Trigger points are hyper irritable knots found in muscle tissue. These points form in a muscle due to overload stress. Trigger points can form anywhere, in any muscle. Once formed they irritate sensory nerves and produce pain, refered pain, weakness, and stiffness. Trigger points will also mimic symptoms of other conditions such as “sciatica” or Carple tunnel syndrome. Trigger points will not go away on there own, they must be manually released with hands on techniques like trigger point massage.
Trigger point massage therapy is specifically designed to alleviate the source of the pain through cycles of isolated pressure and release. In this type of massage for trigger point therapy, the recipient actively participates through deep breathing as well as identifying the exact location and intensity of the discomfort.
The results and benefits of trigger point massage are releasing constricted areas in the muscles thus alleviating pain. You can experience a significant decrease in pain after just one treatment. Receiving massage with trigger point therapy on a regular basis can help naturally manage pain and stress from chronic injuries.
Trigger points form only in muscles. They form as a local contraction in a small number of muscle fibers in a larger muscle or muscle bundle. These in turn can pull on tendons and ligaments associated with the muscle and can cause pain deep within a joint where there are no muscles. The integrated hypothesis theory states that trigger points form from excessive release of acetylcholine which produces sustained depolarization of muscle fibers. Indeed, the trigger point has an abnormal biochemical composition with elevated concentrations of acetylcholine, noradrenaline and serotonin and a lower pH. These sustained contractions of muscle sarcomeres compresses local blood supply restricting the energy needs of the local region. This crisis of energy produces sensitizing substances that interact with some nociceptive (pain) nerves traversing in the local region which in turn can produce localized pain within the muscle at the neuromuscular junction (Travell and Simons 1999). When trigger points are present in muscles there is often pain and weakness in the associated structures. These pain patterns in muscles follow specific nerve pathways and have been readily mapped to allow for identification of the causative pain factor. Many trigger points have pain patterns that overlap, and some create reciprocal cyclic relationships that need to be treated extensively to remove them.
Activation of trigger points may be caused by a number of factors, including acute or chronic muscle overload, activation by other trigger points (key/satellite, primary/secondary), disease, psychological distress (via systemic inflammation), homeostatic imbalances, direct trauma to the region, collision trauma (such as a car crash which stresses many muscles and causes instant trigger points) radiculopathy, infections and health issues such as smoking.
Pain related to a discrete, irritable point in skeletal muscle or fascia, not caused by acute local trauma, inflammation, degeneration, neoplasm or infection.
The painful point can be felt as a nodule or band in the muscle, and a twitch response can be elicited on stimulation of the trigger point.
Palpation of the trigger point reproduces the patient’s complaint of pain, and the pain radiates in a distribution typical of the specific muscle harboring the trigger point.
the suboccipital muscles are a group of small muscles located at the base of the skull. These muscles are responsible for small movements of the head and the first two vertebrae. They also play a roll in postural stability of the skull. Trigger points are common in people with poor neck posture. these points will refer pain deep into the skull and behind the eye. They are a common source of headache pain.
fascial connective tissue runs throughout all the bodies layers. It gives the body shape and function. Fascial litterally connects every part of your together. During movement when one part of the body moves, the body as a whole responds. Functionally the only tissue that can facilitate such responsiveness is the connective tissue. When one area of the body gets restricted or damaged, the body as a whole can become dysfunctional by setting up compensation patterns.