Sometimes musculoskeletal injuries just don’t respond adequately to usual care. The repair process seems to stall and a range of different treatments are tried to restart it. We have found saline acupuncture point injection therapy (APIT) to excel in restarting the repair process in these cases. In this technique about 0.5 ml of normal saline is injected up to 7 mm into the relevant acupuncture points. Minimal discomfort is experienced due to the small volume of saline and fine needle used. Achilles tendonitis responds especially well often resolving within 5 treatments. Chronic low back pain (including disc pain), persistent shoulder pain, ankle and other ligament strains and carpal tunnel syndrome also respond well to APIT. This safe drug free approach often helps in cases where a steroid injection is the alternative.