What are the contraindications for trigger point injections?

Updated: Nov 03, 2020
  • Author: Stephen Kishner, MD, MHA; Chief Editor: Erik D Schraga, MD  more...
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Trigger points should not be injected in the presence of systemic or local infection. Injection of patients with bleeding disorders or patients on anticoagulation must be done with proper medical evaluation and control. Although bleeding may be increased in these patients, the risk of harmful bleeding remains very low.

Avoid injections in the pregnant patient or patients who feel or appear to be ill. Use precautions in patients who are at high risk for infection, including debilitated patients, patients with diabetes mellitus, or patients on steroids.

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