myoActivation Trigger Point Injections
What is myoActivation?
Dr. Siren developed the myoActivation therapeutic system of pain care based on the myofascial trigger point needling methodology developed by Travell and Simons in the 1960s and detailed in their book, Myofascial Pain and Dysfunction:The Trigger Point Manual.
Dr. Siren trademarked the term myoActivation to ensure that only qualified practitioners use it.
The myoActivation system of pain care is more fully explained in a book chapter titled ‘myoActivation: a structured process for chronic pain resolution’ and is part of an online and print book, Pain Treatment, published by IntechOpen, London UK, and edited by Marco Cascella MD PhD of the Istituto Nazionale Tumori in Italy.
Click the button below for a free download.
What is a Trigger Point Injection (TPI)?
TPI is the insertion of a needle to trigger points, fascia (the membrane that envelops muscles) and scars. We usually inject 0.9% saline, which has the same concentration as salts in your blood. The saline helps the muscle contract and relax.
We use saline rather than other medications such as lidocaine or steroids to reduce possible side effects. There is evidence that saline injections have effective outcomes in pain reduction. We are conducting a research study at UBC that compares the results of various needling treatments, including TPI with saline, to better understand which form of needling treatment leads to better outcomes.
What can I expect during a myoActivation Trigger Point Injection treatment?
Your doctor will physically examine you and ask you where it hurts the most in a number of different positions. The doctor will insert the needle into the points he or she identifies as causing the problem. Very often the needling site is not where pain is felt. For example, low back pain often comes from trigger points in the abdomen rather than the back. The body is all connected!!
After TPI, your trigger points or fascia will likely relax and your pain will decrease.
What are the possible side effects?
See our Side Effects Page
You might NOT be able to have this procedure if:
You have an infection
You are on blood thinners
You are pregnant
You are immuno-compromised or immuno-suppressed
Please let your doctor know if you have any of these conditions. The doctor will tell you if it is safe for you to be treated.
What is the typical number of treatments needed?
Evidence shows that most patients need from 5 to 8 treatments to get sustained resolution. Currently myo Clinic patients have an average of 4 treatments.
We use this average to guide our policy in establishing an initial treatment plan for each new patient. Currently we book newly referred patients in a series of 3 appointments 1 to 2 weeks apart to ensure continuity of care. We will later cancel these appointments if they are not needed.
How often may I have a Trigger Point Injection?
We usually recommend no more than one treatment per week, to a maximum of 8 treatments. If you haven’t had sustained benefit after 5 treatments, your physician will re-examine your care plan and change the course of treatments if that is right for you.