Trigger Points: what they are, how to treat them, symptoms and therapy

What Causes Trigger Points

The causes and etiology of trigger points has not yet been fully disclosed, although many scientific researches testify to the results that can be obtained with the treatment of these areas.

Surely we must keep in mind a multifactoriality:

A prolonged stressful condition

Neurological hyperstimulation

Excessive release of calcium ions

Hypertension ( high blood pressure )

Excessive physical effort and repeated over time deep tissue massage in Ferndale, MI.

These are just some of the possible causes determining the cessation of the sliding of actin and myosin and the block in continuous contraction of the sarcomere (permanent ignition position). I want to clarify that we are not talking about muscle contractures , but about something different.

The different types of Trigger Points

There are different types of Trigger Points, with their own and different characteristics :

The primary (or central) ones are the most classic ones, located in the center of the muscular belly and the gender are the ones that patients recognize and report more easily.

Secondaries (or satellites) are created in the muscles around the primary one, which remains the first to be treated.

The TPs in the attachment points are those present in the tendon points.

Diffuse TPs affect an entire part of the body and are related to postural deformities such as scoliosis or hyperlordosis.

Active, primary or secondary TPs evoke referred pain and are painful on palpation

Finally, latent (or inactive) TPs do not give referred pain and are not painful, but they cause muscle stiffness and can reactivate following stimulation

Associated symptoms

The main symptom that the patient reports is always pain , mostly described as stabbing and deep, made even more acute by the movement.

The intensity of the pain caused by trigger points varies according to:

The area where they are located (the attachment points are the most sensitive)

The typology of TP

Number of TPs involved

The muscle involved (some are more sensitive)

Damages, limitations and associated deficits

Chronic level

The symptoms associated with Triggers Points all revolve around the situation of uncontrolled increase in the painful response (hyperalgesia) in which the same trigger areas are found, as well as relatively distant areas (referred pain).