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Next, according to the patients request, the physician delicately injects the substance into the muscle in the bicep or thigh

And they dont stay upside down for very long, but they justthey repeatedly are upside down quite a bit

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Eur Arch Otorhinolaryngol 273: 45434547

Lidocaine is preferred for most trigger point injections because it provides fast-acting relief, has a well-established safety profile, is unlikely to cause tissue irritation, and its anesthetic effect helps break the pain-spasm cycle immediately