Targeted Relief For Chronic Muscle Pain With Trigger Point Injections

We are located conveniently in Melville Corporate Plaza near Route 110 & LIE Exit 49.

A trigger point doesn’t just cause discomfort where it forms—it can also create referred pain in nearby areas, leading to headaches, nerve pain, and limited mobility. This is why simply stretching or massaging the area may not be enough to relieve the pain permanently.

Muscle pain doesn’t always come from a major injury—sometimes, it’s the result of repetitive strain, stress, or poor posture. Trigger points are tight knots of muscle fibers that fail to relax, creating pain and tension that can spread to other areas of the body.

Trigger Point Injections (TPI) aren’t just for temporary relief—they are a targeted solution for chronic muscle pain that doesn’t improve with stretching, massage, or pain medications. These injections help reset tight muscle fibers, reducing inflammation and improving blood flow to the affected area.

Yes

• Pricing is per session, not per injection
  (multiple trigger points may be treated in one session if deemed clinically appropriate)
  
• Each session is approximately 15 minutes
  
• Packages do not expire
• All treatments are customized based on your response to treatment and goals

• People with Chronic Muscle Pain – If you have tight, painful knots that don’t go away, TPI can help release tension and restore movement.
• Athletes & Active Individuals – Repetitive motion can lead to trigger points in the back, shoulders, or legs, making recovery difficult.
• Office Workers & Those with Sedentary Lifestyles – Sitting for long hours can cause stiffness in the neck, shoulders, and lower back that TPI can help alleviate.
• People Recovering from Injury – Whether from sports, accidents, or overuse injuries, trigger points can form during healing and prolong discomfort.
• Individuals with Stress-Related Tension – Emotional stress can lead to muscle contractions, causing knots that contribute to ongoing pain and headaches.
• Teachers – Prolonged standing, poor posture, repetitive movements, and stress-related muscle tightness can result in tension and discomfort. TPIs can help release muscle knots, improve mobility, reduce headaches and discomfort, allowing teachers to stay pain-free throughout their demanding workdays.

Trigger points are tight muscle knots that cause pain, often radiating to other areas of the body. Unlike regular muscle soreness, trigger points don’t go away easily with massage or stretching.

Most patients describe the feeling as a quick pinch or mild discomfort. The procedure is very short and relief is often felt within minutes to hours

Many patients experience immediate muscle relaxation after the injection. Full effects typically develop within 24 to 72 hours.

Relief can last weeks to months, depending on your condition, lifestyle, and how well you follow post-treatment care.

Some patients feel better after one session, while others need a series of treatments for long-term relief. Your provider will create a personalized treatment plan.

Trigger Point Injections are a safe and effective treatment for muscle pain, but like any medical procedure, they come with a few potential risks. Side effects are rare and usually mild—especially when performed by an experienced provider.

• Common Side Effects (Usually Temporary & Mild): Soreness or Mild Discomfort, Bruising or Swelling, Temporary Numbness or Weakness, Dizziness or Lightheadedness
• Rare but Possible Risks: Infection (Very Uncommon), Bleeding or Hematoma, Allergic Reaction (Rare)

Your healthcare provider will evaluate your medical history, discuss any concerns, and ensure that Trigger Point Injections are safe for you.

Yes! Just avoid strenuous exercise for 24-48 hours to allow your muscles to fully relax and heal.

In many cases, the NYSHIP Empire Plan does cover Trigger Point Injections when they are:

• Medically necessary
• Performed by a licensed physician (such as a DO or MD)
• Linked to a documented diagnosis (for example, myofascial pain, muscle spasm, or chronic musculoskeletal pain)
• Supported by documentation showing that conservative treatments (like physical therapy, home exercises, or medications) were tried or considered

Coverage is not guaranteed for every patient or every visit. We can help verify your benefits before treatment however final determination is made by NYSHIP based on your specific plan benefits and how the service is billed.

Yes, trigger point injections (TPIs) can be beneficial for patients recovering from injury or surgery, particularly when muscle tightness, spasms, or referred pain from myofascial trigger points are interfering with recovery.

Here’s how TPIs help in this context:

1. Relieves muscle tension: Surgery or injury often leads to muscle guarding or compensatory overuse in surrounding areas. TPIs can break the pain-spasm cycle.

2. Improves mobility and rehab potential: Reducing pain and tension allows patients to better participate in physical therapy or exercise programs.

