What Are Trigger Points?

What Are Trigger Points?

You may be wondering… what are trigger points? Trigger points are susceptible muscle areas that can cause pain and discomfort. They often develop due to muscle overuse, injuries, or stress. These tiny knots or tight bands of muscle fibers can be felt under the skin and can cause pain, stiffness, and even referred pain in other areas of the body.

Defining Trigger Points and Their Characteristics

When understanding trigger points, it’s essential to recognize their unique characteristics. They are often described as taut bands of hyperirritable muscle fibers that can cause pain when pressed upon. They differ from general muscle soreness or tightness as they are localized areas with specific referral patterns. Trigger points can be classified as active or latent.

Active points cause pain and discomfort even without pressure, while latent ones are not painful but can become active and cause pain with specific movements or pressure.

The Nature of Active Trigger Points

Active trigger points are like little knots constantly firing electrical nerve impulses. These impulses can cause muscles to tighten and limit their normal range of motion. As a result, individuals with active trigger points may experience ongoing pain and discomfort, decreased flexibility, and muscle weakness.

Active trigger points can also cause referred pain, meaning the pain is felt in a different area than originally understood. This referral pattern can make it challenging to identify the exact source of the pain.

Imagine an individual with an active trigger point in their shoulder. This trigger point may cause pain in the shoulder and radiate down the arm, mimicking the symptoms of a pinched nerve.

This confusing referral pattern can lead to misdiagnosis and ineffective treatment if the trustworthy source of the pain, the active trigger point, is not identified and addressed.

Furthermore, active points can significantly impact an individual’s quality of life. Simple tasks such as lifting objects, reaching overhead, or even sitting for extended periods can become excruciatingly painful. The constant firing of nerve impulses from the trigger point can create a cycle of muscle tension and pain, making it difficult for individuals to find relief.

The Dormant Nature of Latent Trigger Points

Unlike active trigger points, latent ones do not cause ongoing pain. Instead, they lie dormant within the muscle until specific movements, postures, or pressure activate them. When latent trigger points become activated, they can cause localized or referred pain, restricted mobility, and muscle dysfunction. It is important to address them early to prevent them from becoming active and causing lingering discomfort.

Picture this: an individual who spends long hours sitting at a desk may develop latent trigger points in their neck and upper back muscles. These points remain dormant until the person engages in activities that strain those muscles, such as lifting heavy objects or performing repetitive motions. Once activated, these latent trigger points can cause sharp, stabbing pain in the neck and radiating headaches, making it challenging for the individual to focus and perform their daily tasks effectively.

Moreover, latent trigger points can contribute to postural and muscle imbalances. When activated, these can cause specific muscles to become overactive while others weaken. This imbalance can lead to further pain and dysfunction, creating a vicious cycle that is difficult to break without targeted treatment.

How Trigger Points Contribute to Muscle Pain

Trigger points are known to contribute significantly to muscle pain and discomfort. When these points become activated, they cause a variety of sensations, including muscle tightness, stiffness, and tenderness. The pain experienced can range from a dull ache to a sharp, stabbing sensation.

They can also refer to pain in other areas of the body. For example, one in the upper back may cause pain to radiate down the arm, mimicking symptoms of a pinched nerve or shoulder problem. This phenomenon is called referred pain and can make diagnosing the primary source of discomfort challenging.

Such points can cause pain and functional impairments. The tightness and restriction in the affected muscles can lead to decreased range of motion, muscle weakness, and altered movement patterns. Over time, this can result in further muscular imbalances and compensations, leading to more pain and dysfunction.

Understanding the underlying causes of trigger points can help effectively manage and prevent their occurrence. Common triggers include muscle overuse, poor posture, repetitive strain injuries, and emotional stress. Addressing these factors through proper ergonomics, stress management techniques, and targeted exercises can help reduce the likelihood of trigger point formation.

It’s important to note that trigger points can vary in their sensitivity and response to treatment. Some individuals may find relief through self-myofascial release techniques such as foam rolling or massage, while others may require professional intervention such as injections or physical therapy. Developing a personalized treatment plan with the guidance of a healthcare provider can optimize outcomes and improve overall muscle health.

