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That’s why trigger point injections are often part of a broader pain management plan, used in combination with evidence-based strategies like: Physical therapy Ischemic pressure exercises with tools like a foam roller or tennis ball Myofascial release massage Over-the-counter pain relievers Muscle relaxers Attention to stretching, good posture, proper exercise technique, and getting enough physical activity—all of which can also help keep your trigger points from reforming “The most important element on whether a trigger point injection is likely to work hinges on the underlying diagnosis,” Dr

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Some people, even with low actual levels, may score higher than others due to the presence of more circulating analogues (either exogenous or because they genetically have more)