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Trigger Point Massage Guide

Trigger Point Guide theory by Karri Koivula is a free e-book. Book is for informational and educational purposes only. It is not intended to diagnose, treat, cure or prevent any disease. It's illegal to copy any material from this book and distribute it.

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ula

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100% found this document useful (9 votes)

1K views82 pages

Trigger Point Massage Guide

Uploaded by

ula

We take content rights seriously. If you suspect this is your content, claim it here.

Available Formats

Download as PDF, TXT or read online on Scribd

Trigger Point Guide - Theory
Legal Notices
Introduction to Trigger Points
Trigger Point Identification and Massage Guide
Case Example: Managing Pain
Pain Shift and Management
Trigger Point Guide - Pain Patterns
Index
Head and Neck Pain
I Pain/Muscle Index
Trapezius
Sternocleidomastoid
Temporalis
Masseter
Splenius Capitis
Semispinalis Capitis
Multifidi and Rotatores
Buccinator and Lateral Pterygoid
Medial Pterygoid and Other Facial Muscles
Zygomaticus and Other Facial Muscles
Digastric and Related Muscles
Upper Back and Shoulder Pain
Trapezius and Related Muscles
Latissimus Dorsi, Rhomboid, and Supraspinatus
Middle Back Pain and Related Muscles
Gluteus Muscles and Related Areas
Piriformis and Quadratus Lumborum
Spinae Erectors and Multifidi
Chest, Abdominal, and Genital Pain
Pectorals and Related Muscles

Trigger Point Guide Theory

Karri Koivula

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Legal notices
Disclaimer

Huge effort is made that this book represents generally accepted medical practises and that
this information doesn’t pose a risks for anybody who uses it.

But it is very important that you realize that you read this book at your own risk.

All material provided in this e-book is for informational and educational purposes only, and not
to be construed as medical advice.

No action should be taken solely based on this e-book

Absolutely consult you physician before you take any actions related to your you health

By downloading/reading this book

You understand and agree that in no event shall the author nor the publisher of this e-book be liable
to you or any other user of this e-book for the use of the information.

Statements mentioned within this e-book are not intended to diagnose, treat, cure or prevent
any disease.

The statements made within this e-book have not been evaluated by the Food and Drug
Administration.

If you don’t understand or agree these terms then please quit reading this book right now and
delete this book from your computer.

Thanks.

It’s illegal to copy any material from this book and distribute it.

I regularly search the internet for illegal copies.

And I will press criminal charges against those who illegally distribute it.

Copyright. 2004 Karri Koivula

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Start here
Foreword

The focus here is in practical advice.

The bottom line,

And all that matters,

Is that trigger points cause referred pain,

And that they “relax” trough massage.

And that the pain symptoms they cause will vanish along them…

Call to action

Read some theory below then go to the pain patterns section and…

Look at the body part pictures and try to pin point your pain, then look at the muscle pain index and
see which muscles are generally involved.

Then go to work, use the side menu to easily jump to what ever muscles you need to massage, and
use the pictures and written guidelines if any to get the job done.

Theory section starts

Trigger points are hyper contracted bundles of muscle cells. Also because of this contraction there
are taut bands of stretched muscle attached to these contraction knots that run to both directions and
end up in the muscles attachments points.

Putting pressure on the trigger point will eventually make them relax.

Even pressing at the taut band can make this happen as it forces a stretch to the contracted knots
that are in the center.

But for best effect you want to aim center.

you’ll locate the center/trigger point by its pressure tenderness, pressing it moderate/hard force
should cause noticeable pain both ate the spot and in the pain referral zone.

You can test this by pressing a spot few centimetres of the spot, and see that you can barely feel the
pressing.

Normal muscle tissue can take a lot of force applied to it; until you start to feel even slight
discomfort.

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Trigger point identification -important
Pressure tender spot

Spot that hurts to press

Twitch reaction

When you press the spot or taut band you can feel the taut band to twitch violently.

It’s good indicator from trigger points, but it doesn’t happen, or you can’t always feel it.

Reappearing of referred pain symptom

When you press the tp you feel something on the actual pain zone were the symptom that bothers
you exists.

Sometimes it’s the exact feeling of the pain but most cases you just feel some weird sensations in
the general area of you pain zone.

Brief massage guide lines

Find the spot and the direction of applying pressure massage that hurts the most.

Massage multiple short session though out the day.

As long as it takes for the spots to become none-tender, or as long as it takes to get relief.

This will in most cases take weeks.

Ways to massage

Repetitive stroke massage or continuous pressure

Il like the best from continuous pressure applied by tool and using bodyweight for applying the
pressure. It’s the lazy person’s way to do it and works just perfect.

Continuous pressure

Hold 8-15 seconds pressure move to another spot come back later repeat about 2-3 per spot 2-5
times per day

Massage

Massage 10 strokes move to another spot come back repeat 2-3 times per spot 6-10 times per day

There are no rules once you get the hang of it youll make you own system.

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Case example
Acute pain phase

Massages points in many sessions a day for two weeks

Holy smoke I am full of these buggers it seems that every inc of my body is is a tender spot.

Pain symptoms regress backwards old injuries start to feel again maybe resulting in more pain.

My muscles are twitching like there no tomorrow.

Where is this all going to lead..

Then every other day for couple of weeks

Things start to normalize

I got to tell everybody about this.