Common Areas Affected by Trigger Points

Trigger points can develop in various muscle groups throughout the body. Some areas are more prone to development due to the muscles’ anatomy, function, or susceptibility to overuse. Let’s explore some of the common areas affected.

Understanding the distribution in the body is crucial for effectively managing pain and restoring optimal muscle function. Trigger points are hyperirritable spots within taut bands of skeletal muscle fibers that can refer pain to other body areas, creating a complex pattern of discomfort. By targeting these points through manual therapy, stretching, and other modalities, individuals can experience relief and improved range of motion.

Neck and Shoulder

The neck and shoulder region is highly susceptible to trigger point development, particularly for those who spend long hours sitting at a desk or engaging in repetitive motions. Points in this area can cause headaches, neck pain, shoulder pain, and limited range of motion.

The upper trapezius, levator scapulae, and supraspinatus muscles are common trigger points in the neck and shoulder. They can cause pain in the head, neck, and arms, leading to aching discomfort and restricted movement. Addressing these trigger points through targeted massage, stretching, and postural correction can alleviate symptoms and prevent further muscle imbalances.

Lower Back and Hips

The lower back and hip regions are other standard sites for such irritation. Prolonged sitting, poor posture, and excessive standing can contribute to muscle imbalances and the development of trigger points. Points in this area can cause lower back and hip pain and radiate pain down the legs.

The muscles commonly affected in the lower back and hips include the gluteus medius, piriformis, and quadratus lumborum. These trigger points can result in sciatica-like symptoms, including buttock pain, leg numbness, and tingling sensations. Implementing targeted exercises, myofascial release techniques, and ergonomic adjustments can help alleviate pain and improve functional movement patterns.

Legs and Feet

Trigger points can also develop in the legs and feet muscles, particularly in those who engage in repetitive leg movements or standing for long periods. Trigger points in the calves, thighs, or feet can cause pain, cramping, and limited mobility.

The gastrocnemius, soleus, and tibialis anterior muscles are common sites for trigger points in the legs and feet. These trigger points can lead to plantar fasciitis, shin splints, and Achilles tendonitis. Targeted stretching, strengthening exercises, and proper footwear support can help address these trigger points and improve overall lower limb function.

Techniques for Identifying Trigger Points

Identifying trigger points can be challenging, as they often manifest as referred pain or discomfort in areas other than where they are located. However, several techniques can help healthcare professionals and individuals identify trigger points for effective treatment.

They are sometimes also commonly referred to as muscle knots and are hyperirritable spots in skeletal muscle associated with palpable nodules in taut bands of muscle fibers. These points can cause pain, weakness, and restricted range of motion in affected muscles. By understanding the characteristics of trigger points, healthcare professionals can effectively diagnose and treat these common musculoskeletal issues.

Manual Palpation

Manual palpation is a hands-on technique for locating affected locations. By applying pressure to specific areas of the muscles, a skilled practitioner can identify areas of increased tenderness or localized pain, indicating the presence of trigger points.

During manual palpation, healthcare professionals may also feel for the characteristic taut bands and nodules associated with irritated muscles. These physical findings, combined with patient-reported pain patterns, can help confirm the presence of such points and guide treatment strategies.

Referred Pain Patterns

Understanding the referred pain patterns associated with trigger points can also help identify their presence. By locating the area of pain and tracing it back to specific muscles, healthcare professionals can determine if they contribute to the discomfort.

Referred pain often follows specific patterns well documented in medical literature. For example, points in the trapezius muscle can refer to pain in the shoulder and neck region, leading to symptoms that mimic other musculoskeletal conditions.

By recognizing these pain patterns, healthcare providers can accurately pinpoint the source of discomfort and develop targeted treatment plans.

Infrared Imaging

Infrared imaging is a non-invasive technique that uses thermal imaging to identify areas of increased heat or inflammation. Since trigger points can cause localized inflammation, infrared imaging can be a useful tool in identifying their presence.

By detecting subtle changes in skin temperature associated with the affected area, infrared imaging can provide objective data to support the clinical diagnosis of these muscle abnormalities. This technology visually represents the areas affected by points, aiding in treatment planning and monitoring of therapeutic interventions.

