Trigger points in the adductor pollicis muscle.

The adductor pollicis muscle is a key mover of the thumb. This muscle has two heads. The transverse head originates on the third metacarpal. The oblique head originates on the base of the second and third metacarpals and the capitate and trapezoid bones. This muscle inserts on the base of the proximal phalanx and ulnar sesamoid. Adduction and flexion of the thumb are the main actions it produces. Trigger points cause an aching pain along the outside of the thumb and hand. Pain can also be felt in the thenar eminence in extreme cases.

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Trigger points in the trapezius muscle.

The trapezius muscle is a large diamond shaped muscle in your back and neck. It originates on the nuchal ligament and the spinous processes of c6-t12. It inserts on the scapular spine, acromion process, and the distal clavicle. It’s upper fibres act to elevate the shoulder and rotate the glenoid fossa upward. The lower fibres assist this motion. The middle fibres strongly adduct the scapula. This is the most common muscle in the human body to get trigger points. Trigger points in the lateral upper edge refer pain into the lateral neck and temples. Points in the mid and lower parts of the muscle refer pain into the posterior neck and shoulders. Trigger points in this muscle are a common cause of headaches.

Elbow pain and trigger points.

Did you know that tennis elbow and golfers elbow pain can be caused by trigger points? Points located in the forearm flexor and extensor muscles can cause pain, stiffness, and weakness in the elbow, forearm, wrist, and hand. Quite often these trigger point symptoms are mistaken for inflammation of the tendons which is what a true tennis/golfers elbow actually is. Failure to address the trigger points can lead to an incomplete recovery .

Trigger point massage

Session Description

A treatment with Bryan is very user friendly. And, no, you don’t have to remove any clothing. However, bringing a t-shirt and a pair of shorts or sweats is recommended.

The first time you come for a treatment you will be asked to fill out a Client History form. Bryan will go over the information you provide, asking for more detail and discussing the type of pain you are having and its location.

The treatment itself involves locating the Trigger Points in the muscle or soft tissue and applying a deep focused pressure to the Point. This will reproduce the pain and the referral pattern that is characteristic of that pain.

The treatment will be uncomfortable at first, but as the Trigger Points release, the pain will decrease. The pressure will always be adjusted to your tolerance level. If, at any time, you feel too uncomfortable you can ask Bryan to ease off a bit.

Depending on your specific problem, Bryan may also use some stretching and / or range-of-motion techniques, as needed.

After treatment, it is usually recommended that the client apply moist heat to the area treated.

Problems associated with trigger points

Trigger Points in muscle and other soft tissue are one of the most common causes of a wide variety of pain and dysfunction, including (but not limited to):

• Achy persistent pain
• Severe local pain
• Arm / leg pain
• Back pain
• Radiating pain
• Weakness
• Stiffness

• Pain resulting from a medical condition, such as
– Migraines
– Sciatica
– TMJ dysfunctions
– Arthritis
– Fibromyalgia
– Carpal tunnel syndrome
– Soft tissue injuries
– And more…

Trigger points in the levator scapula

The levator scapula is a muscle located in your neck. It originates on the transverse processes of C1-C4 vertebrae. It inserts on the superior part of the medial border of the scapula. This muscle acts to elevate the scapula and rotate the glenoid fossa downward. At the cervical attachment it acts to rotate the neck to the same side and assists extension. Trigger points will refer pain into the angle of the neck with spillover into the scapula. When this muscle is tight due to trigger points it will restrict neck rotation causing the classic stiff neck. With a forward head position this muscle often becomes stretched and over worked.

Trigger points in the lateral pterygoid muscle

The Lateral Pterygoid muscle is a muscle of the jaw. It originates on the greater wing of the sphenoid bone and the lateral pterygoid plate. It has its insertion on the condyloid process of the mandible. Functionally it it assists in opening the jaw by pulling the head of the mandibular condyle out of the mandibular fossa. Trigger points in this muscle refer pain into the temporal mandibular joint and maxillary sinus. Trigger points in this muscle are often the cause of pain felt from TMJ dysfunction.