Trigger Point Injection (TPI) Cost in India

The cost of a trigger point injection in India typically ranges from $500 to $6,000 USD, depending on the hospital, city, and type of procedure.

A trigger point injection (TPI) is an injection into a tight, tender knot in a muscle, known as a trigger point. It is used to treat myofascial pain. The cost usually depends on:

• Number of trigger points: one or several areas may be treated.
• Substance injected: local anaesthetic, sometimes with a steroid, or other agents.
• Ultrasound guidance: used in some clinics.
• Number of sessions: some people need repeat injections.

Trigger point injections are usually priced per session. Ask how many sessions are expected and what each includes.

Myofascial pain is pain arising from muscles and the surrounding connective tissue. Trigger points are tender spots that can cause local pain and pain felt elsewhere (referred pain).

Common areas include the neck, shoulders and lower back. Treatment often combines stretching, exercise, posture changes and physiotherapy.

A systematic review by Scott and colleagues (2009), summarised by MSK Medicine, looked at 15 randomised trials with 599 patients. The studies were too different to combine, and the evidence was limited. Findings included:

• Local anaesthetic versus dry needling: limited evidence of no difference in effectiveness.
• Botulinum toxin versus saline: moderate evidence of no difference.
• Substances used: local anaesthetic, botulinum toxin, saline and sterile water.

Trigger point injections are usually used alongside exercise and physiotherapy, not as the only treatment.

The doctor finds the trigger point by touch, cleans the skin and injects through a fine needle. The procedure usually takes a few minutes and is done in a clinic.

Possible side effects include soreness at the injection site, bruising and, rarely, infection. Injections near the chest wall carry a small risk of lung puncture. Tell your doctor if you take blood thinners.