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Trigger point injections are a treatment for pain that involves injecting a local anesthetic into a trigger point in the muscle. Trigger points are tender areas of muscle that feel like knots. How it works The injection relaxes the muscle and relieves pain The injection can also help with referred pain, which is pain in one area of the body that originates from another injury The injection can be combined with other treatments, such as physiotherapy or muscle stretching Common injection sites shoulders, neck, and back. Common injection solutions Lidocaine, Procaine, Diclofenac (Voltaren), Botulinum toxin type A (Botox), and Corticosteroids.