Scars are the body’s way of repairing any damage to the soft tissues, particularly the muscles and fascia, and they are stronger but less flexible than the original tissue. Trigger points can be due to many causes, some of the most common being: Surgery and scar tissueĪnyone who has had surgery will have scar tissue. This causes more scar tissue which forms into a trigger point with associated muscle weakness, tension, stiffness and pain. This is similar to getting a snag in a jumper, where you might be able to reshape the jumper around it, but there is always a slight change to the fabric.Ī snag like this in a muscle can cause the body to think there is still an injury and repeatedly try to repair damage that isn’t there. Even after the body repairs this, a tiny amount of scar tissue is left and over time this causes changes in the way the muscle and fascia around it work. However, sometimes small areas of muscle can be damaged. Normally muscles work elastically to help us move and the fluidity of the fascia surrounding them allows this movement. Muscles are wrapped in several layers of fascia, from individual cells to the whole muscle. Myo means muscle, and fascia is the main connective tissue in the body wrapping round and through everything else. Trigger points form in the myo-fascia of the body. What exactly are trigger points, how do they form, and how can we treat them effectively? What are trigger points Yet pinpointing and treating the right trigger point is simple and ease pain quickly and effectively. This can sometimes make it hard to find the root cause of chronic pain and can lead to mis-diagnosis and even mis-treatment. The tricky thing about trigger points is that they often cause pain elsewhere in the body, which is called ‘referred pain’. Some people are never bothered by trigger point pain, whereas for other people they can be the cause chronic pain and other symptoms. What you have found are trigger points, and they are something we all have in common. This may sound familiar if you have ever found tender spots when massaging or pressing on an area to relieve tension or pain. “A highly irritable localised spot of exquisite tenderness in a nodule in a palpable taut band of muscle” (Travell & Simons 1993)
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May 2023
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