Why is this procedure done?
TPI is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. Injection of these painful spots can help to relax the muscle and reduce pain. A series of injections may be needed in each trigger point to achieve optimal pain reduction. TPI’s are an important part of treating myofascial pain.

How do I prepare for this procedure?
No specific preparation is needed.

What happens during this procedure?
In the TPI procedure, the physician inserts a small needle into the patient’s trigger point. The injection contains a local anesthetic that sometimes includes Sarapin or corticosteroid, which are anti-inflammatories. With the injection, the trigger point is made inactive and the pain can diminish. Usually, a brief course of treatment can result in sustained relief. Injections are given in the office and usually take just a few minutes. Several sites may be injected in one visit.

What are the side effects?
In general TPI is a safe procedure. A common side effect is post-procedure soreness at the injection site. Additionally, as with any injection (i.e. flu shot), anytime a needle enters the skin, there is the risk, although very low, for infection or bleeding or nerve injury. Please discuss any specific concerns with your physician.

What happens after this procedure?
You may experience soreness, bruising, or even increased pain for a few days until your body has time to recuperate from the injections. Ice and stretching exercises may help to lessen the discomfort.

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