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Trigger point information {TrPs} for short

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Old 06-21-2010, 01:21 PM   #1
Jo*mar
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A friend suggested that we make a thread on trigger points and the information that we have found and learned.

I dusted off my old speech recognition software, so any speak O's: That I don't correct please forgive.


I don't know when I first came upon information on trigger points.
someone must of mentioned it and then I started doing Internet searches and began reading from that point.

my chiropractor realized that I had trigger points in my scalenes and SCM { neck muscles }. he did something called NIMMO , which was mix of deep tissue trigger point and a slow stretching of the tight muscles.

some information on trigger points and NIMMO-
http://www.theamericanchiropractor.c...481&category=3
http://www.bridgerchiropractic.com/Nimmo-method.html

[The Problem: A Cycle of Pain

1. Trauma — Chronic pain can begin with a major injury or small harmful motions repeated over time.
2. Protective Reaction — To prevent further injury, the body responds with a protective measure. The nervous system sends an impulse to the muscles around the area of injury, causing them to tighten. The muscles that tighten create a network of tension sites called trigger points.
3. Repetition — These protective impulses are helpful while the injury heals, but the body learns through repetition. The nervous system does not sense healing and continues to send protective impulses, causing unnecessary muscle tension.
4. Chronic Discomfort — This constant tightening creates a cycle of pain that will remain until the protective impulses are interrupted.]
http://nimmoed.org/nimmocare/living-with-pain/

that is just a few of the links and information I have found- you can do a Internet search for a lot more.

Now I'll post the newest and best trigger point {TrPs} Internet links that I have found.
Explore other pages of the sites listed for more information.

http://saveyourself.ca/tutorials/trigger-points.php
http://www.pain-education.com/trigger-points.html
http://www.pressurepointer.com/pain_reference_chart.htm
http://www.triggerpointbook.com/triggerp.htm
http://en.wikipedia.org/wiki/Trigger_point
http://www.myofascialtherapy.org/
http://www.triggerpoints.net/


[Central Nervous System Sensitization

Recent research (Borg-Stein and Simons 2002) has shown that certain types of nerve receptors in muscles relay information to neurons located within part of the gray matter of the spinal cord. The pain is amplified there and then is relayed to areas of other muscles, thereby expanding the region of pain beyond the initially affected area.

Once this part of the central nervous system is involved, or sensitized, in this way (called central sensitization), the persistent pain leads to long-term or permanent changes in these neurons, which affect adjacent neurons through neurotransmitters (chemical substances that are produced and secreted by a neuron and then diffuse across synapses, or small gaps, between neurons, causing excitation or inhibition of another neuron). This may also cause the part of the nervous system that would normally counteract pain to malfunction and fail to do its job. The longer pain goes untreated, the greater the number of neurons that get involved, and the more muscles they affect, causing pain in new areas, and in turn causing more neurons to get involved . . . and the bigger the problem keeps getting, leading to the likelihood that the pain is going to turn into a chronic problem. The sooner pain is treated, the less likely it will become a permanent problem with widespread muscle involvement and central nervous system changes…]
http://www.triggerpointrelief.com/he.../chapter1.html



PDF info sheets/pages-
http://homepages.sover.net/~devstar/sheets.htm
Main page-
http://homepages.sover.net/~devstar/


Just found this - I had these symptoms bad for awhile and didn't know the cause at the time.
[TrPs in the sternocleidomastoid muscle (in the neck) alone can cause: clumsiness; blurred or double vision, tension headaches; runny nose; maxillary sinus congestion; spatial disorientation; unintentional veering, or cause patterns of light and dark (such as shadows along the road or escalator treads) or head motion to result in dizziness (among many other symptoms), and if you know this, you may save worry and unnecessary testing and be able to do something to relieve the symptoms]
http://thyroid.about.com/od/fibromya...tarlanyl_3.htm
first page of article here-
http://thyroid.about.com/od/fibromya...nstarlanyl.htm



A Google listing of TrP videos -
http://www.google.com/search?q=trigg...ed=0CFAQqwQwBQ


Your library should also have books on Trigger Points & therapy as well as Myofascial Trigger Point Syndrome.

I'll add more as I find info, feel free to add what you find or have learned about this topic.
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Last edited by Jo*mar; 08-18-2013 at 11:24 AM.
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Old 06-21-2010, 01:49 PM   #2
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Now I'll tell you how I did my own versions of TrP therapy.

I suggest that you be checked out for any other serious spinal problems, broken bones, tumors etc -before you decide to try any of this.


I rounded up a tennis ball, a golf ball, dog ball , finger/thumb - any thing that would fit where I needed - to get to the trigger point .

I even bought a Pressure Pointer tool to get at some of the many small ones in my upper back.
Hubby would help out once in awhile but lots of times I wanted to work on them when he was at work.

I worked on TrPs and my stretches {mainly Sharon Butler TOS program stretches} quite a few times a day since I was off work anyway.
{work injury}

You need to keep hydrated with clear fluids during this time.

