What is the recommended needle size for trigger point (myofascial trigger point) injection?

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From the Research

Trigger Point Injection Needle Size

  • The recommended needle size for trigger point (myofascial trigger point) injection is not explicitly stated in most studies, but one study compared the efficacy of 21-, 23-, and 25-gauge needles for trigger point injection in myofascial pain syndrome of the upper- and middle-trapezius muscle 1.
  • The study found that injections with 21- or 23-gauge needles were more effective in terms of health-related quality of life, but there was no significant difference between the three groups in terms of pain intensity during injection or treatment efficacy 1.
  • Another study used a 14-gauge needle for percutaneous surgical technique in the treatment of trigger finger and found it to be an effective, convenient, and cost-effective method with a low complication rate 2.
  • A study on percutaneous needle release technique for trigger thumb used a specially designed needle (0.8×100 mm) with a planus tip and found it to be effective, less time-consuming, and safe for treating trigger thumb 3.
  • There is no clear consensus on the optimal needle size for trigger point injection, and more research is needed to determine the most effective needle size for this procedure 1.

References

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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