Trigger point injections,
then movement.

Trigger point injections are most often considered for myofascial pain in the neck, upper shoulders and back, including muscle pain that follows strain, posture demands or a whiplash injury. The examination first confirms that muscle is a real contributor and looks for joint or nerve causes that need different care.

A fine needle is placed into the tender point, usually with a small amount of local anesthetic. When a deeper or more precise target is needed, ultrasound may be used to guide placement.

Several points can be treated in one short visit. Most people feel some soreness for a day or two and return to normal activity right away. You can drive yourself home in most cases.

Injections work best when followed by stretching, strengthening and attention to the habits that keep muscles overloaded. Results vary, and no outcome is promised. The goal is to need fewer injections over time, not more.