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Trigger point injections for axial back pain in adolescents
  1. Elisha Peterson1,2 and
  2. Julia Finkel3
  1. 1School of Medicine and Health Sciences, The George Washington University, Washington, District of Columbia, USA
  2. 2Division of Anesthesiology, Pain, and Perioperative Medicine, Children's National Hospital, Washington, District of Columbia, USA
  3. 3Pain Medicine, The Sheikh Zayed Institute for Pediatric Surgical Innovation; Children's National Hospital, Pediatrics and Critical Care Medicine, The George Washington University, Washington, District of Columbia, USA
  1. Correspondence to Dr Elisha Peterson; epeters{at}


Adolescents who participate in athletics or have abnormal musculoskeletal anatomy have higher incidences of back pain than non-athletic peers with normal anatomy. Significant time and money spent in diagnostic evaluations for axial back pain can result in treatment delay causing a subsequent decrease in quality of life. Myofascial trigger points are a commonly overlooked reason for axial back pain. They develop due to an abnormal myoneural connection in the setting of muscle overuse. Trigger point injections are a technically simple intervention that is both diagnostic and therapeutic in alleviating trigger point-mediated back pain. There are few complications from these injections, and they should be considered prior to surgical referral or fluoroscopic-guided interventions.

  • pain
  • sports and exercise medicine
  • musculoskeletal syndromes

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  • Contributors EP: made a substantial contribution to the design of the work and a major contributor in writing. JF: made a substantial contribution to the conception of the work and substantively revised it.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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