The goal of physical therapy is to make daily tasks and activities easier. It helps you move better and may relieve pain. It also helps improve or restore your physical function and your fitness level. Our physical therapy teams assist in determining the root cause of dysfunction, then design targeted treatment plans that help patients transition from pain to wellness.

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A trigger point injection (TPI) is the administration of certain drugs directly into areas within muscles or fascia (the protective material surrounding many muscles of the body) that are sources of pain. This type of muscular pain may be a symptom of a variety of conditions. The affected areas are also known as trigger points, as they are “points” of tightness, tenderness, or discomfort in a specific muscle that may affect movement, normal function, or the quality of life of people affected by them. The drugs included in trigger point injections may be local anesthetics such as lidocaine or procaine. A more novel approach is to inject Botox (or botulinum toxin A) into a trigger point. This medication inhibits muscle contraction at a cellular level, which may contribute to the symptoms mentioned above. These injections are regarded as an effective treatment for pain or discomfort emanating from a trigger point. The average trigger point injection procedure lasts several minutes. After a completed injection procedure, the patient may be advised not to strain or over-use the treated area. The physician or specialist may also advise light exercise or stretching of the relevant muscle to contribute to the long-term remission of the trigger point while the tissue is relaxed by the injection.

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This treatment is suggested when the tissues around a tendon are painful, swollen, or difficult to move. Tendon sheath injections on their own are unlikely to offer a cure but can be helpful alongside other treatments such as physiotherapy, splinting, and other longer-term medicines.

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