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Myofascial Pain Procedure

Trigger Point Injections in Queens, NY

Summary

Trigger point injections are a quick in-office treatment for painful muscle knots in the neck, shoulders, back, hips and jaw. A physician inserts a fine needle into the tender spot and injects numbing medicine, or uses the needle alone.

Most visits take under 30 minutes, and you go home the same day. Queens Pain Clinic in Rego Park has been treating pain in Queens since 2004.

Last reviewed October 2026

ULTRASOUND-GUIDED PRECISION
MYOFASCIAL RELEASE PROTOCOL
NEEDLE DEPTH: 14mm
TRIGGER POINT: IDENTIFIED
PAIN SIGNAL: INTERRUPTED
Physician performing a trigger point injection in a patient's upper back at Queens Pain Clinic
<30
Min Visit
1–3
Visits Typical
~1 Day
Back to Activity
TL;DR — Quick Summary
What you need to know about Trigger Point Injections

Trigger point injections are a quick in-office treatment for painful muscle knots in the neck, shoulders, back, hips and jaw. A physician inserts a fine needle into the tender spot and injects numbing medicine, or uses the needle alone (dry needling). Most visits take under 30 minutes, you stay awake with local numbing only and no sedation, and you go home the same day. Some people feel looser within minutes. Soreness for a day or two is common, and fuller benefit may follow. Relief can last weeks or longer, especially when paired with physical therapy and posture or workstation changes. The knots can come back, so a short series of one to three visits may help. If a few sessions bring no meaningful change, the plan should be reassessed rather than repeated unchanged.

Outpatient ProcedureLocal Numbing OnlyNo SedationDry Needling OptionSame-Day DischargePairs With Physical Therapy

Conditions Addressed

Neck & Shoulder PainTension & Neck-Origin HeadachesUpper & Lower Back PainPiriformis SyndromeJaw / TMJ Muscle PainRepetitive Strain

Top Benefits

  • Targets the exact tender muscle knot that is causing local or referred pain
  • Some people feel the muscle loosen within minutes of the injection
  • Quick in-office visit, usually under 30 minutes, with local numbing only and no sedation
  • Dry needling is available if you prefer a no-medication option
  • Can ease pain enough to take part in physical therapy and stretching
  • Most people resume normal activity within a day
Trigger Point Injections at a Glance
What is it?

A fine needle placed into a painful muscle knot, with numbing medicine or with no medication

Anesthesia

Local numbing only. No sedation

Medicine options

Lidocaine, bupivacaine or saline. Dry needling uses no medication

Visit length

Most visits take under 30 minutes. Home the same day

Back to activity

Most people resume normal activity within a day

Typical course

One to three visits

How long relief lasts

Weeks or longer. Knots can recur

Location

9701 66th Ave, Rego Park, NY 11374

How It Works

What Is a Trigger Point, and How Does the Injection Help?

A trigger point is a tight, tender spot in a muscle, often called a knot. It can send pain to other places. For example, a knot in the upper trapezius can cause pain behind the eye or up the neck. When a person has several knots that keep coming back, doctors call it myofascial pain syndrome.

The injection targets the spot itself. The physician places a fine needle into the knot, and you may feel a brief muscle twitch. Experts are still unsure exactly how it works. The needle, the medicine or both may play a part.

The goal is to let the muscle relax so you can move more easily and take part in physical therapy.

Two needling options

Trigger point injection

A fine needle delivers numbing medicine such as lidocaine or bupivacaine, or sterile saline, into the tender spot. Some people report less soreness afterward with numbing medicine.

Dry needling

The same fine needle is used with no medicine. Research has not shown a consistent winner between the two approaches. Your physician will talk through the options based on your situation and preferences.

Conditions Treated

What Conditions Do Trigger Point Injections Treat?

They are used for muscle pain that traces back to a tender knot. Injections do not cure fibromyalgia or repair a herniated disc, but they may relieve the muscle pain that comes with them.

