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Super Trigger Points Explained - Simeon Asher BSc (Ost)



When treated correctly, Super Trigger Points can rapidly release deep-seated and chronic pain

There are many theories around super trigger points, and sadly too little research. `The reality according to just about any experienced trigger point therapist is that (1) yes, they do exist, and (2) identifying and treating super trigger points can have fast and profound effects. 

Super Trigger Points (STPs) seem to be active all the time - it is like they “have to be there”. They are the myofascial strange attractors.

Treating these trigger points appears to have greater systemic effects than expected, often including profound physiological effects (such as autonomic changes).

These effects are well beyond the “normal” trigger point reactions, hence the name Super Trigger Points.



Scalenes Trigger Points

Treating "Super Trigger Points" Can Have a Rapid Effect on Some Chronic Pain Syndromes Such as Headache


Effects of Treating STP's

We have observed over many years  that incorporating these “super” trigger points into a treatment protocol can act as a type of shortcut, rapidly releasing deep-seated and chronic pain syndromes.

Examples of these physiological or “super” trigger points can be commonly found in:

Sternocleidomastoideus: headaches

Scalenes: hand and wrist pain and neurovascular problems such as CRPS I

Infraspinatus near medial scapula: subscapularis and long head biceps brachii: shoulder pain

Gluteus medius: low back pain

Ligamentum patellae (patellar ligament) patella insertion: knee pain*

Popliteus: knee pain

Extensor digitorum longus (at junction of talocrural joint): ankle balance (post-fracture rehabilitation) and ankle pain

We received some tremendous feedback after our recent webinar on Super Trigger Points, and we're editing that now in order to make it freely available on our website pretty soon!

*Note: With regard to the trigger points often found in the patellar ligament (as referenced above), there is often confusion based on a myth that trigger points don't occur in ligaments. For more information, please see: Trigger Point Classification











This trigger point therapy blog 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. 





Leah said:

Kristen, I will be praying for you. You are not alone. I have the same horrible pain each day. What I find that helps is salon paas, Epsom salt baths, and deep tissue massages.

Kristen said:

I have severe trigger points in my trapezius, levator scapula and rhomboid. I never can never get it to relax.. No matter how much I stretch are have massaged. I am in saint louis Mo in suggestions

PAULA said:

This would be me especially in the infraspanatius area. Had them for 15 years. the 4 on each side are always there and cause such a huge reaction on me. I have several others (daily) but those 4 are like Lightening strikes when Pressed yet are also the ones that have never been able to get released by anyone. Advice? I feel like a freak of nature here from all these years of horrible pain.

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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.