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In the TPI procedure, a health care professional inserts a small needle into the patient's trigger point. The injection contains a local anesthetic or saline, and may include a corticosteroid.  With the injection, the trigger point is made inactive and the pain is alleviated. Usually, a brief course of treatment will result in sustained relief. Injections are given in a doctor's office and usually take just a few minutes. Several sites may be injected in one visit.