Myofascial Pain

Trigger points in the upper traps.

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One of the most common issues that I treat on a daily basis is trigger points in the upper traps. The trapezius muscle or “traps” is a large diamond shaped muscle located in you back and neck. The upper portion of this muscle is one on the most common areas to become strained due to poor posture or emotional stress. When this

happens trigger points are sure to develop. These points will cause pain to be felt up the neck, behind the ear, and traveling to the temple. Trigger points in the upper traps are one of the most common causes of headache pain, as well as a stiff neck.

Trigger points in the diaphragm

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The diaphragm is the major muscle of respiration. It’s main action is to increase the volume of the thoracic cavity during inhalation. Trigger points form in this muscle due to asthma, emotional overload, disk problems, weak abdominals, hyperventilating, smoking, and poor posture. When trigger points form they can cause a wide variety of symptoms including hyperventilation syndrome, heart and lung issues, as well as a “stitch” pain when running or exercising.

Stiff neck and trigger points.

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Myofascial trigger points in the neck muscles are one of the most common causes of neck pain and stiffness. Poor posture and stress can cause muscles in the neck to become overworked and strained. When this happens trigger points will form. These points of contracted muscle will cause pain, referred pain (often into the head), as well as stiffness and weakness. Trigger points won’t resolve on there own, a manual release such as trigger point massage is required to treat the problem.

Gluteus minimus trigger points and sciatica.

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The gluteus minimus muscle is located at the hip. It functions to abduct the hip and stabilize the pelvis. Trigger points commonly develop in this muscle from overload stress. The referral pattern of these trigger points will refer pain down the side of the leg, as well as into the glute and hamstring. These symptoms are often mistaken for irritation of the sciatic nerve called ” sciatica” which produces very similar symptoms.

Causes of a stiff neck.

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The levator scapulae muscle is located in your neck. It is responsible for raising your shoulder blade up to your ear, as well as side flexion of the neck. Trigger points develop in this muscle commonly due to poor posture, and stress holding patterns. Once developed these trigger points will cause a deep achy pain and stiffness in the neck.

Piriformis syndrome

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Piriformis syndrome is caused by a tight contracted piriformis muscle putting pressure on the sciatic nerve causing symptoms of tingling, numbness, and altered sensation. This muscle is often tight in people who sit for long periods of time. A common cause of this muscle being contracted and tight are trigger points. These trigger points are contracted knots within the belly of the muscle. These knots cause the muscle to become shortened. Trigger points will also cause pain on their own. This is usually felt as a deep achy pain in the glute and hip area, as well as in the back of the leg.