Trigger points are central areas of spasm and inflammation in muscle tissue. Common sites of trigger points include the upper back and shoulder areas, which can cause headaches, neck pain and shoulder pain. Trigger points can also occur in the low back causing low back pain, tightness and soreness. At Hands on Health, our trigger point therapy involves the injection of lidocaine (we do not use corticosteroids or immune modifiers) directly into the trigger point, helping to alleviate spasm and relieve pain. The combination of trigger point therapy and spinal correction has proven to be greatly beneficial for our patients.