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Trigger Point Injections

Treat pain, improve range of motion, and recover from injury faster

Decrease pain naturally at Rebel Med Northwest with Trigger Point Injections

Trigger point injections are a unique way to manage myofascial pain using a variety of different healing substances that are injected right into a tender point in the muscle, called a trigger point. Trigger points are often described by patients as “knots” or tension in the muscle that can’t seem to be relieved after trying self massage, acupuncture, or heat applications. Trigger point injections can include , sterile water or saline, homeopathic injectables including Traumeel or arnica, anesthetics like lidocaine, procaine, or even certain nutrients like magnesium or vitamin b12.

Many Conditions that may benefit from Trigger Point Injections include:
Muscle strains
Ligament sprains
Migraines & headaches
Chronic neck or back pain
and more
Consider meeting with one of our physical medicine specialists or acupuncturists to explore how you might use trigger point injections to get you improved motion and decreased pain.

Naturopathic Trigger Point Injections

Naturopathic Trigger Point Injections

Trigger point injections provided by naturopathic physicians are a great complement to spinal manipulation, or myofascial work including therapeutic stretching provided in office. The ability to decrease pain instantly, and correct the dysfunction either in the joint or muscle spasm can drastically improve response to treatment vs doing only one. A great complement to chiropractic or naturopathic spinal manipulations, Trigger Point injections assist in targeting stubborn myofascial points and can reduce the reliance on pain medicines like ibuprofen, tylenol, or opioid pain medicines.

Rebel Med Northwest Naturopathic physicians can bill insurance for trigger point injections with some insurances, and use stronger anesthetics such as lidocaine if necessary.

Additional substances the providers can use in addition to saline: Procaine, Magnesium, Vitamin B12, Homeopathic remedies.

Acupuncture Trigger Point Injections

Acupuncture Trigger Point Injections

Trigger point injections provided by one of Rebel Med Northwest’s East Asian Medical Providers include the acupuncture philosophy and application of medicinal action of nutrients when injected to specific points. Our acupuncture providers are all certified in the ability to treat with biopuncture or trigger point injections in the state of Washington, providing a unique blended approach to care between western and eastern medicine.

Acupuncture typically utilizes much thinner needles than typical injection techniques in treating trigger points; both meridian points and ah shi points are stimulated for treatment. The Chinese have historically treated active and referral pain patterns using the ah shi points, which literally translate to “ouch” points. Ah shi points can be likened to trigger points in Western terminology and, in fact, many acupuncture points coincide with trigger points.

Trigger Point injections can be a safe and efficient way to support your recovery with pain, and are a great adjunct to the many integrative medicine services offered by the Rebel Med Northwest Team!


Is an Office Visit required?

An office visit is required to evaluate and treat by either a naturopathic physician or acupuncturist trained in bio-puncture techniques, unless otherwise referred by your physician prior to receiving treatment. Not all patients may benefit from trigger point injections, and when a thorough history and physical exam takes place the provider will determine necessity for treatment recommendations and if you can benefit from trigger point injection therapy.

How does a Trigger Point injection work?

These medications help to block inflammation. Inflammatory substances in the muscle produce pain by sensitizing nerve endings and receptors. In addition, the physical force of the fluid helps to break muscle spasm and adhesions.

Trigger point injections are very safe. Patients may feel some injection site tenderness following the injection as the local anesthetic wears off.

What is the injection substance?

Injection substances: Nutrients or local anesthetic medications, typically a 1% or 2% solution is used of lidocaine or procaine, while additionally being diluted by sterile water or saline. Used to help create a pain relieving effect with trigger point injection and assist in therapeutic response. Procaine is preferred over lidocaine due to several reasons: Procaine is metabolized locally into diethylaminoethanol (DEAE) and para-amino benzoic acid (PABA); DEAE is thought to increase acetylcholine while PABA is part of the folic acid molecule. So in this sense, procaine serves as a nutritive to damaged muscles. Lidocaine is longer acting and metabolizes in the liver; the possibility for achieving lidocaine toxicity is much greater than that of procaine, especially in the event of multiple injections in a short time period. Having experienced previous adverse reactions to local anesthetics is a contraindication to using either one of these injectants.

Local anesthetics also have the effect of blocking sodium channels, thereby preventing depolarization. This has the overall effect of decreasing muscle hyperirritability in the local area of injection.

Other injectants include vitamins B1, B6 or B12, homeopathics, sterile water or magnesium sulfate. Each one has its considerations; however, the clinical success of trigger point therapy is dependent on operator technique, patient metabolism, and physical response to treatment when combined with other treatment modalities to maximize efficacy.

These medications help to block inflammation. Inflammatory substances in the muscle produce pain by sensitizing nerve endings and receptors. In addition, the physical force of the fluid helps to break muscle spasm and adhesions.

Trigger Point Injections & Insurance

Insurance: In some instances trigger point injections can be billed to insurance if deemed medically necessary by provider and coverage exists for insurance plan, please talk to our front desk staff if you would like to use your insurance if you have coverage for trigger point injection benefits with one of our naturopathic physicians and your insurance plan. Price may vary depending on patient’s insurance deductible, copay, and plan benefits. The patient is responsible for understanding their insurance benefits for all covered and non-covered services including materials charges. Please contact 206–297-6013 if you have any questions.

Cash, Debit, or Credit accepted.

$50 Introductory Offer: Trigger point injection

  • Initial evaluation of symptoms with acupuncturist or naturopathic physician
  • Includes treatment, and cost of materials for treatment
  • Comprehensive plan recommendation for future care.
  • Free lymphatic support tablets with treatment
  • Packages available, or contact office for insurance coverage
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