Dry Needling, Trigger Point Injections and Botox By Preetanjali Thakur, BDS, MS Dry Needling, Trigger Point Injections and Botox: A Helpful Comparison An overview of dry needling, trigger point injections with local anesthetics and botox therapy as treatment choices for myofascial pain, headaches and oromandibular dystonia. Botox is considered the treatment of choice, providing significant relief from involuntary muscle contractions and improving the quality of life for most patients in oromandibular dystonia.