I had 4 injections in my trap muscles of my upper back and then 5 injections a week later (traps and neck area). They worked like a charm to stop the neck and upper back pain. The only side effects I have had are difficulty sleeping and a red hot, flushed face and chest. It has been 4 days since the last injections and my face is still red hot like I have a terrible sunburn. The heat in my face is tremendous, on fire even, but I will trade this for no pain any day!