What are trigger points?


What are trigger points?

Trigger points are myofascial pain syndromes (myofascial and depressive syndromes).
→For more information, the key to TP control is managing the persistent factor.
Let’s learn about its characteristics and how it differs from other treatments.

Trigger point is a treatment point on a muscle or thread

It is different from a bone or joint abnormality.
A trigger point is an abnormality on the membrane of a muscle.
Trigger points are abnormalities in the membranes of muscles. 95% of all pain and stiffness are thought to be caused by trigger points.
However, since scientific causes and diagnostic criteria have not been established, research and utilization of trigger points has been slow.
Acupressure is different from trigger point therapy because it involves rubbing the acupuncture points.
Acupressure is a traditional treatment that works on the body’s own healing mechanisms called meridians, which are rarely effective at a single point.
However, some of the acupressure points that have been handed down from ancient times overlap with trigger points.
Trigger points are stiffness that has the characteristic of sending pain far away from the body.

Trigger points send regular, related pain.

Since the pain is felt in a different place than the trigger point, it is often regarded as unexplained pain. Since it is not related to nerve travel, it is not neuralgia.
For example, look at the diagram on the right.
The pain is in the area marked in blue, and the pain symptoms are in the front and outside of the shoulder.
Most people would suspect that the cause is in the shoulder bone/joint.
However, it is actually caused by a trigger on the muscle called the infraspinatus muscle (marked with an X in the diagram).
After 45 minutes of physical therapy, this patient’s shoulder pain disappeared.
As you can see from this case, without knowledge of trigger points, stiffness cannot be relieved as expected.
If you use a comfort-oriented massage therapist to massage only the painful areas, you may end up damaging the muscles.

A trigger point is an enormous amount of shortening in a muscle.

When a muscle shortens due to a trigger point, it means that the surrounding bones and pelvis are pulled down.
In other words, trigger points were the source of the skeletal distortion.
Chiropractic and pelvic adjustments focus on the skeleton and try to correct the distortion by adjusting the bones.
This focus is good, but if the trigger points are left untreated, they will distort the skeleton again.
If the trigger points can be calmed down, the skeleton will naturally return to its normal position, and more lasting results can be expected.

Trigger points cause a huge amount of muscle mass, which means that the surrounding lymphatic system and nerves are compressed.

This can be called a “secondary injury” to the trigger point.
For example, the trigger point in the blue muscle in the figure, the piriformis muscle, is activated. This will cause the muscle to enlarge and the nerves and lymphatic system that pass underneath it to be compressed, causing unpleasant symptoms such as sciatica and extreme swelling.
Tingling in the hands may also be a “secondary injury” of trigger points.

Trigger points are lesions that do not show up on hospital tests.

Trigger points do not show up on images such as MRIs or X-rays.
In other words, when trigger points are the cause of pain, a diagnosis of “no abnormality” is often given at a hospital.
In fact, there are trigger points that produce pain very similar to that of myocardial infarction.
When I was young, I suffered from recurrent cluster headaches and had CT and MRI examinations at a neurosurgical hospital.
Many of you may have been puzzled by the diagnosis that “there is no abnormality in the brain” despite the abnormal pain.
In many cases, the cause of headaches is trigger points in the neck.
As proof, the director of the clinic and many of his patients have experienced relief from headaches.

Trigger points are “hidden stiffness” that can cause chronic pain.

Unfortunately, once trigger points occur, they do not disappear.
Even with physical therapy, they do not disappear.
However, the reason why they are sometimes painful and sometimes not painful is because they have the characteristic of producing pain when they are “activated.
To make matters worse, trigger points that are “activated” can cause pain in the associated painful area (the painful area. To make matters worse, “activated” trigger points can create additional trigger points in the associated painful area (the red area in the diagram).
This is the real culprit of the spiral of chronic pain and stiffness.
However, there is nothing to be afraid of once they “subside”.
After a few treatments, they become less active.
Trigger points are unreadable stiffnesses that form due to excessive contraction and stretching of muscles and suddenly “activate”.
Trigger points occur when muscles are overstrained or in an uncomfortable position for a long period of time.
For example, excessive work or sports can cause them, and prolonged use of a smartphone can force the neck and shoulder muscles to contract excessively.

Trigger points do not always show symptoms immediately, but can suddenly “activate” over time.

The frozen shoulder is a good example.
In many cases, trigger points in the shoulder area that occurred when you were a student are activated in your fifties as your muscle strength deteriorates.
Even if you have no particular pain that you know of, it is advisable to suspect trigger points.

Trigger points are stiffness that does not “calm down” with warmth or light massage.

To control trigger points, you need a good angle and penetrating pressure to reach them.
Rubbing, massaging, and electrotherapy do not help.
This is what makes Reflexology different from other therapies that use stable and continuous pressure.

Why don’t you try Reflepathy Uchida in Ho Chi Minh City, Vietnam to experience the trigger point therapy that works right away?