Arvada Trigger Point Injections - TPI

If you are suffering from conditions such as myofascial pain syndrome, tension headaches, chronic muscle tightness, fibromyalgia, low back pain, arthritis, neck pain, or shoulder pain– Trigger Point Injections (TPI) may be the answer for you. Research has shown over the years that trigger point injections provide significant pain relief from these debilitating disorders, especially if integrated with chiropractic and/or physical therapy.


Trigger points are those “knots” in your muscles that are formed when muscle fibers contract around an injured joint or annoyed tissue and start to stick together and spasm. The most common areas trigger points are found are in the rhomboid and trapezium muscles—the muscles that are critical for neck and shoulder support. These points can become hyperirritable and painful and can remain even often the underlying issue is resolved. Trigger points can also “trigger” tension headaches, tinnitus, temporomandibular joint pain, and low back pain. They can reduce range of motion and if not treated, can result in chronic, debilitating musculoskeletal problems. TPI has been shown to be one of the most effective treatment modalities to inactivate trigger points and provide prompt relief of symptoms.

How is a Trigger Point Injection performed?

After our nurse practitioner performs an examination, she will inject a small amount of lidocaine, a local numbing agent, which immediately acts to relieve muscular spasms, knots, and adhesions. Several trigger points may be injected at a single appointment, providing significant relief. This entire process should take 15-30 minutes. To ensure the best possible outcome, it is highly recommended to incorporate maintenance care with one of our chiropractors or our physical therapist after receiving TPI.

qualified care

Our nurse practitioner can perform all trigger point injections and has received additional post graduate training in performing many different types of injections. She works closely with all of the other providers in our office to determine how these injections will be incorporated into your specific treatment plan. After getting trigger point injections, we suggest you see one of our chiropractors or physical therapist to maximize the effects.


How many visits does it take for TPIs to work?

Ideally, a trigger point will resolve after one injection, especially if the cause of the trigger point has been removed (such as a trigger point caused by a repetitive minor trauma or movement that will no longer be performed). However, as most trigger points are the result of a chronic musculoskeletal disorder, recurrence is likely and will need additional injections. Most patients receive two to three sets of injections, performed two weeks apart. Your unique response to these injections will help us determine whether or not additional injections are needed.

How is TPI different than dry-needling?

TPI and dry-needling work in very similar manner. The main difference with TPI is the injection of lidocaine into the muscle fibers. Make an appointment with our nurse practitioner today to further discuss which treatment may benefit you the most.

What are the risks?

TPI is extremely safe and there should not be any side effects. However, on rare occasions, complications such as muscle soreness, infection, bleeding, and bruising can take place. Our nurse practitioner is careful, performing each injection with highest care. If you have any questions for us, be sure to ask.

How much will this procedure cost?

Your “out of pocket” expense for TPIs will depend upon the number of treatments and on your specific insurance coverage. If you don’t have insurance, contact our office to find out how to take advantage of our discounted care programs. We strive to make care affordable for everyone, regardless of your insurance status.