Neck and shoulder pain
Tension-type and neck-origin headaches
Upper and lower back pain
Hip and buttock pain, including piriformis syndrome
Jaw and TMJ muscle pain
Repetitive strain from desk work, driving or physical jobs
Muscle pain after surgery or a sports injury
Tender muscle points linked to fibromyalgia, as part of a wider plan
Candidacy

Who Is a Good Candidate?

Injections fit best when
  • You can point to a painful spot in a muscle
  • The pain has lasted more than a few weeks
  • Rest, stretching or medication have not given enough relief
  • You want to be able to take part in physical therapy

A physician examines you first. If you have numbness, weakness or pain that shoots down a limb, which can point to a nerve or spine problem, you may need imaging or a different treatment before any injection.

Tell us before the procedure
  • Blood thinners or a bleeding disorder
  • An allergy to local anesthetics
  • Skin infection near the area to be treated
  • Pregnancy or conditions that affect healing

These can change the plan or call for an alternative. Do not stop any prescribed medication unless your physician tells you to.

Procedure Walkthrough

What Happens During the Visit?

Five steps, from the exam to going home the same day.

01

Exam

The physician examines you and feels for tight bands in the muscle. You are asked where the pain travels.

02

Preparation

The skin is cleaned and you are positioned, either seated or lying down.

03

Injection

The physician guides the needle to the knot by touch, or with ultrasound if needed. You may feel a brief muscle twitch. Several sites can be treated in one visit.

04

Rest

You rest for a few minutes, and the physician checks how you feel.

05

Home and aftercare

You go home the same day with stretching and, if useful, physical therapy guidance.

Relief and Recovery

How Long Does Relief Last?

Right after

Some people feel looser within minutes. Soreness for a day or two is common, and fuller benefit may follow.

Most people resume normal activity within a day. Skip heavy lifting and intense workouts for about a day.

Over the following weeks

Relief can last weeks or longer, particularly when you pair the injection with physical therapy and changes to your posture and workstation.

Knots can come back. A short series of visits may help.

If it does not help

If a few sessions bring no meaningful change, we should reassess the plan rather than repeat it unchanged.

Your plan is tailored to your pain, your job and your schedule.

Safety

What Are the Risks and Precautions?

Most effects are mild and short-lived. Your physician will review your personal risks before you decide.

Possible side effects and risks
  • Temporary soreness at the treated spot
  • Bruising
  • Lightheadedness
  • Less common: bleeding, infection or an allergic reaction to the anesthetic
  • Rare: a collapsed lung from injections near the ribs or upper back. Needle depth and angle are controlled to lower this risk
Call us, or get emergency care, for
  • Fever or spreading redness at the injection site
  • Chest pain
  • Trouble breathing (seek emergency care)

Call the clinic for fever or spreading redness. Seek emergency care for chest pain or trouble breathing.

Combining treatments

We recommend pairing the injection with stretching, strengthening and posture work. Physical therapy is common, and acupuncture or our other services may suit some patients.

Insurance

Coverage depends on your plan and the diagnosis. Injections may be part of auto-injury or work-injury care. Our front desk can check your benefits. See Insurance and Payment Options, or call 1-877-97 NO PAIN.

Who we see

Queens Pain Clinic has served Queens since 2004. We see patients from Rego Park, Forest Hills, Elmhurst, Kew Gardens, Middle Village, Jackson Heights and Flushing.

FAQ

Trigger Point Injection FAQs

Take the First Step

Find Out If Trigger Point Injections Are Right for You

Request a consultation and we'll examine you, explain whether an injection makes sense, and build a plan around your pain, your job and your schedule. See what to expect on our Your First Visit page, or call 1-877-97 NO PAIN.

Queens Pain Clinic

9701 66th Ave, Rego Park, NY 11374

Phone: 1-877-97 NO PAIN

Treating pain in Queens since 2004.

  • Monday9:00 am to 6:00 pm
  • Tuesday9:00 am to 6:00 pm
  • WednesdayClosed
  • Thursday9:00 am to 6:00 pm
  • Friday9:00 am to 6:00 pm
  • SaturdayClosed
  • Sunday9:00 am to 3:00 pm

Last reviewed October 2026. This page is for general information and isn't medical advice. Individual results vary. Talk with a qualified physician before starting any treatment.