Trigger points and physical therapy


A trigger point describes a tight band of skeletal muscle located within a larger muscle group. Trigger points are tender to the touch and can indicate pain in distant parts of the body. Patients may experience persistent regional pain, resulting in a decreased range of motion of the affected muscles. Massage , spraying, stretching, and injections are various methods of reducing trigger point pain.

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What are trigger points?

Trigger points appear to be small balls or nodules just under the skin. When trigger points are pressed, many people do not feel pain or discomfort. Sometimes the trigger points become very tender, and some people feel severe pain in the areas where they have trigger points.

Have you ever had Charlie's horse muscle? If so, you already know how it feels: the entire muscle is in a painful spasm, and the only thing that seems to help is gently lengthening and stretching the muscle. Now imagine that the trigger points are Charlie's little horses in the muscles. These unpleasant spots do not spasm the entire muscle, but only a very small part. But if you have enough trigger points, you may start to feel severe pain and have limited muscle movement.

Where do people get their trigger points?

Trigger points and muscle knots can occur anywhere on your body. Wherever there is muscle tissue, there may be a small stretch of tissue. This could be a trigger. Areas of the body where trigger points are most common may include:

  • The upper trapezius muscles on either side of the neck are just above the shoulders.
  • Square muscles of the lower back;
  • Your hamstrings
  • Your calf muscles
  • Along the tibial ligament

You can get trigger points anywhere on your body, and if they occur in excess, you may experience chronic pain and myofascial pain syndrome.

Myofascial pain syndrome and trigger points

Imagine you have a small cut on your finger. One cut, one finger. It can hurt a bit, especially if something hits a small cut or if you move your finger correctly. But the cut is nothing serious and is only a temporary annoyance.

Now imagine that your entire hand and all of your fingers have small cuts. There are so many of these cuts that they hurt a lot. And since there are so many cuts, every movement (and some resting positions) is painful. This is myofascial pain syndrome. You have so many tiny muscles and fascial trigger points that the muscles in your body are constantly sore.

Myofascial pain syndrome is difficult to treat; pain is so common that it can be difficult to know where to start treatment .

Does science support the treatment of trigger points and trigger points?

Research shows that no one really knows what tissue trigger points make you feel. It is also unknown why some people feel pain when touching the muscle nodes and others do not.

Current science cannot explain why some trigger points hurt and some trigger points are just muscle nodes. Trigger points, narrow bands of muscle and fascial tissue, are supposed to become so tight that they restrict blood flow to muscle tissue , creating a metabolic crisis in muscle tissue; there is pain and tightness that requires oxygen and nutrients to heal, but these nutrients cannot reach the muscles due to insufficient blood circulation due to tightness. The cycle "pain – decreased circulation – pain" begins, and this cycle can be difficult to interrupt.

Active and passive trigger points

There are two types of trigger points that physical therapists treat: active and passive trigger points. Passive trigger points simply damage in their exact location. If you have a sore hamstring muscle knot and someone is pressing on it, the pain will be felt right where the pressure is on the knot.

An active trigger point refers to pain in another part of the body. If someone presses an active trigger point in your shoulder, you may feel pain in your shoulder and symptoms in your chest or arm.

Regardless of the type of trigger point or the fact that we don't fully understand what happens when trigger points form, physical therapy can help you deal with your problem.

How can physical therapy help?

If you seek help from a physical therapist to treat trigger points, do not seek to eliminate trigger points. Rather, focus on learning strategies that can help you deal with painful triggers. Muscle node physical therapy can help you manage pain and identify underlying mechanisms in the body that can cause muscle node pain.

There are many different physical therapy treatments for trigger points. They may include:

Myofascial release techniques and trigger point therapy can be beneficial for muscle ganglia and trigger points. Myofascial release is believed to help properly align the fascia surrounding the muscles. It can help improve blood circulation and normal muscle movement.

Trigger point therapy is done by pressing and holding PT on the trigger points in the muscles. This temporarily stops blood circulation in the tissues. This cessation of circulation increases the amount of a chemical called nitric oxide in the tissues. Nitric oxide signals your body to open your microcapillaries, thereby increasing blood flow and breaking the pain-spasm-pain cycle.

Trigger point home therapy

One of the best things you can do for your trigger points is to learn to manage your condition yourself. This may include performing trigger point self-massage techniques. They may include:

  • Using Back-Nobber to Harness Your Trigger Points
  • Flip the tennis ball over to press the trigger points.
  • The foam is rolled over the muscles to smooth the fascial tissue.

Research shows that there is no best treatment for muscle knots. One thing is for sure: Participation in an active posture correction and exercise treatment program is superior to passive trigger point treatment. See a physical therapist for a full assessment of your condition and to learn about self-help strategies. to manage your trigger points.

Get the word of drug information

If you are dealing with painful and triggering muscle knots, first, don't panic. Trigger points are benign and do not pose a serious threat to you or your health. They simply cause pain that can limit your normal movement.

To deal with sore muscle knots, see your doctor to make sure you don't have a sinister cause. Ask about physical therapy to help heal your trigger points and begin participating in an active treatment program to positively impact your trigger points. By learning self-management strategies for pain, you will be able to control your condition.

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