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Injection trapezius or levator muscle

Patient Positioning

Patient seated on a revolving stool, arm in slight internal rotation. Elbow flexed (90°), palm up.

Probe Positioning

On the top of the shoulder in a coronal plane over the acromioclavicular joint. move medially over the muscles / trigger points of interest. Perform the injection best in plane.

Shoulder anterior view
note: even trigger points can easily be injected under ultrasound guidance - either at the level of the trapezius or levator muscle. It is a reasonable area to excercise injections under ultrasound.