5 It can be a safe self-treatment with the potential to help with many common pain problems that don’t respond well - or at all - to anything else. Good trigger point therapy is hard to find but under-rated. Any therapist who is highly confident about their ability to banish your sore spots should probably be fired. There are no “trigger point whisperers.” Trigger points are not little switches that can be flicked off (“released”) by anyone who has sufficiently advanced technique - they are a mysterious, cantankerous, complex phenomenon. They are often barking up the wrong tree, treating so-called trigger points when there’s actually another problem. 3 Good therapy is hard to find (or even define), because many (if not most) practitioners are amateurish 4 and some treatment methods are way out in left field and potentially harmful, to your wallet if nothing else. “Dry needling,” the trendiest type, bombed a good quality scientific test in 2020. Trigger point therapy isn’t “too good to be true” - it’s probably just ordinary good. Trigger point therapy is not a miracle cure for chronic pain It’s a plainly written guide to all the science (such as it is), the myths and controversies, with reviews of every conceivable treatment option.
This is a huge tutorial for both patients and professionals, regularly updated for more than a decade now. TrP treatment is not rocket science 1 - it’s much too experimental to be so exact! But most people can learn to get some relief safely and cheaply. Dry needling is a popular (but dubious) method of stabbing trigger points into submission with acupuncture needles. Trigger point therapy is mostly rubbing and pressing on trigger points, which can feel amazingly relieving.
There are many possible causes of unexplained aches and pains, but trigger points are an interesting piece of the puzzle for many people, and offer some potential for relief. They may be a major factor in back and neck pain, as a cause, a complication, or a bit of both. Regardless, these sore spots are as common as pimples, often alarmingly fierce, and they seem to grow like weeds around injuries. TrPs are usually described as micro-cramps, but the science is half-baked and their nature is controversial. Myofascial pain syndrome (MPS) is a chronic pain disorder of too many trigger points. Trigger points (TrPs) or muscle “knots” are sore spots in soft tissue that cause deep aching.
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