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Trigger Point Myofascial Pain Physiotherapy
Physiotherapy defines myofascial pain, or trigger points, as very
focused hyperirritability in muscles and fascia (a connective tissue)
that when stimulated, can cause central nervous system modulation (ie lots of pain, and pain that can radiate/travel to nearby structures).
are characterized by pin-point tenderness, that can be widespread when
types of trigger points
There are four (4) types of trigger points we manage in our physio clinics:
- Active Trigger Points – actively referring pain locally or to another location.
Trigger Points – inactive trigger point that doesn’t yet refer pain,
but may be activated when triggered by certain stimuli.
- Key Trigger Points – the stimulating trigger point that activates other latent trigger points
- Satellite Trigger Points – the trigger point that is activated by the key trigger point
Note that treating the primary or key trigger points do not treat the secondary satellite ones, which must be treated separately.
Potential Causes Of Trigger Points
Physiotherapists, physiologists and researchers often debate and
discuss the development
or activation of trigger points and their causes. The factors that seem
to cause/aggravate trigger points can be isolated to the following
- muscle overloading
- activation by other trigger points
- psychological stress
- imbalance in the human
Trigger points occur and form only in the muscles and/or
connective tissues such as fascia. They are a bundle of muscle fibers
which can cause deep pain within muscles and joints when they pull the
associated muscles. When our muscle fibers contract, it creates a
byproduct of lactic acid, which the body will remove via natural
However in the case of a trigger point, the tightened muscle fibres contract
and this constricts localized capillaries, effectively storing the
lactic acid in the bundles itself.
When any trigger
points become activated in the muscles, patients will very often experience both
- weakness and
- pain in the affected areas
and this pain patterns have a specific neural
pathway, which can be traced easily.
However, because there are many
trigger points that have pain patterns that overlap, the treatment of
the trigger points often becomes very extensive (takes a number of sessions) to effectively treat and remove them.
Our physiotherapy clients often report a sense of general wellbeing
after each session of trigger point management.
how to diagnose Trigger Points
Our senior physiotherapists diagnose trigger points using a two-point method:
- clinical interviews to identify signs
- physical examination of the signs, symptoms, pain patterns as well as
using manual clinical palpations
An experienced senior physiotherapist can
quickly and accurately detect the taut bands and nodules of trigger points within muscle fibers that causes a
“all or nothing at all” twitch response – this is a primary sign.
Pressing on the trigger point nodule directly will cause localized or referred pain.
Some larger muscles such as the back and gluteal muscles have multiple and larger trigger points.
Physiotherapy Treatment Of Myofascial Pain Trigger Points
- Myotherapy (deep pressure)
- Clinical massage therapy (including deep tissue release therapy)
- Ultrasound therapy and radio-frequency Indiba physiotherapy to accelerate muscle and soft tissue healing
- Mechanical oscillation and vibration
- Manual therapy
- Pulse Ultrasound
- Dry needling
- Ischemic compression
- Heat therapy
- Spray and stretch
- Stretching and flexibility program
Successful Physiotherapy Myofascial Pain Treatment Protocol
The key approach in physiotherapy trigger point myofascial treatment is
- identifying accurately the exact trigger points and
- treating all the active and key trigger points effectively
The muscles that
contains inactive, latent ones need to be stretched and mobilized, as
well as to mobilize the fascia of nearby structures.
results of any manual therapy is directly related to the skill and
experience level of the physiotherapist or hand therapist.
points are pressed for too short time, they main be active still; if
they are pressed too hard or too long, the trigger points becomes
inflamed and bruised, causing escalated, worst and longer pain in the area.
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Phoenix Rehab physio Services
Phoenix Rehab Group works with specialist
physiotherapists and rehab therapists who are highly
trained, qualified, experienced and passionate to provide high level of
expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
HAND THERAPY & SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand
following injuries or post-operations as well as custom made hand splints.
Commonly treated hand pain injuries includes
CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on
- core stability
- flexibility and
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to
- accelerate recovery and
- shorten downtime / recovery period required
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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