Trigger points have been found to be the sole source of around 75% of clinic patients’ pain. Myofascial Trigger Point Release is the main technique used by Willis Street Physiotherapy.
Trigger points frequently appear in many myofascial structures – including the skin, fascia, muscles, tendons, ligaments, joint capsules, periosteal tissue and scar tissue.
Trigger points in muscles will often cause shortening, pain and weakness.
Once located, they can be treated by a variety of methods including, light sustained pressure, deep sustained pressure, muscle energy techniques, proprioceptive neuromuscular facilitation, massage, pulsed ultrasound, ischemic compression or acupuncture. Depending on the position or size of the trigger point we may also use elbows to release them.
A trigger point can be felt as a tumor or band in the muscle, and can produce a twitch response when stimulated.
The pain cannot be explained by findings on neurological examination.
Trigger points are normally activated by a certain activity involving the muscles used in the motion, by chronically bad posture, bad mechanics, repetitive motion, structural deficiencies such as a lower limb length inequality or a small hemipelvis, or nutritional deficiencies.
The following conditions are frequently misdiagnosed as the cause of pain when trigger points are the true cause: arthritis, carpal tunnel syndrome, bursitis, tendinitis, angina pectoris and sciatic symptoms along with many other pain problems.