experience temporary soreness at the injection site, but this typically resolves on its own. It is advisable to refrain from engaging in strenuous activities for a few days following the injection to ensure optimal recovery and avoid any potential discomfort.


If you are experiencing ongoing or escalating deep muscle aches, tender knots within your muscles, or disrupted sleep due to pain, seeking trigger point injections from our esteemed pain management specialists at Neuro Spine & Pain Center could offer you much-needed relief. During your visit, our dedicated pain doctor in Key West and South Miami will conduct a brief medical history review and perform a thorough examination to assess the presence of trigger points. Sharing this information with our pain doctor will assist in determining the most appropriate course of treatment for your condition.

The diagnosis of trigger points primarily relies on analyzing your pain pattern, complemented by advanced diagnostic equipment and expedient and precise laboratory testing, if necessary. In cases where other self-care treatment approaches have proven ineffective, trigger point injections may be recommended based on your medical history.

What happens during a trigger point injection?

During the trigger point injection procedure, a small quantity of anesthetic and steroid is carefully injected directly into the trigger point. You will be comfortably seated or lying down throughout the process. Our skilled doctors will gently palpate your muscles to pinpoint the precise area where you experience pain. Consequently, a small needle will be inserted into the identified region to administer a combination of anesthetic and steroids. It is possible to address multiple trigger points during a single visit, and the entire procedure typically lasts just a few minutes.

Best Spine Surgeons and Pain Specialists

Dr. William Schnapp

Board-certified Neurologist

Dr. Jon Gottlieb

Orthopedic Spine Surgeon

Dr. Doug Hollern

Orthopedic Spine Surgeon

Jorge Lerma, ARNP


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