3. Reduces referred pain: Trigger points can cause pain that mimics other sources, complicating recovery. TPIs help isolate and reduce this type of pain.

4. Supports faster healing: By improving blood flow and reducing inflammation in the affected area, TPIs can create a more favorable environment for healing.

Common Post-Surgical or Post-Injury Uses:

• After orthopedic surgeries (e.g., rotator cuff repair, spinal fusion)

• Following sports injuries (e.g., hamstring or calf strain)

• For postural compensations after joint replacements

• In chronic pain syndromes that flare up due to surgery or trauma

Sarapin may be used as part of trigger point injection (TPI) treatment when clinically appropriate. It does not contain steroids or local anesthetics and is selected based on your provider’s medical assessment.

For patients treated in Melville, NY and surrounding Long Island communities, Sarapin pricing is as follows:

• NYSHIP Empire Plan patients:

• • • $50 per treatment area (10 mL vial)

• Self-pay (out-of-pocket) patients:

• • $100 per treatment area (10 mL vial)

Pricing is per treatment area, not per injection, and is reviewed with you before treatment. Sarapin is optional and may not be recommended for every patient.

• Sarapin® is an FDA-registered non-toxic, natural analgesic injectable solution derived from the pitcher plant (Sarracenia purpurea). Its commonly used by physicians as part of pain management and trigger point injection treatments. In practices serving Melville, NY and the surrounding Long Island area, Sarapin may help reduce pain associated with muscle spasm, myofascial pain, and irritated soft tissues.
• Sarapin is believed to work by calming pain signals from irritated nerves and muscles without causing numbness or muscle weakness. It does not contain steroids or local anesthetics and is typically used as part of a broader treatment plan that may include physical therapy, stretching, and posture or movement correction. It works by targeting C-fibers (sensory nerve fibers), stopping pain signals at the spine without disrupting motor nerves, leading to pain relief, reduced inflammation, and reduced muscle spasms without causing weakness. Results vary, and Sarapin is not appropriate for every patient. A medical evaluation is required before use.

Sarapin, lidocaine, and steroids are different injectable options used for trigger point injections, each with a distinct purpose. 

• Lidocaine is a local anesthetic that provides temporary pain relief by numbing the area.
• Steroids reduce inflammation and may provide longer-lasting relief in inflammatory conditions. 
• Sarapin is often used to help calm pain signals without numbing muscles or using steroids. The best option depends on your diagnosis, response to prior treatments, and overall health.

• Lidocaine works quickly by numbing the treated area, which can confirm the pain source but usually wears off within hours. 

Sarapin does not cause numbness and is often selected when patients want pain relief without temporary weakness or sensory changes. Some patients report more sustained symptom improvement with Sarapin, though responses vary. In Melville, NY clinics, Sarapin may be chosen for patients who are sensitive to anesthetics or prefer a non-numbing option.

Steroid injections are typically used when pain is driven by significant inflammation, such as bursitis or certain joint conditions. They are not always necessary for classic muscle trigger points. Because steroids can have systemic effects with repeated use, many clinicians reserve them for specific situations. Sarapin or lidocaine may be preferred when inflammation is minimal or when avoiding steroids is clinically appropriate.

Duration of relief varies by individual and condition:

• Lidocaine: short-term relief (hours)
• Steroid: potentially longer relief (weeks to months) in inflammatory conditions

Sarapin: variable duration; some patients experience sustained improvement without numbing or steroid exposure

Duration of relief varies by individual and condition:

• Lidocaine: short-term relief (hours)
• Steroid: potentially longer relief (weeks to months) in inflammatory conditions
• Sarapin: variable duration; some patients experience sustained improvement without numbing or steroid exposure

No option guarantees long-term relief on its own. In most Long Island practices, injections are combined with stretching, physical therapy, or movement correction for best results.

Your provider will consider:

• The source of your pain (muscle vs inflammatory tissue)
  
• Prior response to injections
  
• Medical history and medication sensitivities
  
• Goals for function and activity
  
• Frequency and safety considerations
  

A physical exam and discussion of risks and benefits help guide the choice. Not every option is appropriate for every patient.

All three options are generally considered safe when used appropriately and administered by a qualified clinician. Lidocaine and Sarapin avoid steroid-related side effects, while steroids may carry additional considerations with repeated use. Your doctor will review risks, alternatives, and expected outcomes before treatment.