This is pretty cool, why the doctors didn’t tell me about this.

Upkeep/ maintenance

Then once a week, or when needed.

Massage is getting boring but some of the points are still a bit tender, although generally it gets
harder and harder to find them

Then once a moth, one session holding for 5 seconds,per spot.

I’m so lazy I should do the massage more often.

Some spots may get tender but they don’t seem to cause those old referred pain symptoms,
strange…

Where I ever in pain? It seems so distant…

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Pain shift - important
What you get is a pain shift or the pain gets worse.

You can aggravate the current tp and your pain symptom worsens this is common although it
doesn’t seem to postpone the relaxation of the tp.

Which is bit odd, but that’s the practice of things.

And thus some use very rough methods from the beginning to get things handled as quickly as
possible and suffer a little extra pain.

Pain shift can be like going back in time.

Pain shift happens when the pull of the muscles changes and it flares old latent trigger points.

For example if you hurt you foot and got longstanding knee pain that eventually settled in you hip.

You can experience the same knee pain again as the trigger point will flare upp again as the balance
between the pull of the muscles changes as you massage tps.

But at this point don’t call me and get angry at me but continue to massage the points that are
responsible of this newly appeared symptom.

They should vanish eventually.

I don’t know a case where this pain shift or regression back to old symptoms haven’t vanished-

I don’t see any logic reasons for this but realize that there is a risk for this.

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Trigger Point Guide Pain patterns

Karri Koivula

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Index

1. Head and neck pain

2. Upper back, shoulder, upper arm pain

3. Middle back, lower back ,hip and buttock pain

4. Chest, abdominal and groin pain ,

5. hip, thigh, knee pain

6. Leg and ankle pain

7. Foot pain

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Head and Neck pain

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Eye area pain

Sternocleidomastoid
Temporalis
I pain/muscle index slpenius cervicis
massater
occipitalis
Top of head orbicularis oculi
sternocleidomastoid suboccipital group
splenius capitis trapezius

Back of head pain Ear and chin joint pain

Trapezius sternocleidomastoid
sternocleidomastoid massater
semispinalis capitis lateral pterygoid
semispinalis cervicis trapezius
splenius cervicis buccinator
suboccipital group Platysma
occipitalis orbicularis oculi
digastric zygomataticus major
temporalis digastric
medial pterygoid
Side of head
Trapezius Tooth pain
sternocleidomastoid temporalis
temporalis massater
splenius cervicis digastric
suboccipital group
semispinalis capitis
Back of neck
Trapezius
Front of head multifidi
sternocleidomastoid levator scapulae
Frontalis splenius cervicsis
zygomaticus major
semispinalis capitis Front of neck
sternocleidomastoid
digastric
korva ja leuka nivel medial pterygoid
särky
lateral pterygoid
massater
sternocleidomastoid
medial pterygoid

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Trapezius

Use Stick and tennis ball against the wall.

Picture:

For trigger points, lower down in the trapezius, lye down in the floor and use
tennis ball and use it to apply the pressure and find the right spots.

picture:

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Sternocleidomastoid

Just grab the muscle like in I am doing, bend the head to the side you are
pinching the muscle to give it some slack and make it easier to grab.

Just go trough the whole muscle pinch gripping it and find the trigger points.

The muscle two branches on top of each others, you can see them divide in the
lower attachment point.

But for the most part of the muscle you don’t have to distinguish them.

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Temporalis

Use your knuckles or some hard tool to locate temporal trigger points.

But go easy on them.

Its really spooky kind of pain that they can make and reappear when pressed.

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massater

I find it helpful to press little towards ears to hit the muscle in right direction.

Use fingers, knuckles or tool

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Splenius Capitis Splenius Cervcis

Tool against wall or against floor.

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Semispinalis Capitis

Tool against wall or against floor.

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multifidi , rotatores

Tennis ball is too big to hit the trigger points but some tool that is smaller
works fine.

Be little extra careful when applying pressure near vertebrae, use common
sense.

To be extra cautious use tool with your hands not against floor or wall-

Buccinator

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It refers pain to the teeth near the muscle
Use your fingers for pressure

Lateral pterygoid

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The x is the trigger point spot and grey areas on both side it the referred pain
areas.

use fingers to locate and hit the spot.

Medial pterygoid

To reach this muscle you need to press it from below your chin.
It is on the x spot
orbicularis oculi

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No it’s not the Frankenstein’s bride wearing an eye patch, even thou it kind of
a looks like it.

The pain pattern is the grey shadow that seems to sculpt the nose and the
trigger point is the small x just in the eye brow line or little below, like it is in
this case.

Just track down the bones around the eye looking for tender points.

The black patch describes the muscle.

zygomaticus, levator labii

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Indian war painting, or maybe not.

Use fingers to locate and aply pressure

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digastric

Again you need to venture to the underneath of the chin.

Use fingers an to search tender spots and referred pain.

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frontalis occipital

Move your eyebrows and try to wiggle your ear can you feel the occipital
muscle in the back of your head.

Fingers, knuckles or a tool there aren’t any rules.

suboccipitalis

Use a tool to reach the muscle easily, against wall if necessary.

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Upper back, shoulder, upper arm

Front of upper arm

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scalanes

Locate your collar bone use your fingers o pull to the collar bone.