Manual Trigger Point Therapy

Manual therapy involves applying direct pressure to the trigger point to release tension and promote muscle relaxation. Techniques such as deep tissue massage, myofascial release, and ischemic compression can effectively target the affected locations and provide relief.

Dry Needling

Dry needling is a technique that involves inserting thin needles into the trigger point to stimulate a therapeutic response. This technique can help relax the muscles, relieve pain, and improve the range of motion.

Stretching and Strengthening Exercises

Stretching and strengthening exercises can help address muscle imbalances and prevent the reoccurrence of trigger points. Targeted stretches and exercises can lengthen tight muscles, improve flexibility, and promote overall muscle health.

By understanding trigger points, how they contribute to muscle pain, and the treatment options available, individuals can take proactive steps to manage and alleviate discomfort. Addressing them through manual therapies, exercise, or lifestyle modifications can lead to improved muscle function, reduced pain, and enhanced overall well-being.

Understanding Sciatica: Causes and Symptoms

Understanding Sciatica: Causes and Symptoms

Sciatica can cause excruciating pain that radiates down the leg, making it difficult to perform even simple day-to-day tasks. If you’re currently experiencing this condition, it’s imperative to understand its causes and symptoms to manage and seek appropriate treatment effectively.

Causes of Sciatica

Sciatica is a condition that can cause debilitating pain and discomfort in the lower back, buttocks, and legs. While sciatica has various causes, one of the most common is a herniated or slipped disc. The intervertebral discs, which act as cushions between the vertebrae, can bulge or rupture due to age, injury, or wear and tear. When this happens, the displaced disc material can press against the nearby nerves, including the sciatic nerve, causing inflammation and pain.

Other Spinal Conditions Can Lead to Sciatica

In addition to herniated discs, other spinal conditions can also lead to sciatica. Spinal stenosis, for example, is a condition where the spinal canal narrows, putting pressure on the spinal cord and nerves. This narrowing can occur due to age-related degeneration, arthritis, or the growth of bone spurs. When the sciatic nerve is affected by spinal stenosis, it can result in the characteristic symptoms of sciatica.

Spondylolisthesis is another condition that can contribute to the development of sciatica. It occurs when one vertebra slips forward over the one below it, causing instability in the spine. This misalignment can pressure the sciatic nerve, leading to pain, numbness, and tingling sensations in the lower back and legs.

Muscle Inflammation Plays a Role

Aside from these structural causes, muscle inflammation can also play a role in developing sciatica. Piriformis syndrome, for instance, is where the piriformis muscle, located deep in the buttocks, becomes tight or spasms. This can irritate the sciatic nerve, resulting in sciatica symptoms. Injuries or trauma to the lower back or buttocks, such as a fall or car accident, can also lead to sciatica by causing compression or damage to the sciatic nerve.

Obesity and Overeating

Furthermore, certain lifestyle factors can increase the risk of developing sciatica. Carrying a higher weight can put extra strain on the spine and increase the likelihood of disc herniation or nerve compression. Sedentary behavior, characterized by prolonged sitting or lack of physical activity, can weaken the muscles that support the spine and contribute to the development of sciatica.

At the end of the day, sciatica can have various causes, ranging from structural issues like herniated discs, spinal stenosis, and spondylolisthesis to muscle inflammation and lifestyle factors. Understanding these causes can help individuals take preventive measures and seek appropriate treatment to alleviate sciatica symptoms.

Symptoms of Sciatica

The hallmark symptom of sciatica is pain that radiates from the lower back down the back of the leg. The pain can vary in intensity, from a dull ache to sharp, shooting pains. It may also worsen with movement, prolonged sitting, or coughing and sneezing.

In addition to pain, individuals with sciatica often experience numbness, tingling, or weakness in the leg or foot. This can make it challenging to walk or perform daily activities. Furthermore, sciatica can also cause difficulty controlling the muscles of the lower leg and foot, leading to difficulties in coordination.

Sciatica can have a significant impact on a person’s quality of life. The constant pain and discomfort can make it challenging to engage in physical activities, leading to a sedentary lifestyle. This lack of movement can further exacerbate the symptoms as the muscles become weaker and less flexible.

Furthermore, the pain and discomfort associated with sciatica can also affect a person’s mental well-being. Chronic pain can lead to feelings of frustration, irritability, and even depression. It can be challenging to maintain a positive outlook when dealing with constant pain and limited mobility.

