Trigger Points: Are They in You? By Rich Poley©

Debilitating Little Buggers

Trigger points weaken muscles, reduce range of motion, and drain endurance. While
you may not have heard of them, you’ve experienced them. Everyone who’s had muscle
pain and stiffness has experienced trigger points. They are the tender spots or knots that
grow in your muscles. They’ve been written about in thousands of articles in medical
journals and authoritatively described in The Trigger Point Manual 2nd ed., by David G.
Simons, M.D., Janet G. Travell, M.D., and Lois S. Simons, P.T.

 You’ve seen the long-term effects of untreated trigger points in the elderly, their bodies
twisted and reactions slowed. Gradually, over many years, knotted muscle fibers reduce
people’s range of motion and sap their strength until they have trouble getting out
of a chair. Decrepitude is thought of as part of the normal aging process. When caused
by trigger points, which it usually is, it’s preventable. Trigger points are the most easily
treatable significant muscle problem that you’re certain to face.

Tiny Knots

Medical doctors believe trigger points form naturally as a result of muscle abuse. Over
and under use of muscles causes the ultra thin fibers that make-up muscles to tangle
into the tiny knots that are trigger points. The knots cause muscles to shorten and tense.

 Trigger points are of two types: latent and active. Both cause all the muscle dysfunctions
described above but only active trigger points spontaneously emit pain. Active
triggers are relatively rare but everyone suffers latent ones. While trigger points appear
naturally, they also disappear naturally when your muscles are stretched.

Stretching Them

Here’s the rule: elongating muscles removes trigger points. Gentle natural stretching that’s
part of normal daily activities eliminates most small triggers. Yoga, Pilates, and fitness
classes resolve many of the more stubborn ones. Unfortunately, the toughest trigger
points persist and require a more precise controlled stretch that comes from pressing
directly on the muscle. This form of massage, known as trigger point therapy, elongates
the muscle and removes the knot.

Do it Yourself Trigger Point Massage

The good news is that trigger point therapy is easy to do. With a little knowledge and
the right massage tool you can restore muscle strength, flexibility, and endurance to
your own body. You can remove all your latent trigger points simply by pressing them.
Ninety-percent of trigger point therapy is just pressing muscle tissue. You can tell
you’ve hit one when the spot you’ve compressed is exquisitely tender. Stay with it for
about five breaths or until the pain subsides.

Pressing Them

Yes, trigger points are in you. If you want to improve muscle performance and avoid the
physical frailty of old-age, you have to get them out and keep getting them out. Fortunately,
it’s easy. Just press them and they’re gone. Doing so, improves the way you look,
feel, and perform.

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