Where are trigger points located?

Trigger points develop in the myofascia, mainly in the center of a muscle belly where the motor endplate enters (primary or central TrPs). Those are palpable nodules within the tight muscle at the size of 2-10 mm and can demonstrate at different places in any skeletal muscles of the body.
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Where are trigger points most common?

Trigger points can occur anywhere in the body but are most common in the neck, shoulders, back, and hips. Everyone may get them, although some individuals get a greater amount or have more discomfort from them. Moreover, no one is sure what causes them.
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How do you find trigger points?

If you hold the pressure for a couple of seconds and the soreness disappears once the pressure is removed, then you have likely found one of your trigger points. Trigger points often form in muscles that have been injured, so those muscles are typically the best starting point when looking for trigger points.
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What does it feel like when a trigger point is released?

You feel better and tension in the muscle releases, but of course the trigger point is still there and will re-activate when aggravated.
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Should you massage a trigger point?

Trigger points and other myofascial pains are benign, but the pain they cause can be intense and debilitating. Luckily, trigger point massage is a simple, non-invasive way to release those tight spots and alleviate your pain.
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Trapezius - How To Find Trigger Points



What is inside a trigger point?

A Trigger Point (TrP) is a hyperirritable spot, a palpable nodule in the taut bands of the skeletal muscles' fascia. Direct compression or muscle contraction can elicit jump sign, local tenderness, local twitch response and referred pain which usually responds with a pain pattern distant from the spot.
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How do you relax trigger points?

Home trigger point treatments

If achy soreness persists over a period of time, or if you wake up with sore muscles, try applying a heating pad to help ease muscle tightness. Massaging the trigger point may loosen the knot and encourage the muscle to relax. Anti-inflammatories can relieve muscle pain.
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How do trigger points go away?

Trigger points do not go away on their own. If rested or treated they may regress slightly to a state where they stop referring pain unless a therapist presses on them, but they will still be there. Further development or aggravation will cause them to refer pain again.
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What happens if trigger points go untreated?

If left untreated, trigger points can cause further physical problems and pain. The taut bands of tissue in trigger points can restrict movement in the affected muscle.
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How do you massage a trigger point?

Here's how to self-massage:
  1. Find the tight spots (odds are you won't have to look too hard).
  2. Use your fingers (or tools like foam rollers and massage balls) to press firmly into the trigger points.
  3. Repeat for three to five minutes, ideally as often as five or six times per day.
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How long should you press on a trigger point?

Maintain the pressure for 30 to 90 seconds or until you feel the tissue release or soften. The client will often describe a decrease in symptoms as the point releases. Ninety second holds produce the best results but 30 seconds is sufficient to produce a change.
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How long do trigger points take to heal?

With trigger points of recent onset, significant relief of symptoms often comes in just minutes, and most acute problems can be eliminated within 2 to 10 days. Chronic conditions are more complex and often less responsive to treatment. None the less, even some of these problems can be cleared in as little as 6 weeks.
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What causes a lot of trigger points?

An acute muscle injury or continual muscle stress may lead to the development of trigger points. For example, a spot within or near a strained muscle may become a trigger point. Repetitive motions and poor posture also may increase your risk.
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What activates trigger points?

Specific causes of Trigger Points can include, but are not limited to, trauma, overuse, repetitive straining, or alignment imbalances. There can also be episodes where increased and prolonged muscle tension from an existing injury activates Trigger Points.
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Why do trigger points hurt so much?

When muscles are stressed or injured, they often form tender “trigger points” that feel like dense tight knots in the muscle tissue. Pressure on a trigger point causes the muscle fibers to shorten and be painful to the touch. And this can send “referred pain” radiating out to other areas of the body.
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When trigger points won't release?

Get a Massage

Gentle yet firm pressure on and around trigger points can release muscle tension—just make sure the massage isn't so deep as to create tension in other areas. If you are finding yourself tensing up, ask the massage therapist to back off slightly.
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Are trigger points serious?

Trigger points are benign and pose no significant danger to you or your health. They simply cause pain which may limit your normal mobility. To manage your painful muscle knots, check-in with your healthcare provider to ensure that there is no underlying sinister cause of your pain.
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What is the best massage for trigger points?

A deep tissue massage is the most effective treatment for muscle knots. When a muscle is tight, it limits the blood flow in that area so by using a massage as a treatment technique for this works by increasing blood flow to the muscle, which can in turn reduce inflammation and ease any soreness and pain.
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How hard should you press on trigger points?

Pressure with your hand

For this technique find the trigger point, then apply moderate pressure until you feel the pain fade and the muscle relax, or to a maximum of 90 seconds.
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How do you sleep with trigger points?

The recommended pressure points for improving sleep are:
  1. KD1 (the middle of the foot just behind the middle toe)
  2. SP6 (the inside of your lower leg, about four inches above the ankle)
  3. PC6 (the middle of your arm, about three inches from your hand)
  4. HT7 (the outside of your wrist)
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How often can you massage trigger points?

How often should you massage a trigger point? Aim for 30 second intervals to start. Up to 5 minutes is all a trigger point really needs in one session. You can revisit the trigger point up to 6 times each day if necessary, but typically 1-2 sessions per day will suffice.
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Does trigger point pain go away?

These points are located within the taut band of muscle. When pressure is placed on the trigger points, it can cause pain. The pain may go away after a short time or may persist. Chronic pain may be related to myofascial pain syndrome.
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Can vitamin deficiency cause trigger points?

In particular, inadequate levels of vitamins B1, B6, B12, vitamin C, folic acid, calcium, iron, magnesium, and potassium have been shown to correlate with chronic pain caused by trigger points.
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Can Heat get rid of trigger points?

Conclusion: The effect of local heat on trigger points of the body on pain relief was significantly better in the heat groups than in the sham groups. This finding is significant because using heat on trigger points could be an alternative to dry needling performed by healthcare professionals.
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