Identifying the Underlying Cause

When seeking chiropractic care for sciatica, your chiropractor will conduct a thorough examination to identify the underlying cause of your condition. This may involve assessing your posture and range of motion and performing orthopedic tests to pinpoint the exact source of your pain. Understanding the cause of your sciatica is crucial in developing an effective treatment plan tailored to your unique needs.

During the examination, your chiropractor may also inquire about your medical history and any previous injuries or conditions contributing to your sciatica. They will take a holistic approach to your care, considering all factors contributing to your symptoms.

In some cases, the underlying cause of sciatica may be a herniated disc. This occurs when the soft, gel-like center of a spinal disc protrudes through a tear in the outer layer, putting pressure on the nearby nerves. Other potential causes of sciatica include spinal stenosis, degenerative disc disease, and spondylolisthesis.

Once the underlying cause of your sciatica has been identified, your chiropractor will work with you to develop a comprehensive treatment plan. This may include spinal adjustments, therapeutic exercises, and lifestyle modifications to alleviate your symptoms and improve your overall spinal health.

Causes of sciatica

Chiropractic Approach to Sciatica

Sciatica can be a debilitating condition that causes pain, numbness, and tingling sensations along the sciatic nerve, which runs from the lower back down through the hips and legs. While various treatment options are available, chiropractic care offers a conservative and non-invasive approach to managing sciatica, focusing on the root cause rather than just the symptoms.

Chiropractors are highly trained healthcare professionals specializing in diagnosing and treating musculoskeletal conditions, including sciatica. They use a holistic approach to care, considering the entire body and how it functions. By doing so, they aim to alleviate pain and discomfort, improve mobility, and enhance overall well-being.

One of the primary goals of chiropractic care for sciatica is to reduce pressure on the sciatic nerve. Chiropractors achieve this through various techniques, such as spinal adjustments or spinal manipulations. These gentle and controlled movements help realign the spine, relieving nerve pressure and reducing pain. By restoring proper spinal alignment, chiropractors can address the underlying cause of sciatica and promote healing.

In addition to spinal adjustments, chiropractors may use other manual therapies to alleviate discomfort further and promote healing. For example, traction is a technique that involves applying a gentle pulling force to the spine, which helps decompress the affected area and relieve pressure on the sciatic nerve. This can provide significant pain relief and improve overall function.

Combining Therapies for Optimal Results

While chiropractic adjustments play a vital role in managing sciatica, complementary therapies can enhance the effectiveness of treatment. Chiropractors often incorporate other modalities to address the symptoms and underlying muscle imbalances or weaknesses contributing to sciatica.

Massage therapy is one such complementary therapy that can benefit individuals with sciatica. It involves the manipulation of soft tissues, such as muscles and connective tissues, to improve blood circulation, reduce muscle tension, and promote relaxation. Massage therapy can help alleviate pain and improve overall function by targeting the affected muscles.

Acupuncture is another modality that chiropractors may use to manage sciatica. This ancient Chinese practice involves the insertion of thin needles into specific points on the body to stimulate energy flow and promote healing. Acupuncture is effective in reducing pain and inflammation associated with sciatica.

Physiotherapy exercises are often prescribed as part of a comprehensive chiropractic treatment plan for sciatica. These exercises aim to strengthen the muscles supporting the spine, improve flexibility, and correct any imbalances or weaknesses contributing to the condition. By addressing these underlying issues, physiotherapy exercises can help prevent future episodes of sciatica and improve overall spinal health.

Chiropractic care offers a holistic and non-invasive approach to managing sciatica. By addressing the condition’s root cause and incorporating complementary therapies, chiropractors can provide effective and personalized treatment plans for individuals suffering from sciatica. If you are experiencing sciatica symptoms, consider consulting a chiropractor to explore your treatment options and find relief.

sciatica treatment at chiropractor

Lifestyle Modifications and Ergonomic Tips

Alongside chiropractic care, making certain lifestyle modifications can significantly alleviate sciatica symptoms. Regular aerobic exercise, such as swimming or walking, helps strengthen the back and abdominal muscles, reducing the strain on the lower back.

