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Trigger Point Therapy: Techniques, Benefits, and Practical Guidance

Trigger Point Therapy is a specialised form of remedial massage therapy aimed at relieving muscle tension and pain by applying direct, sustained pressure to specific points within taut muscle tissue. By targeting these points, often referred to as “knots,” therapists can help release discomfort and restore normal muscle function.

This approach has been recognised for addressing pain associated with conditions such as neck stiffness, reduced range of motion, headaches, and sciatic discomfort. Unlike medications, which may offer only temporary relief, Trigger Point Therapy seeks to resolve the underlying muscular cause.

What Is Trigger Point Therapy?

Trigger Point Therapy is a manual technique that focuses on identifying and releasing hypersensitive points within muscle fibres. These points can cause local tenderness and referred pain to other areas of the body.

History of Trigger Point Therapy

The modern practice of Trigger Point Therapy is largely credited to Dr. Janet G. Travell, an American physician whose research in the early 20th century identified the significant role of trigger points in musculoskeletal pain. Her clinical methods for diagnosing and treating these points remain influential in contemporary practice.

How Trigger Point Therapy Works

Muscle fibres are surrounded and supported by collagen-based connective tissue. When certain fibres shorten and fail to relax, they form tense bands that limit circulation and irritate nearby nerves. By applying precise pressure, Trigger Point Therapy aims to disrupt this cycle, restoring normal length to the fibres and improving blood flow.

How Trigger Points Are Formed

Common causes include poor posture, repetitive strain, overuse injuries, muscle imbalances, nutritional deficiencies, and prolonged inactivity. Modern sedentary habits, such as extended computer use or long periods of sitting, are frequent contributing factors.

Trigger Point Therapy vs. Myofascial Release

While both techniques address soft tissue tension, Trigger Point Therapy targets specific points with direct, sustained pressure, whereas Myofascial Release works more broadly to stretch and mobilise the fascia across a wider area.

Types of Trigger Points

  • Active Trigger Points: Painful when compressed and capable of producing referred pain patterns.
  • Latent Trigger Points: Not painful at rest but may restrict movement and become tender when pressed.
  • Satellite Trigger Points: Develop in response to irritation from another active trigger point.

Why Trigger Points Are Painful

Trigger points restrict blood flow, limiting oxygen and nutrient delivery to the affected area. This metabolic stress causes pain and can perpetuate a self-sustaining cycle of tension and discomfort.

Common Risk Factors

  • Prolonged poor posture
  • Muscle overuse or repetitive strain
  • High stress levels
  • Lack of regular movement
  • Previous injury or trauma

Signs and Symptoms

  • Localised muscle tenderness
  • Pain that radiates to other areas
  • Reduced flexibility
  • Muscle fatigue or weakness
  • Palpable tight bands or nodules in the muscle

Methods of Trigger Point Therapy

  • Manual Pressure: Therapist applies firm, sustained compression using thumbs, knuckles, or elbows.
  • Trigger Point Injections: A medical procedure involving local anaesthetic delivered directly into the point.
  • Spray and Stretch: Cold spray applied to the skin followed by gentle stretching to reduce spasm.
  • Dry Needling: Insertion of thin needles into trigger points to stimulate release.
  • Micro-stripping: Small, repetitive strokes along the muscle fibre to reduce tension.

Benefits

  • Relief from headaches and referred pain patterns
  • Improved joint range of motion
  • Reduced muscle stiffness and tension
  • Enhanced circulation
  • Better sleep quality
  • Support for stress reduction

Possible Drawbacks

Some clients may experience temporary discomfort during or after treatment, including mild soreness or fatigue. These effects typically resolve within 24–48 hours.

What to Expect During a Session

A therapist will begin with a health assessment and postural evaluation before locating trigger points through palpation. Pressure is applied gradually, and the client may feel the discomfort decrease as the point releases. Sessions often integrate stretching and mobility work for lasting results.

Cost of Trigger Point Therapy in the UK

Prices vary depending on location and therapist experience. As a general guide, expect to pay approximately £50–£90 for a 60-minute session in most areas, with higher rates in major cities. Mobile services may include additional travel fees.

How to Prepare

  • Wear comfortable, loose-fitting clothing
  • Avoid heavy meals before the session
  • Communicate any medical history or injuries
  • Stay hydrated before and after treatment

Conclusion

Trigger Point Therapy is a targeted, evidence-informed approach for addressing muscular pain and dysfunction. By identifying and releasing specific points of tension, it offers an effective complement to broader pain management strategies and physical rehabilitation. With a qualified therapist, this technique can be adapted to a wide range of client needs, from chronic pain management to athletic recovery.

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