Description

Trigger Point Injections for Myofascial Pain Understanding Trigger Points Trigger points are small, hypersensitive knots that develop within tight muscle fibres. They commonly occur in the muscles of the jaw, face, neck, and shoulders, particularly in patients with Myofascial Pain Syndrome (MPS) or Temporomandibular Joint (TMJ) Disorders. These trigger points can cause persistent muscle pain, tenderness, restricted jaw movement, headaches, and pain that radiates to other areas of the face, head, or neck. While physiotherapy, stretching exercises, medications, and oral appliances are often effective, some trigger points remain active despite conservative treatment. In such cases, trigger point injections may be recommended to help reduce muscle pain and facilitate recovery. Conventional Trigger Point Injections A trigger point injection involves delivering a small amount of medication directly into the affected muscle to help relax the trigger point, reduce pain, and improve muscle function. Traditionally, these injections are performed by identifying the painful muscle through clinical examination and palpation. This technique has been used successfully for many years and can provide relief for carefully selected patients. However, because the injection is guided primarily by touch and anatomical landmarks, it may be more challenging to accurately target deeper or smaller muscles. Ultrasound-Guided Trigger Point Injections At our clinic, we offer ultrasound-guided (USG-guided) trigger point injections, an advanced technique that allows the treating clinician to visualize the muscles in real time during the procedure. Using high-resolution ultrasound imaging, we can accurately identify the affected muscle, locate the trigger point, and guide the needle with precision while avoiding nearby nerves, blood vessels, and other important structures. This image-guided approach enables highly targeted treatment and is particularly valuable for deeper or anatomically complex muscles involved in jaw and facial pain. Ultrasound guidance also allows us to confirm the correct placement of the injection, supporting a precise and individualized treatment approach. Our Approach Trigger point injections are never considered a standalone solution. They form part of a comprehensive treatment plan that may also include physiotherapy, myofascial release therapy, jaw exercises, bite correction, custom oral appliances, and lifestyle modifications to address the underlying causes of muscle pain. Every patient undergoes a detailed clinical evaluation to determine whether trigger point injections are appropriate and to develop a treatment plan tailored to their individual condition and goals. Our focus is on delivering evidence-based, patient-centred care with precision, safety, and comfort—helping reduce muscle pain, improve jaw function, and support your return to everyday activities with greater ease and confidence.