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Trigger Point Anatomy - Occipitalis


Tension headaches are remarkably common - but do you really need to turn to drugs for pain relief?

Tension headaches are the most common type of headache we experience. While they don’t link to any underlying medical condition they can be debilitating and distressing to sufferers.

Too often the given solution is to mask this pain with medication but the root cause is typically muscle tension, itself often resulting from stress - so these are headaches that can usually be addressed successfully with massage and manual therapy techniques.


Common Headache Trigger Points


Trigger Points

Trigger points (tight knots in muscles) can develop over long periods of time as a result of posture, injury, aging - a whole host of reasons, many that we don't know too much about - including "holding patterns", a situation where trigger points form or become active as part of our body's natural "defend and protect" mechanism.

These are used to slow us down or stop us using certain muscles, or use them less, in response to an injury or perceived crisis in the body.

In many cases trigger points will form in the muscles but have no real effect other than occasional mild symptoms of pain, referred pain (pain felt elsewhere in the body or away from the muscle with the trigger point), or stiffness.

In other cases, the trigger points become active and the symptoms from these trigger points become more pronounced and even chronic in nature.

Referred Pain

Tension headaches are associated with trigger points in a number of muscles of the head, neck, back and shoulders. So for example, it's not unusual to find tension headaches that stem from active trigger points in the trapezius muscles. 

In many cases however, tension headache symptoms are directly related to active trigger points in the occipitalis and frontalis muscles.

These two muscles of the head are designed to work together with each other (front and back, and each end of the galea) to provide balance and counter balance force to prevent tension.

These muscles are pretty busy in most of us, especially as they work to deal with facial expressions, such as frowning, typically related to stress.


Start by talking to your therapist. Most massage and manual therapists will be familiar with treating clients for tension headache - and usually with great success. 

Ideally, find a therapist who is experienced in treating trigger points!



Treating Headaches Trigger Point Therapy Course


Nationally Accredited for CEU/CPD/CPE





This article is intended to be used for information purposes only and is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis and/or treatment rendered or prescribed by a physician or competent healthcare professional. This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell





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Scraping, a manual, ancient practice where pain points are worked with a gua sha (smooth-edged tool), reportedly increases blood flow by up to 400 per cent more than foam rolling and massage guns. By breaking up old, damaged blood vessels to promote new growth and healing, these tools are useful for getting into the nooks and crannies of a pain point, especially in delicate areas like along the shin muscles and under the foot.

Tim Tian has taken the scraper idea and supercharged it, creating a manual, triangular tool that blends heat and vibration therapy. “Cold blades stiffen muscles, blocking a deep release,” he says.

The heated scraper device takes just three seconds to reach 50ºC. This helps muscles soften, making it easier to massage away tension, increase blood flow and promote healing. The scraper is specially great for alleviating delayed onset muscle soreness (DOMS) in the quads, and provides a relaxing switch-up from the foam roller slog.