
Trigger point massage therapy in Winnipeg.


The subscapularis muscle is one of the rotator cuff muscles. It is located on the inside of the scapula, and can be difficult to access. This muscle functions to internally rotate the arm as well as to adduct the shoulder. It is also a stabilizer of the shoulder joint. When this muscle is overloaded or injured trigger points can form. These points will refer pain into the back of the shoulder and down the inside of the arm to the wrist. Trigger points in the subscapularis are often associated with a frozen shoulder.


The triceps muscle is the main extensor of the elbow. It is the muscle in the back part of the arm and travels from the shoulder to the elbow. Trigger points in this muscle will cause pain when trying to straighten the elbow. Tricep trigger points refer pain into both the inside and outside of the elbow and are thus a common cause of both tennis and golfers elbow.
The biceps brachii is the most well-known of the arm due to its prominence. It is the muscle we think of when we imagine someone with ‘big arms.’ Its chief role is elbow flexion, and, while it is not the only elbow flexor, its role makes it prone to

overload problems which can lead to trigger points. When trigger points form they will produce pain felt in the elbow arm and up into the front of the shoulder. Shoulder pain is usually felt as superficial as opposed to deep in the joint.
The trapezius muscle is a large diamond shaped muscle in your upper and middle back and neck. It it responsible for both shoulder and neck movements. Trigger points in the upper portion of this muscle are the most common points to develop in the body. These trigger points most often occur due to poor posture, such as a slumped sitting posture. Trigger points in the upper portion of the traps will cause pain to refer into the neck, head, and into the temple. These points are one of the most common causes of headaches.

The trapezius muscle or traps is a large diamond shaped muscle located in your back and neck. It is responsible for both neck and shoulder movements as well as stabilizing these areas. Because of this the traps are a very common muscle to become overloaded and strained. When this happens trigger points form in the muscle and cause pain, refered pain, stiffness, and weakness. The upper portion of the muscle is the most common area in the body to develop trigger points. These points refer pain up the neck, behind the ear, and into the temple causing headaches. Trigger points in the lower parts of the muscle will cause shoulder and upper back pain. Trigger points need direct attention to be treated. Otherwise they can out live you!

The levator scapulae muscle is located in the neck. It attaches from the cervical vertebrae to the top of the shoulder blade. It is responsible for elevation of the shoulder and lateral flexion of the neck. This muscle is often overloaded from poor shoulder posture such as holding your shoulders up to your ears when stressed. When this happens trigger points will develop causing pain to be felt along the shoulder blade and into the neck. Trigger points in this muscle are the most common cause of a stiff sore neck.

TP’s were first brought to the attention of the medical world by Dr. Janet G. Travell. Dr. Travell, physician to President John F. Kennedy, is the acknowledged Mother of Myofascial Trigger Points. In fact, “Trigger Point massage, the most effective modality used by massage therapists for the relief of pain, is based almost entirely on Dr. Travell’s insights.”2 Dr. Travell’s partner in her research was Dr. David G. Simons, a research scientist and aerospace physician.
Trigger Points are very common. In fact, Travell and Simons state that TP’s are responsible for, or associated with, 75% of pain complaints or conditions.1 With this kind of prevalence, it’s no wonder that TP’s are often referred to as the “scourge of mankind”.
Trigger Points can produce a wide variety of pain complaints. Some of the most common are migraine headaches, back pain, and pain and tingling into the extremities. They are usually responsible for most cases of achy deep pain that is hard to localize.
A TP will refer pain in a predictable pattern, based on its location in a given muscle. Also, since these spots are bundles of contracted muscle fibres, they can cause stiffness and a decreased range of motion. Chronic conditions with many TP’s can also cause general fatigue and malaise, as well as muscle weakness.

Trigger points are contracted knots in muscles. They form from overload stress causing muscle fibers to become locked together in a self perpetuateing spasm. Trigger points will then produce pain, usually deep achy pain, as well as refered pain. Because of the contraction of the tissue trigger points will also produce stiffness and weakness. Trigger points are also known to mimick other symptoms such as Carple tunnel, and sciatica symptoms. Trigger points are one of, if not the most common cause of pain in the body. Regular massage therapy is not specific or deep enough to release trigger points, a specific technique of applying deep focused pressure to the heart of the knot is required for the point to release. This is called trigger point massage.
