It is an invasive technique in which a fine needle (similar to an acupuncture needle) is inserted into a muscle trigger point to deactivate the contraction and reduce pain.

• Persistent contractions.
• Myofascial pain.
• Mobility limitations due to trigger points.

• Excessive fear of needles.
• Coagulation disorders or anticoagulant treatment.
• Pregnancy in certain areas.
• Local or systemic infection.

There may be a sensation of soreness or heaviness in the muscle for 24–48 hours. Then, improvement in mobility and reduction in pain.