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What to Expect During the Procedure Before the Procedure Physical exam to identify trigger points Review of symptoms and prior treatments During the Procedure You sit or lie comfortably The provider locates the trigger point by touch A thin needle is inserted into the muscle Medication is injected Procedure typically takes 10–20 minutes You may feel a brief twitch or cramping sensation , which confirms the muscle is responding

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Patellar tendon ruptures typically occur when the tendon is exposed to more force than it can handle