What is a myofascial trigger point?
A firm knot in a muscle that is painful on light to firm pressure. It causes pain, stiffness, and tightness in the muscle and surrounding area.
Dr. Nitish Mandal
What is a myofascial trigger point injection?
A myofascial trigger point is a firm muscle knot. A small diagnostic block can confirm it. Later stages may use a low-dose steroid injection at that point.
A myofascial trigger point is a firm muscle knot that is painful on pressure. A small diagnostic block can confirm it. Later stages may use a low-dose steroid injection at that point.
This article is from Dr. Nitish Mandal, Consultant Pain Physician in Bangalore, with clinics in Koramangala and J.P. Nagar. Reviewed by Dr. Nitish Mandal, MBBS, MD, FIPM, TIPM (Nashville).
Published 2025-06-01 · Updated 2026-09-22
Which muscles are commonly involved?
Postural muscles: back and neck, then hips, hamstrings, and calf muscles. The most common is the trapezius. IT work and looking down are common Bangalore triggers.
How it is diagnosed and treated
A painful knot may be found by pressing the muscle. A diagnostic block with a very low dose of local anaesthetic can confirm it. Early options include massage and dry needling. Later stages may use a low-dose depot steroid at the point.
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I have tried tablets and physiotherapy. What is different here?
Find the source of the pain, then treat that source with a clinic injection, block, or infusion. You are typically able to go home the same day.
Where are the clinics, and do I need an appointment?
Koramangala and J.P. Nagar. Prior appointment is preferred. You can book from this website.