If you are someone who has had a torn rotator cuff, or any other shoulder injury you may have heard the term “trapezius trigger point injections“. This is a common term in treating shoulder pain and muscle imbalance. Trigger points (also called “trapezius“, which is Latin for “three fingers”) are small painful nodules that lie under the muscles of the trapezius muscle and superior vena cava. There are many different types of trapezius trigger points. Some of the most common and painful are the latissimus dorsi or commonly known as the “main” shoulder, and the levator scapulae, or “lung bone” shoulder.
The injection procedure is very simple and painless. You will be sedated with intravenous sedation, then the needle is placed into one of the trigger points. Once you are awake the needle is removed, the catheter is removed, and you are given pain medication and then released to take care of any infections. Myofascial pain syndrome is treated with myofascial release, and/or steroid injections. Usually, after the initial myofascial release, the patient will undergo a second “trapezius trigger point injection” to treat chronic tension and acute injuries resulting from trigger points.
If the injection site is not that painful, or is otherwise pain free, you may opt for a dry needling procedure. During a dry needling procedure, the needle is not pulled through the muscle tissue, but rather punctured by a fine needle in such a way that it cuts a small hole. This causes only a small amount of pain, so the injection sites will not be irritated. Dry needling is typically used to treat myofascial pain syndrome, tennis elbow, and frozen shoulder.
The next question is whether you will be able to tolerate the anesthetic used during the procedure. Although most hospitals do not offer anesthetic services, some offer it as an option for pain management. Many times, anesthesiologists will suggest this treatment because it is less invasive than some other procedures. One thing to keep in mind is that although the anesthetic may reduce pain, there is a chance that you will still feel some discomfort. Your doctor will be able to inform you if the procedure is going to require you to have general anesthesia, or local anesthesia.
Before you even find out if the injection is an appropriate option for your situation, it is important that you talk with your doctor about over-the-counter medications. There are a variety of different options, and many of them work very well. However, you should also know that the doctor may choose to recommend one of the more potent non-steroidal anti-inflammatory medications such as naproxen, ibuprofen, or acetaminophen. These medications can make you uncomfortable, and they can also lead to adverse side effects if you are taking too much of them. If you are not comfortable taking these over-the-counter medications, or if your physician says that you should not take them, then you should find another option.
Recovery time is dependent on several factors, including the amount of the muscle you injected, as well as the amount of scar tissue that you may have created. For most procedures, there is usually no recovery time required, but you may experience some swelling, bruising, or a mild degree of pain. In some cases, people experience pain so bad that they are unable to get through their day. Take care of any problems that you are experiencing immediately, because they may become worse over time.
One important factor to consider is how long you will be able to wear the anesthetic. Even if your doctor recommends giving you a local anesthetic, you may want to consider getting a more powerful one. Most local anesthetics work well for just a few hours, whereas a more powerful drug can be used for longer periods. You should also know that a local anesthetic will not prevent you from feeling any pain while the trigger points are being treated.
Make sure that you are ready to have the procedure done, and that you understand the risks involved before you agree to it. The doctor can give you the most accurate information, but you will need to decide for yourself if this procedure is right for you. Ask your doctor about the various injections that are available, and compare the results that you can achieve with them. If you are in good health, the Trapezius injections should not cause any problems. However, if you have underlying health issues, such as diabetes, hypertension, or other serious ailments, then you should discuss these risks with your doctor thoroughly before receiving the trapezius injection.