Pain Management Injections

Myofascial pain is defined as pain that originates from myofascial trigger points in skeletal muscle. It is prevalent in regional musculoskeletal pain syndromes, either alone or in combination with other pain generators. The myofascial pain syndrome is one of the largest groups of under diagnosed and under treated medical problems encountered in clinical practice. Trigger points are commonly seen in patients with myofascial pain which is responsible for localized pain in the affected muscles as well as referred pain patterns.

Trigger points are a common cause of pain, from chronic back pain and neck pain, to tension headaches and hip pain. Trigger point injections are considered when you suffer injury from an auto accident or through chronic overuse of your muscles during sports or work. Fort Worth pain management specialist, Dr. Eames at Beach Pain Center is skilled in working with acute or chronic pain and offer trigger point injections under ultrasound guidance as part of his pain management therapy.


The most common treatments for trigger point injuries are chiropractic manipulation, heat, electrical muscle stimulation, ultrasound and deep tissue massage therapy. Another technique is to use a cooling spray and then stretch the area. Chiropractor at Beach Pain Center can perform manipulation and/or mobilization to help relieve painful trigger points. If these noninvasive treatments fail to deliver healing results, trigger point injections are the next best option for pain relief.

Trigger Point Injections (TPI) under Ultrasound Guidance

Trigger point injections are used to treat extremely painful muscle areas. As muscles contract and relax, a trigger point acts like a knot or tight band when a muscle fails to relax. The knot or tightness can often be felt under the skin, causing involuntary twitching of the affected area.

The trigger point can trap or agitate nerves surrounding the injured area and cause pain in other parts of the body. Eventually, if not treated correctly, scar tissue, range of motion loss, and weakness can develop.

TPI is used to alleviate acute or chronic pain involving tissue that surrounds muscles that do not respond to other types of treatment. Many muscle groups, especially those in the lower back, neck, arms, and legs, are treated using this method. TPI also has also been effective in treating cervicalgia (Neck Pain) and migraine headaches.

Ultrasound Guidance Process

Ultrasound-guided trigger point injections may help confirm proper needle placement within the cervicothoracic musculature. The use of ultrasound-guided trigger point injections in the cervicothoracic musculature may also reduce the potential for a pneumothorax by an improperly placed injection.

Ultrasound yields multiple advantages technically and practically, including observation of needle placement in real-time, ability to perform dynamic studies, the possibility of diagnosing musculoskeletal pathologies, avoidance of radiation exposure, and reduced overall cost.

Facts About the Injection Process

Medical doctor, Dr. Eames, at Beach Pain Center can administer TPI injections in approximately 30 minutes. Before giving you the TPI, Dr. Eames may use a nerve block to prevent pain from needle penetration as local anesthetic is injected. The shot deactivates the trigger point and eliminates pain. A brief course of treatment will usually bring sustained relief.

Post-Injection Care

Once the procedure is complete, you may experience numbing from the anesthetic, which could last 30 minutes to an hour. You may also have a slight bruise at the point of the injection, but that will disappear over time. Any post-treatment pain can be relieved by alternating between hot and cold compresses for a couple of days. Chiropractic manipulation, Physical therapy, ultrasound therapy and certain stretching exercises also aid in treatment.

Contact the pain management doctor in Fort Worth TX today for an initial consultation. Beach Pain Center has the staff, tools and expertise you need to eliminate pain effectively.

Experience, trust, and years of knowledge are what we deliver, so don’t let pain control your life; call us today at 817-831-3388.