About TrP’s

A trigger point (TrP) is a small patch of tightly contracted muscle, an isolated spasm affecting just a small patch of muscle tissue (not a whole-muscle spasm like a "charlie horse" or cramp). That small patch of knotted muscle cuts off its own blood supply, which irritates it even more — a vicious cycle. Tightly contracted patches of sarcomeres generate a lot of tissue fluid pollution, waste products of sarcomeres that are metabolically revving and those "exhaust" molecules are then accumulating, causing pain and other symptoms, and irritating the trigger point even more.

In addition to minor aches and pains, muscle pain often causes unusual symptoms in strange locations. Sometimes trigger points cause such severe symptoms that they are mistaken for medical emergencies.
TrP’s will -
1. Cause pain problems.
2. Complicate pain problems.
3. Mimic other pain problems.

Muscle tissue is the largest organ in the body, complex and vulnerable to dysfunction, and the primary target of the wear and tear of daily activities, nevertheless it is the bones, joints, bursae and nerves on which physicians usually concentrate their attention...

Treat with Ischemic Compression

Use for 7-10 seconds within a client’s pain threshold [4-7/10] after thoroughly warming the tissue first then stripping or palpating to locate TrP’s. Small, deep circular motions also work well - be sure to follow-up with effleurage, & stretching / lengthening if possible.

View extended charts at: triggerpoints.net.


They can be very stubborn. Any well-established trigger point has some reason to be there in the first place: it is a predictable response to some chronic stress or vulnerability in the body.
Even if it could be completely eliminated on Monday — the sarcomeres’ proteins restored to a healthy separation, and every trace of metabolic waste flushed away — there’s a good chance that the conditions that led to it in the first place will restore it by Friday.

[Some information on this page from Paul Ingraham of painscience.com.]