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This page was published on Feb 22, 2018, edited on Mar 25, 2018 by Dr. Melepura (Pain Management Doctor) of Sports Injury & Pain Management Clinic of New York

Myofascial pain often appears as severe headaches, caused by muscular trigger points in your neck or back. A trigger point injection places anti-inflammatory pain medicine at the problem trigger point. Trigger point injections for migraines, also called myofascial trigger point injections, have proven effective for easing headaches. Your pain after trigger point injections is vastly reduced. Make your appointment today in our sports injury and pain management clinic in NYC to get your pain evaluation and treatment. Sports injury doctor Melepura M.D. is one of the best back and neck specialists in New York.

Trigger Point Injections Doctor in NYC, Top Back Pain SpecialistTrigger points are spots in your muscles that — when poked, pressed or massaged — cause the whole muscle to react. A trigger point can send a ripple of pain through the muscle. Sometimes, that pain travels to other parts of your body. When this happens, it’s known as referred pain, and often there are no other symptoms where this pain ends up.

You can experience referred pain anywhere, but it commonly causes headaches, a condition called myofascial pain. The spot on a muscle that starts your headache is called a myofascial trigger point. A myofascial trigger point injection is a shot of pain medication into the trigger point causing your headache.

What Causes Trigger Points

Trigger points can develop in any muscle. While there are many factors involved, it’s believed they appear due to:

  • A muscle injury from exercise or sports
  • Trauma, such as a blow to the muscle
  • Inflammation that damages the muscle
  • A muscle that’s been stressed repeatedly

If you already suffer from a headache-related condition such as migraines or tension headaches, trigger point pain can make your headaches worse, while prolonging your current condition. In that case, you’ll welcome a myofascial trigger point injection.

Its Symptoms Lead to Its Diagnosis

In addition to headaches, you can experience referred pain in other parts of your body, most commonly as:

Your New York City doctor asks you when your pain started and whether you suffered any injuries. After the medical history is completed, the next step toward a diagnosis is a physical exam. If no other symptoms are found, a trigger point is the likely cause.

A trigger point on a muscle feels like a knot, much harder than the surrounding tissue. When your sports and pain physician presses on the spot, it should hurt not only on the muscle, but also in the area where the referred pain has been an issue. If you’re getting headaches, a trigger point injection for migraines is a possible solution.

When You Need a Trigger Point Injection

Your Midtown Manhattan sports and pain management doctor initially may prescribe rest, over-the-counter pain relievers and physical therapy to treat your condition. But if those treatments don’t have an immediate effect, especially if you’re suffering from severe or debilitating headaches, trigger point injections for migraines may be the next option. It puts pain medicine and anti-inflammatory drugs right at your trigger point.

A myofascial trigger point injection, delivered by the experienced hand of your NYC physician, can neutralize your headache. If your referred pain has presented in your neck or back, a trigger point injection works just as well. In fact, your pain after trigger point injections is greatly reduced. Don’t wait to see your doctor in New York City when you’re in pain; get the pain relief you need.

Getting a Myofascial Trigger Point Injection

Trigger point injections for migraines or other referred pain is done in your Manhattan doctor’s office. Once the diagnosis is confirmed and your trigger point has been identified:

  1. You’re asked to lie on an x-ray table, face-up or face-down, depending where your trigger point is. A fluoroscope provides real-time x-ray images for your doctor.
  2. The site of the injection is cleaned and disinfected. You may get a local anesthetic, too.
  3. Your doctor uses the fluoroscopic images to guide the needle exactly to where your trigger point injection has the greatest effect.
  4. Once the needle is in position, the doctor releases the medication into the area. Multiple injection sites may be needed to cover the trigger point.

The medication injected is a mix of saline, anti-inflammatory steroids and an anesthetic. The steroid works to reduce inflammation. The anesthetic blocks the pain signals from the trigger point, so you should feel a decrease in pain almost immediately. The steroids often take a couple days to begin working, but pain relief from the myofascial trigger point injection should stop your headaches and the trigger point pain.

Moving Past Pain

There’s no downtime for this procedure. After the injection, you relax until the doctor clears you to leave. Your pain after trigger point injections is diminished. The injection site may feel temporarily numb or sore, but infection and bleeding are rare.

The effects of your trigger point injections for migraines last for several months. By that time, your trigger point should have relaxed and won’t bother you anymore. You can repeat the procedure if needed, but only once or twice, as steroid medication becomes detrimental if taken too often. One myofascial trigger point injection is completely safe and causes no significant side effects.

Do you have any questions about the trigger point injections for back and neck pain we offer in NYC? Would you like to schedule an appointment with the best rated back pain management doctor Febin Melepura MD of sports pain management clinic in New York? Please contact our office for consultation with the top pain relief specialist in Midtown Manhattan.