Trigger points, also known as muscle “knots,” are tender patches in soft tissue that cause severe pain. Myofascial pain syndrome (MPS) is a chronic pain condition characterised by a disproportionate number of trigger points. TrPs are generally referred to as micro-cramps, but the science behind them is shaky, and their existence is debatable. Regardless, these sore spots are as common as pimples, and they emerge like weeds around injuries, often with startling ferocity. They may be a big cause, a symptom, or a combination of both in back and neck pain. Many factors may contribute to unexplained aches and pains, but trigger points are an intriguing piece of the puzzle for many people, and they can provide some relief. The bulk of trigger point therapy consists of rubbing and pressing on trigger points, which can be incredibly soothing. Dry needling is a common (but dubious) method of using acupuncture needles to stab trigger points into submission. Treatment of TrP isn’t rocket science — it’s much too experimental to be so accurate! However, the majority of people can learn to get relief in a healthy and inexpensive manner. This is a major guide for both patients and specialists that has been revised on a regular basis for more than a decade. It’s a straightforward guide to all the science (what little there is of it), misconceptions, and controversies, as well as reviews of any possible treatment choice.
Trigger point treatment isn't a panacea for chronic pain relief
Trigger point therapy isn’t “too nice to be true”; it’s more than likely just good. It isn’t exactly miraculous. It’s risky and always fails. The most common form, “dry needling,” failed a high-quality scientific test in 2020. Since many (if not most) practitioners are inexperienced, and certain treatment approaches are well out in left field and potentially detrimental, if only to your wallet, good therapy is difficult to find (or even define). They are always barking up the wrong tree, treating so-called trigger points when another issue exists. There are no such things as “trigger point whisperers.” Trigger points aren’t just little switches that can be flicked off (“released”) by someone with advanced technique; they’re an elusive, cantankerous, and complicated phenomenon. Any therapist who is overconfident in their ability to heal the aches and pains should be fired. The good news is that: Good trigger point therapy is difficult to come by, but it is underappreciated. It can be a healthy self-treatment that can help with a variety of common pain issues that don’t react well — or at all — to other treatments. It’s worth dabbling in if done with caution and modesty. Beginners with common body pain, such as nagging hip pain, low back pain, or neck pain, can find the advice offered here to be almost miraculously helpful. I get a lot of emails from readers thanking me for pointing out easy solutions to such vexing issues. Some people are astounded to learn that their chronic pain could have been easily handled all along. This guide is specifically tailored for veterans who have attempted — and failed — to treat serious trigger points. Before you give up, you should read more. This may give you a fighting chance of at least alleviating the pain, which is a small miracle in itself. This isn’t a guide to “fixing” trigger points; rather, it’s a guide to offering you a fighting chance when dealing with more difficult situations. What are trigger points, and how do they work? A trigger point is a pressure-sensitive area, usually in muscle tissue, that is associated with aching and stiffness. the number 1112 Almost everybody gets these marks, which are similar to pimples, except some people have more of them, and they are more painful, and no one knows what they are. Over the years, they’ve gone by a variety of names,13 but myofascial trigger point (TrP) is the most common and generally recognised mark in the last 20 years. TrPs have been referred to as muscle “knots” for a long time. Obviously, it’s not a clove hitch or a bowline: there aren’t any knots in it, but it may sound like one. There may even be some muscle stiffness or lumpiness at the location, perhaps embedded in a taut band of muscle — but these irregular textures are difficult to detect accurately, and even experts often confuse natural anatomy for trigger points (or other abnormalities). Please don’t think that any lump or spot on your body is a trigger point. Trigger points are also known as muscle “knots” informally. Obviously, it’s not a clove hitch or a bowline: there aren’t any knots in it, but it may sound like one. For a brief time, a few TrPs may become aggressive, causing much more pain than most people believe is possible. Its bark is much louder than its bite, and while these episodes can pass like a headache, the bark can be incredibly painful. It may also be a mysterious bark — trigger points can cause strange and disturbing sensations with no apparent source.
What causes a trigger point to become inflamed
While the exact existence of trigger points is unclear, the general assumption is that they are a small patch of tightly contracted muscle, a micro-cramp of a tiny patch of muscle tissue. The storey continues: the small patch of muscle chokes off its own blood supply, causing it to become even more irritated, resulting in a vicious cycle known as a “metabolic crisis.” I refer to it as sick muscle syndrome because of the mucky metabolic situation. However, this may be incorrect. It may be a more purely visual disturbance, or the pain of slightly irritated peripheral nerves, a form of peripheral neuropathy, according to two conflicting theories. Trigger points aren’t only sensitive to pressure; they can cause aching and discomfort all over the body, even when the TrP isn’t poked. The TrP could be in the middle of the aching, like the yolk of an egg, or it could be spread out a long way (via the mechanism of referred pain, another major sub-topic for later). This aching is what really gives myofascial pain syndrome its name…
A crop of trigger points is being cultivated
A few small trigger points here and there can be irritating, but myofascial pain syndrome (MPS) is a severe disorder that can be debilitating. TrPs are similar to pimples in a severe acne problem when it comes to MPS. The more severe the trigger points, the more widespread and severe the aching and stiffness that follows. There are many other triggers of unexplained pain, but trigger points are an intriguing piece of the puzzle for many people, and understanding them can provide some relief. This is a reasonably thorough description, but we’re just getting started.