Trigger Point Release - Compression Techniques

Trigger points are located through palpation and then treated with a number of techniques including the most often used - Inhibition Compression Technique

Palpation is part art and part science. Initially you should seek to relax the patient sufficiently to gain access especially prior to any potentially painful treatment.

Palpation comes through time and experience and a thorough knowledge of anatomy; it is the key to effective trigger point therapy.

A thorough case history with thoughtful and directed questioning is essential, as is an engaging approach with the client. It is important to talk with the client: explaining procedures reduces the client's anxiety levels, and allows participation in the treatment process. Involving the client is also a key step in trigger point therapy, as you rely on feedback to locate the exact center (heart) of the trigger point.

How do you know it is a trigger point?

You are looking for:

• Stiffness in the affected/host muscle

• Spot tenderness (exquisite pain)

• A palpable taut nodule or band

• Presence of referred pain

• Reproduction of the patient’s symptoms (accurate)

• A warmer (or colder) region than the surrounding tissues

• A region more moist than the surrounding tissues

• An area that feels a little like sandpaper

• Possible loss of skin elasticity in the region of the trigger point

Inhibition Compression Technique

This is often the best technique to use on an active trigger point. It involves first locating the trigger point that causes a specific referred pain pattern (preferably reproducing the client’s symptoms) and then applying a direct inhibitory pressure to the point.

Although referred to as ischemic, it is now commonly accepted that you do not need to compress the trigger point to the point of ischemia, although you may wish to, and may still be considered beneficial in certain situations.

This technique is very effective, but is best used in conjunction with other stretch and release techniques. The current approach is explained in the video above.

Some therapists find that it is easier to lean on the trigger point, and not to push or press on it. This literally means that once the point has been found, you lean your weight through the applicator rather than pushing or pressing it. This can in some circumstances be more comfortable for you and the client.