Trigger Point Injections

What are Trigger Point Injections?

A trigger point injection is when your doctor injects medication directly into tight areas within muscles or fascia that are causing pain. These areas are known as trigger points. In many cases, you can feel them under the skin as a knot or nodule.

The most common medications injected into these points are lidocaine or procaine. Sometimes you’ll receive a steroid with them.

What does the procedure look like?

This procedure is an outpatient procedure that takes place in your doctor’s office. You will either sit or lie down in a position that makes the trigger point easily accessible. Your doctor will clean the skin in the targeted area or above the muscle. Sometimes a local anesthetic will be applied topically to help ensure comfort. In many cases you will receive multiple trigger point injections in the same area. This is to make sure you’ve received complete coverage.

Request An Appointment

We want to assure our patients that Portland Pain and Spine remains open and actively managing your pain. Medication management is given the highest priority. Our relocation across the hall in the Washington building is complete but requires office renovation before we can accommodate patient visits. Staffing shortages affected our ability to communicate last month, however, this was temporary. Dr. Balog has reached out to all patients but asks that if anyone has additional questions or concerns to contact him at
We have updated our phone messaging system to assist with calls. There are now options to speak with a live receptionist, leave messages or speak with our new billing company. Medical record requests can be processed on our website at and are handled by Morgan Records Management. Thank you for your patience during this transition. We look forward to providing you high-quality care as we enter into 2024! 

Wishing you all a joyful holiday season.