Trigger Point Therapy

An important aspect of musculoskeletal pain and dysfunction is addressing all possible contributing factors, including the presence of joint or spinal dysfunction, postural imbalances, reduced coordination of movement, poor posture and the effect of trigger points.

An active trigger point is a hyperirritable spot in skeletal muscle that is associated with a tender and palpable nodule in a taut band of muscle. These muscles often appear tight, weak, do not respond to just stretching and cause restricted joint ranges of motion. Once a trigger point is established it can become self perpetuating and persist for decades until it is adequately released. If the trigger point is not released it can lead to altered joint motion and be the cause of recurring pain.

There are some different approaches to the treatment of trigger points including ischaemic compression, specific soft tissue mobilisations (SSTM), frictions and massage. Due to the hypersensitivity of the trigger point, pain levels will be initially quite high during manual therapy, but as the treatment progresses it eases off.

Other approaches to trigger point treatment can involve stretching and electrotherapeutic devices. Physiotherapists may use 'ultrasound' to improve the rate of healing of the trigger point, varying the strength of the dose according to the stage of the trigger point. Or they may use other electrical machines to achieve the same effects; however, all of these are only adjuncts to the main treatment of releasing the trigger point.

Dry Needling

Superficial Dry Needling is an advanced skill and offers another effective way of eliminating trigger points in tight muscles. It is thought that Dry Needling stimulates certain sensors in the body which modulate pain signals. Dry needling can also cause local biochemical changes and result in an increase of blood flow in the trigger point area.

The benefits of trigger point release through dry needling include a decrease in the tightness and the pain associated with a particular muscle, allowing re-education of the muscles into pain-free habits. Often times an immediate improvement is noted and after several treatments there is an increased range of motion, reduced tension and improved flexibility, circulation and co-ordination. For more details please call one of our clinics and we can arrange for one of our physiotherapists to get back to you.

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