Course in preparation. Vancouver workshop registration is not yet open.
← Back to Dr. Chhina’s website

Trigger Release Injection Guide for GP, Emergency and Rural Education and Documentation

Clinical education for physicians

Trigger point injections.
Clearly taught.

Anatomy, clinical reasoning and patient safety across 25 regions. Three progressive workshop days in Vancouver, with the coursebook for each level emailed before its workshop.

Led by Dr. J. Chhina

9 years of trigger point injection experience.

For physicians licensed in British Columbia. Educational completion is distinct from clinical readiness.

Supraspinatus shown above the scapular spine

Three levels.
Three workshop days.

Each level is a separate Saturday workshop. Begin with Level 1; Level 2 requires Level 1, and Level 3 requires Level 2.

1

Level 1 day / 8 regions

Common presentations

Start with common neck, shoulder, low-back and gluteal presentations. Complete the foundations before attending.

2

Level 2 day / 10 regions

Broader regional assessment

Extend your assessment to selected thoracic, shoulder, limb and jaw regions. Requires Level 1.

3

Level 3 day / 7 regions

Complex anatomy and referral decisions

Work through complex anatomy, risk and referral decisions. Requires Level 2.

12 physicians per day. Dates and final booking terms will be published before registration opens.

Recognise the muscle component

Why myofascial pain matters

What is myofascial pain?

Myofascial pain affects muscles and the fascia, the connective tissue around them. A sensitive spot within a taut muscle band, often called a trigger point, can reproduce familiar pain when pressed.

Pain may stay near that spot or be felt elsewhere, known as referred pain. Stiffness and restricted movement can accompany it. Clinical assessment helps distinguish a muscle contribution from joint, nerve and other causes.

Read more about myofascial pain
Schematic of fibres within a muscle band

A taut muscle band

Assessment begins with the history and examination.

A sensitive trigger point highlighted within the muscle band

A sensitive trigger point

Pressure may reproduce the patient's familiar pain.

A local pain source linked to a separate area of referred pain

Local or referred pain

The painful area and the source may be different.

These are conceptual illustrations, not anatomical maps or injection guides.

Understand the role of trigger point injections

Preparation that carries into practice

01 / Before each day

The coursebook

Review the anatomy before you arrive. Each level has its own coursebook, with region sheets, clinical cases and knowledge checks to prepare you for the workshop.

3 levels29 lessons25 regions

View the curriculum

02 / In person

Supervised practice

Connect patient selection and pre-treatment assessment with anatomy, technique, consent and danger areas. Work through simulation, clinical cases, documentation and billing principles.

12 physicians per dayThree Saturdays

View the workshop format Registration is not yet open.

Careful decisions. Clear limits.

Supervised practice.
Thoughtful clinical decisions.

Every learner receives simulation practice. Clinical cases connect patient selection, anatomy, safety and documentation.

Live clinical participation depends on patient need, consent and individual readiness. A live injection is not guaranteed.

Explore the workshop format
Trapezius shown across the upper back and shoulders