According to a clinical trial published in the American Journal of Physical Medicine and Rehabilitation; the medical approach for trigger point therapy is actually physically deflating the knot using a needle. In this particular trail, lidocaine injections were tested against another method called dry needling which is simply a needle inserted into the trigger point.
The results concluded that patients who received the lidocaine injection into their trigger points experienced less intensity and onset of post -injection soreness versus the dry needle insertion method.
More on that clinical trial here:
https://europepmc.org/article/med/8043247
To some, a needle to the back may not be the best method. A more noninvasive technique would be trigger point therapy. A massage therapist will first warm up the muscle tissue with general effleurage strokes or may use a hot towel in conjunction with myofascial elongating therapeutic techniques. Once the muscles are warmed up, the therapist will then feel the muscle fibers looking for any lumps, adhesions or irregular muscle tissue. Once found, direct pressure is applied, usually with the therapist elbow as deeper pressure is generally needed to rupture the trigger point pocket. After about 15-20 seconds of holding pressure on the trigger point. The client should feel a slight deflation feeling depending on the level of tension and how large the trigger point is. If the trigger point is hard, it may feel like a lump rolling around in the back. A therapist should take care to stabilize the trigger point with one hand and apply whichever techniques used to rupture the trigger point with the other hand, this will minimize movement. The client may also feel nothing at all if they fall asleep during massage. Lastly effleurage is applied again to move fluids out and further promote relaxation.
In order to genuinely experience the full benefits of trigger point therapy, one would have to devote enough time to the process which usually takes more than a traditional 60 minute session (ideally 2 hours would be enough time to devote to a trigger point session for those who know they have plenty of issues to address). However, that type of devotion to wellness may be in the hearts of everyone, but is definitely not in the wallets of everyone, making this type of therapy, out of reach for most. Luckily, there are alternatives to help treat trigger point pain and tension yourself.
Trigger Point Massage sticks are a great way to help combat trigger points on a solo level. These massager tools usually come in the form of a curved cane with hard spherical nodes on the ends that you press into the muscle to break apart trigger points
An example can be found here
https://www.amazon.com/gp/offer-listing/B0006VJ6TO/ref=as_li_tl?ie=UTF8&camp=1789&creative=9325&creativeASIN=B0006VJ6TO&linkCode=am2&tag=msta04-20&linkId=8805c0bed4336284f44f3e0923f0f79a
Use a tennis ball. By rolling a tennis ball back and forth over a trigger point, then gently press into the area with gradual pressure. If the knot is in the back, place the tennis ball between your back and a wall, slowly move the ball around until it is right above the treatment zone, then gently press your back against the ball. The wall will provide strength and stability needed to press deeper into the area.
The most important takeaway here is that we all need to be more in tune with our bodies and what they are saying to us. What is and what is not right for you can only be found within. Try everything within reason, and see what works best for you.
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