Neck
Knots in the neck muscles that cause stiffness and limited turning

Targeted injections for muscle knots and myofascial pain, done in a short in-office visit.
Small knots, big pain
A trigger point is a tight, tender spot inside a band of muscle. It can form after an injury, poor posture, long hours at a desk, stress or repeated motion. Trigger points often send pain to other places, so a knot in the upper back may cause neck pain or a headache. Over time the muscle stays tight, blood flow drops and the pain cycle keeps going.
Trigger point injections interrupt that cycle. The needle and medicine help the knot release, and the numbing agent calms the pain signal right away. With less pain, you can stretch, move and strengthen the muscle again, which helps keep the knot from coming back. Many patients pair injections with massage, shockwave or a home exercise plan.
Good to Know
A simple, targeted procedure
A trigger point injection is a small shot of local anesthetic, sometimes combined with a corticosteroid, placed into a muscle knot that causes myofascial pain. Lidocaine and similar anesthetics are FDA-approved medicines, and trigger point injection is a long-standing, physician-performed office procedure.
Dr. Boler finds the knot by touch and guides a thin needle into it. The muscle may twitch, then relax. A systematic review found these injections can reduce chronic neck and back muscle pain.
Six common places knots form
Knots in the neck muscles that cause stiffness and limited turning
Tight trapezius muscles from desk work, stress or lifting
Muscle knots that add to everyday low back pain
Deep knots that can mimic sciatica and leg pain
Neck and shoulder knots that refer pain into the head
Tender points that flare with fibromyalgia
Why patients choose them
The numbing medicine often eases the knot within minutes
Most visits take 15 to 30 minutes with no sedation
Most people drive home and return to light activity the same day
Treats the source of muscle pain without relying on opioid pills
Less pain makes stretching and strengthening easier
Medicine goes only where the knot is, not through the whole body
Compare your options
How trigger point injections compare with common options for muscle knots.
| Treatment | Mechanism | Needles or Incisions | Session Time | Downtime | Results Timing | Best For |
|---|---|---|---|---|---|---|
| Trigger point injections | Anesthetic, with or without steroid, releases the knot | Small needle | 15 to 30 minutes | Minimal | Minutes to days | Stubborn knots and myofascial pain |
| Dry needling | Thin needle with no medicine releases the knot | Small needle | 15 to 30 minutes | Soreness 1 to 2 days | Days | People who prefer no medicine |
| Shockwave therapy | Acoustic pulses relax tight muscle | None | 10 to 20 minutes | Little to none | Over several weeks | Knots plus nearby tendon pain |
| Therapeutic massage | Hands-on pressure loosens tight muscle | None | 60 minutes | None | Same day, short lived | Ongoing muscle tension |
| Oral pain medication | Pills act on the whole body | None | Daily doses | Possible side effects | Hours | Short-term flares, as directed |
Trigger point injections help people with tight, tender muscle knots that have not let go with rest or stretching. They are often part of care for neck pain that limits turning, back pain treatment, shoulder pain from tight muscles and fibromyalgia pain relief. Knots in the hip can also feed sciatica-like leg pain. MedlinePlus explains common causes of neck pain.
Dr. Boler reviews your health history and medicines before any injection.
About 15 to 30 minutes, start to finish
Dr. Boler presses along the muscle to find each tender knot and the pain pattern it causes.
The skin is cleaned, and you sit or lie in a relaxed position that keeps the muscle loose.
A thin needle places a small dose of local anesthetic, with or without a steroid, into each knot.
You get gentle stretches, heat or ice tips and a plan for follow-up care.
What to watch for
Trigger point injections are generally safe. The most common effects are soreness, mild bruising and brief numbness at the injection site. These usually fade within a day or two.
Rare risks include infection, bleeding, a reaction to the medicine and, with injections near the chest wall, a collapsed lung. If a steroid is used, blood sugar may rise for a few days. A clinical review of trigger point injections describes careful technique to lower these risks.