Keeps tissues lubricated , reduces any sticky tissues that might be a factor, and it helps flush out the toxins that are released with the TrP work, massages, and PT/DC therapy. { in case they forget to mention that part}

Generally I would do some mild warm ups or have a hot shower in the morning to get me loosened up.

Then I would start with the tennis ball against the wall or down on the floor rolling it around until I hit a very tender/sore spot.

Stay on the muscles and don't put any heavy direct pressure on the spine while doing this.

That sensitive spot is the trigger point, it will probably feel like a small knot in the muscle.

I did have TrPs in my scalenes & SCM but those I left to a professional as the main arteries and some very small bones are in the neck/throat areas.

Mainly I had to focus on my upper back, but some were in the pec/chest muscles as well as between the ribs in the rib cage.

after locating a spot I'd press into it with the ball or whatever tool would fit best.
hold the pressure for 20+ seconds or so until it softens and the tissue gives - plus the soreness should also fade away at this time.
Don't over do the pressure if it really hurts your body will fight the release.

after you get done do some stretches of that location - helps smooth out any left over restrictions.

Then after I was all done each time I would lay out on floor or bed - in the "corpse pose" as they call it in yoga.
http://www.nshouseofyoga.com/Savasana%20Nancy.jpg

This is when you do the relaxation techniques, deep diaphragm breathing, and also use this time to think of good things and positive thoughts.
If you have some spa sounds or relaxing music this is a good time to listen to it.
I would stay like this 20 mins or more at times. 3-4 x a day too.


I read somewhere , have to find it again for posting - but it said you cannot resolve a muscle spasm completely if trigger points are present.
I'll add that and more as I find good info.
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Last edited by Jo*mar; 06-21-2010 at 02:14 PM.
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Old 08-07-2010, 08:16 PM   #3
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I just noticed the pressure pointer site has a down loadable PDF file -
explains TrPs - with photos of locations and pain referral sites -
http://www.pressurepointer.com/Press...nterManual.pdf
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Old 08-29-2010, 10:52 PM   #4
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Hi Jo,
The last time at the pain management the PA was working on trigger points to inject marcain etc, to calm down....
He was shocked at the amount of spasms and said a trigger is the "one" start of the spasm, he could not locate one...

DUH, with TOS, there is no "one" I gave him the ones that are the butcher knife by the wings to work on and it helped. Some of the cycle was broken.

He did trigger pressure up my spine too, and that assisted.

I remember Dr. Annest once took the time to tell my why I had the tightness up the side of my spine. It all clicked when he told me he muscles were making a splint around the injured flared nerves and protecting them, by the splint.

A lot of work on trigger points, but well worth it when they let loose. Try everything, and then keep trying for the ones that work.
di
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Old 10-27-2010, 10:39 PM   #5
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since ive been avoiding sitting at the computer for more than 5 minutes @ a time, this tp book has helped me

Frozen-Shoulder-Workbook-Overcoming-Regaining
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Old 01-30-2011, 05:25 PM   #6
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more TrP info-
http://saveyourself.ca/articles.php
http://saveyourself.ca/tutorials/trigger-points.php
(they are selling a book & it may be in libraries - But I haven't checked yet -but lots of info on the site alone.)
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Old 03-15-2011, 03:42 PM   #7
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Default TrPs = Check Your Symptoms

Check Your Symptoms

wow - a symptom checker for trigger points


http://triggerpointproducts.com/checkyoursymptoms

and another TrP symptom checker site-
http://www.myofascialtherapy.org/symptom-checker.html
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Old 03-23-2011, 12:35 PM   #8
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Google document link
Devin Starlanyl
trigger points & tender points - why the difference is important for you

updated link-
Fibromyalgia and Chronic Myofascial Pain Information
Chronic Myofascial Pain
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Last edited by Jo*mar; 07-19-2016 at 11:38 AM. Reason: updated links
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Old 06-02-2012, 12:38 PM   #9
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Default Ultrasound in the Treatment of Myofascial Trigger Points

Ultrasound in the Treatment of Myofascial Trigger Points

and more info on fibromyalgia & trigger points
http://www.drlowe.com/triggerpoint.htm
http://www.drlowe.com/myofascial/pra...ltrasound1.htm
http://www.drlowe.com/myofascial/pra...rasoundfms.htm
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Old 06-10-2012, 05:38 PM   #10
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Default Hi

Been having trigger point injections for about 6 years. You cannot have them forever - they can leave scar tissue, and have done so on my back. They also can freeze up muscles that are holding up your shoulder, or lungs, so find on our sticker an EXPERT as this is NOT simple.

I get a few points relief with TP injections, for about 3 weeks, tops. Nothing big, but anything helps, right?

I am now trying a specialized accupuncturist which my judge ordered as the ins. co. refused. Unfortunately, a day or two later he is causing me flare ups, horrible!!!
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