Trigger Point Therapy.

What it is

Trigger point therapy targets myofascial trigger points: tight, tender spots in a band of muscle that can hurt where they are and also send pain elsewhere. A knot in the shoulder, for example, can contribute to a headache. Knowing these referral patterns, a trained therapist can work on the source rather than only where it hurts.

The therapist holds firm pressure on each point, usually for 30 to 90 seconds, sometimes while you move the muscle, until it softens. Stretching, heat and home exercises help keep the knots from coming back.

What happens at a visit

1. An assessment to find trigger points and where they send pain.
2. Firm pressure on each point for 30 to 90 seconds.
3. You may feel your familiar pain during pressure, which is expected.
4. A softening or release as the point lets go.
5. Stretching and movement to restore the muscle's length.
6. Self-massage and stretches to do at home.
7. Steady progress over several sessions.

Who it is for

• People with ongoing muscle pain or tension
• People with tension headaches or migraines linked to tight muscles
• People with limited range of motion
• People with pain that may come from muscles elsewhere
• People who haven't found relief from general massage
• People who want focused, hands-on work

Evidence and safety

Trigger point therapy is widely used by physical therapists and massage therapists, and the trigger point maps from Travell and Simons remain a standard reference. Studies suggest it can ease myofascial pain, especially in the short term, though research quality is mixed. The pressure can feel intense, and some soreness for a day or two is common. If you take blood thinners or have a bleeding disorder, tell your therapist first.

How Gabriel helps