Clinical Counselling

Pain related to a discrete, irritable point in skeletal muscle or fascia, not caused by acute local trauma, inflammation, degeneration, neoplasm, or infection.

The painful point can be felt as a nodule or band in the muscle, and a twitch response can be elicited on stimulation of the trigger point. Palpation of the trigger point reproduces the patient’s complaint of pain, and the pain radiates in a distribution typical of the specific muscle harboring the trigger point.

During the TPI procedure, the healthcare professional inserts a small needle into the trigger point. The needle contains a local anesthetic or a saline solution and may include vitamins, minerals, etc. The injection causes the muscle to relax, and the pain diminishes.