Call (850) 735-4907 if you notice fever, spreading redness, chest pain or shortness of breath.
Personalized pricing, reviewed at consultation
Trigger point injection pricing at Ready Pain Management is personalized. We review your price at the consultation after Dr. Boler has examined you, so you know what your visit includes before treatment begins.
Your cost depends on a few factors:
Exact pricing will be discussed during your personalized consultation.
Ready Pain Management does not accept insurance, and all care is self-pay. Third-party financing is available through InstaPaytient, through Affirm, subject to approval, with terms set by the financing provider. Call (850) 735-4907 with any questions.
A pain physician who listens
Book NowDr. Boler, MD, has more than 20 years in pain care
Each knot is found by touch before any injection
Injections paired with massage, shockwave or exercise
Targeted care before relying on pain pills
About 15 to 30 minutes, with relief often within minutes
Consults and follow-ups can be done by telemedicine
Treatments that pair well with trigger point injections in Gulf Breeze.
Therapeutic massage in Gulf Breeze, FL. Licensed massage therapy for pain relief and recovery. Book your appointment today.
Learn moreShockwave therapy in Gulf Breeze, FL. Non-invasive relief for pain, injury and faster recovery. Book your appointment today.
Learn moreTherapeutic Botox in Gulf Breeze, FL. Relief for migraines, TMJ and muscle spasticity. Book your appointment today.
Learn moreEmsculpt NEO in Gulf Breeze, FL. Non-invasive body contouring and muscle building. Book your appointment today.
Learn moreTrigger point injection pricing is personalized and reviewed at your consultation. Ready Pain Management does not accept insurance, so all care is self-pay. Your cost depends on how many areas are treated and your overall plan. Third-party financing through InstaPaytient, through Affirm, is available subject to approval.
Most people feel a quick pinch and a brief ache or twitch as the needle reaches the knot. The local anesthetic starts numbing the area within moments. Afterward the spot can feel sore or bruised for a day or two. Dr. Boler uses a thin needle and works slowly to keep you comfortable.
Relief from trigger point injections can last from several days to a few months. It tends to last longer when the knot is fully released and you follow a stretching and posture plan. Long-standing knots may need a short series of visits before relief holds.
Many patients feel the knot relax and the pain ease within minutes, because the local anesthetic works fast. Some soreness may follow for a day or two. If a corticosteroid is added, its effect builds over a few days. Most people notice the full benefit within about one week.
Trigger point injections can be repeated when needed, with visits spaced out over weeks rather than days. Dr. Boler limits how often steroids are used and checks your progress at each visit. If knots keep returning, he looks for the underlying cause and adjusts your plan.
A myofascial trigger point injection treats a knot in the muscle and its surrounding tissue, called fascia. Myofascial pain is muscle pain that comes from these knots and often spreads to nearby areas. The injection releases the knot so the muscle can relax and move normally again.
Yes, a trigger point injection for neck pain is one of the most common reasons patients visit us. Knots in the neck and upper back can cause stiffness, limited turning and tension headaches. Research shows injections can ease chronic myofascial neck pain, especially when paired with stretching.
Both use a thin needle to release a muscle knot, but trigger point injections also deliver medicine. The local anesthetic can make the visit more comfortable and ease soreness afterward. Research comparing the two for neck pain found similar results, so the best choice depends on you.
Adults with muscle knots that keep coming back despite stretching, massage or rest are often a good fit. We treat women and men from their 30s to their 60s and older, including desk workers, active adults and people with fibromyalgia. Dr. Boler confirms the knots during a hands-on exam first.
Yes, your consultation and follow-up visits can be done by telemedicine. The injections themselves are performed in person at our Gulf Breeze office on Thursdays and Fridays. Telemedicine is offered Monday and Tuesday evenings and on Thursday and Friday for eligible patients.
1337 Country Club Rd, Gulf Breeze, FL, 32563
Mon - Tue: 6 PM - 7 PM
Thu - Fri: 9 AM - 5 PM