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Trigger points or trigger sites are hyperirritable spots that are located in taut bands of skeletal muscle. They produce pain locally and in a referred pattern and often accompany musculoskeletal disorders. Patients may have regional, persistent pain resulting in decreased range of motion in the affected areas. These can include muscles used to maintain body posture like those in the neck, shoulder and pelvis.

Trigger point injections have been shown to be a very effective treatment to deactivate trigger points and provide relief of the symptoms. Dr. Trobiani will assess the soft tissue and identify the taut band and elicit the twitch response from the muscle. This confirms the trigger point is present. He will inject the taut band or trigger point with a solution of Bupivacine (a long lasting form of Novacaine). Once the injection is complete, he will then compress the site to move the solution along the muscle. When these steps are completed, the muscle can relax and eliminate the soft tissue pain.

In order to increase the effectiveness of the procedure, we couple the trigger point injections with a course of myofascial release therapy. By utilizing this combination, we can work with the fascial tissue at a deeper level to release any remaining restrictions without the discomfort of pain from the taut bands of skeletal muscle.