Pain Clinic

Trigger point injections

Dr. Stefan Milanovic accepts referrals for trigger point injections (TPI) as part of a multi-modal pain management strategy. Trigger point injections are safe, evidence-based procedures used to alleviate myofascial pain in patients who have not responded to conservative management.

Common indications

• Chronic neck or back pain
• Myofascial pain syndrome
• Tension headaches related to cervical muscle trigger points
• Fibromyalgia, with targeted focal muscle involvement
• Piriformis syndrome
• Shoulder girdle pain, including trapezius and rhomboid tension
• Refractory gluteal or paraspinal trigger points
• As an adjunct to physiotherapy, massage or IMS

Procedure overview

For trigger point injections:

• In-office treatment using local anaesthetic (for example lidocaine 1%), with or without corticosteroid
• Patients can typically resume normal activities the same day
• Follow-up is coordinated with the referring provider and, where relevant, allied health (physiotherapy, RMT)

How to refer

Have your family physician send a referral letter to Westside Medical Associates.

Please include with the referral

• Relevant clinical notes
• Imaging, if available — not required
• A list of previous conservative treatments (for example physiotherapy, medications)

Thank you for entrusting us with your care.