A TPI is an injection of local anesthetic (numbing medication), with or without steroid medication, into the trigger point in the muscle. You should be involved in an active stretching and strengthening program to help prevent the trigger points from coming back.
Myofascial release therapy is a type of gentle, constant massage that releases tightness and pain throughout your myofascial tissues. First, your healthcare provider will locate trigger points, or knots, in your fascial tissues. Then, they'll gently apply pressure until they feel the tension release.
Various modalities, such as the Spray and Stretch technique, ultrasonography, manipulative therapy and injection, are used to inactivate trigger points.
Trigger-point injection has been shown to be one of the most effective treatment modalities to inactivate trigger points and provide prompt relief of symptoms.
Evidence shows that most patients need from 5 to 8 treatments to get sustained resolution. Currently myo Clinic patients have an average of 4 treatments.
We use this average to guide our policy in establishing an initial treatment plan for each new patient. Currently we book newly referred patients in a series of 3 appointments 1 to 2 weeks apart to ensure continuity of care. We will later cancel these appointments if they are not needed.