Within outpatient therapy, it is common to see trigger points in muscles that cause pain, weakness and some restriction in ROM. A trigger point can be defined as "a focus of hyperirritability in a tissue that when compressed, is locally tender, and if sufficiently hypersensitive, gives rise to referred pain and tenderness, and sometimes to referred autonomic phenomena and distortion of proprioception". There are three different types of trigger points to consider when treating include myofascial cutaneous, fascial, ligamentous and periosteal trigger points.
In order to treat trigger points, an individual is able to use the thumbs, fingers, knuckles, elbows or a combination of each to apply pressure by moving inward toward the center and then slowly releasing. The pressure should last from 30 to 45 seconds but no more than 1 minute. During this treatment, the individual should be relaxed with proper breathing techniques.
This article also explains indicators of myofascial dysfunction and further treatment such as hot packs, e-stim, laser and etc, as well as additional types of trigger point therapy such as ischemic compression or dry needling, or myofascial stretching.
In order to treat trigger points, an individual is able to use the thumbs, fingers, knuckles, elbows or a combination of each to apply pressure by moving inward toward the center and then slowly releasing. The pressure should last from 30 to 45 seconds but no more than 1 minute. During this treatment, the individual should be relaxed with proper breathing techniques.
This article also explains indicators of myofascial dysfunction and further treatment such as hot packs, e-stim, laser and etc, as well as additional types of trigger point therapy such as ischemic compression or dry needling, or myofascial stretching.
Kostopoulos, D. & Rizopoulos, K. (1998). Trigger Point and Myofacial Therapy. Advance Healthcare Network. Retrieved from http://occupational-therapy.advanceweb.com/Article/Trigger-Point-\and---Myofacial-Therapy.aspx.