Trigger Point Therapy - Self Help for Common Shoulder Pain
Posted by Team NAT on May 21, 2017
With thanks to Jeffrey Lutz CMTPT and Erica Carole LMT of the Pain Treatment and Wellness Center, Greenburg, PA
Whilst it's not usually a substitute for professional care, treating your own trigger points will often help to relieve painful symptoms
Treating your own trigger pointsisn't likely to provide the same outcome as you would get from treatment from a therapist, but it can be remarkably effective, and is something that we almost always prescribe for clients, between treatments.
Try first to use your fingers to apply pressure to the muscle, and to see if you can feel for a taut band or knot. Press with one finger on the exact spot and you should elicit pain (this can be local or referred).
Once you get used to the concept of treating trigger points, equipment such as hard balls and pressure tools can be used to amplify pressure and reduce stress on your fingers.
Pressure tools can be used standing, sitting, lying, or side lying. It is easy to overstimulate an active trigger point, so pressure should be applied slowly and gently until it is "just right."
You should hold the point until it softens or the pain yields. It is usually fine to use pressure tools up to six times a day, depending on the type and severity of the problem.
Follow these general instructions:
1. Identify the tender/trigger point you wish to work on.
2. Place the host muscle in a comfortable position, where it is relaxed and can undergo full stretch.
3. Apply gentle, gradually increasing pressure to the tender point until you feel resistance. This should be experienced more as discomfort and not as severe pain.
4. Apply sustained pressure until you feel the tender point yield and soften. This can take from a few seconds to several minutes.
5. Steps 3-4 can be repeated, gradually increasing the pressure on the tender/trigger point until it has fully yielded.
6. To achieve a better result, you can try to change the direction of pressure during these repetitions.
There are many reasons why you might have trigger points, so it is important to consider your trigger point pain in the context of the rest of your body. It must be stressed that the techniques offered on this page are not a substitute for therapy from a qualified practitioner.
Although aches and pains from trigger points are common, there can sometimes be an underlying pathology. It is advisable to always seek a proper diagnosis from a qualified medical practitioner or experienced manual therapist.
If you are receiving any form of trigger point therapy, either self-help or with a therapist, it is advisable to stretch on the hour, every hour, on the day of the treatment and then three times per day thereafter for a few weeks to several months.
Trigger points in this muscle are often associated with decreased range of motion in "Apley Scratch" test (behind back), rotator cuff tendinopathy, frozen shoulder syndrome, pain in back and front of shoulder, night-time shoulder pain, dead-arm sensations, and “mouse arm” from computer mouse overuse.
Trigger points in this muscle are often associated with decreased range of motion (especially in abduction), shoulder pain which worsens with motion and eases at rest, and some loss of strength above 90 degrees.
Trigger points in the biceps are typically associated with anterior shoulder pain with decreased arm extension, biceps tendonitis, reduced extension of arms, reduced "Apley Scratch" test manoeuvre, and frozen shoulder syndrome.
Trigger points in supraspinatus are common, and are often associated with loss of power in abduction, painful arc syndrome, subacromial bursitis, rotator cuff tendinopathy, deep aching at night, and clicking/snapping sounds in shoulder joint.