Additionally, maintaining good posture, especially when sitting for long periods, can help prevent exacerbation of sciatica. Using ergonomic chairs or adding lumbar support to your seat can provide better spinal alignment and reduce the pressure on the sciatic nerve.

Furthermore, practicing proper lifting techniques and avoiding heavy lifting can help prevent sciatica-related injuries. If you’re unsure how to lift, your chiropractor can provide guidance and demonstrate safe lifting techniques.

Real Stories of Sciatica Relief

Many individuals have found long-lasting relief from sciatica through chiropractic care. It’s not uncommon to hear success stories of people who had debilitating pain but regained their quality of life with the help of chiropractic treatments.

One such success story is Samantha, a 42-year-old office worker who had been suffering from intense sciatic pain. After numerous failed attempts with medication and physical therapy, Samantha sought chiropractic care. Through a combination of gentle adjustments, massage therapy, and prescribed exercises, Samantha experienced a significant reduction in pain and regained her ability to perform daily activities without limitations.

These success stories serve as a testament to the effectiveness of chiropractic care for sciatica and as a source of hope for those currently experiencing this debilitating condition.

Preventing Sciatica: Taking Proactive Measures

While knowing how to manage sciatica effectively is essential, prevention is always better than cure. Taking proactive measures can significantly reduce the risk of developing sciatica or prevent its recurrence.

Regular exercise focusing on strengthening and stretching the back and abdominal muscles helps maintain the spine’s health and supports proper posture. Incorporating core-strengthening exercises, such as planks or yoga, into your routine can provide added stability to the lower back.

Maintaining a healthy weight is also crucial, as excess weight puts additional strain on the spine and can increase the risk of developing sciatica. Maintaining good posture, using appropriate lifting techniques, and avoiding prolonged sitting or standing in one position for extended periods can further minimize the risk of sciatica.

Long-term Management with Chiropractic Care

Chiropractic care for sciatica is not limited to short-term symptom relief. It offers long-term management by addressing the underlying causes and promoting spinal health. Regular chiropractic visits can help ensure that your spine remains properly aligned, reducing the risk of sciatic nerve irritation and future episodes of sciatica.

Your chiropractor may recommend periodic adjustments, exercises, or lifestyle modifications to maintain a healthy spine and prevent sciatica recurrence. By actively participating in your treatment plan and making the necessary lifestyle changes, you can enjoy a life free from the debilitating effects of sciatica.

What to Expect During Your Chiropractic Session

If you’re considering chiropractic care for your sciatica, you may be curious about what to expect during your session. The first step is a comprehensive consultation, where your chiropractor will discuss your medical history, evaluate your symptoms, and perform a physical examination.

Based on this assessment, your chiropractor will develop an individualized treatment plan tailored to your needs. This plan may include spinal adjustments, complementary therapies, and lifestyle recommendations. Your chiropractor will explain each step of the process, ensuring you feel comfortable and informed throughout your journey to sciatica relief.

Remember, chiropractic care is a partnership between you and your chiropractor. By actively participating and following the recommended treatment plan, you can maximize the effectiveness of your chiropractic care and take control of your sciatica for good.

Client of the Month: Sue Jones

Client of the Month: Sue Jones

November’s Client of the Month is Sue Jones! Sue is a Firefighter and Fire Inspector with Ottawa Fire, Organizer for Camp FFIT (Female Firefighters In Training), a runner, a CrossFitter, and much, much more.

Hobbies

Reading, hiking, writing

Why did you seek Applied Kinesiology care?

I sought out Applied Kinesiology because I was having issues with my neck and upper back. A lot of anxiety and stress induced tension leading to headaches, sleeplessness, and daily pain. I had read about AK and thought it sounded very comprehensive and definitely worth trying. Also seeing posts on social media from others who have had success with the treatments was very encouraging.

What benefits have you seen since starting Applied Kinesiology care?
How has this impacted your day to day life?

Since starting Applied Kinesiology care I’ve had a remarkable decrease in the chronic pain I was feeling, very few headaches, and my sleep has improved. I have found my workouts (CrossFit) and running have also improved as the pain is no longer slowing me down. This has become part of my overall care that is leading to shorter recovery and better overall health.

Last book you read

Braving the Wilderness – Brene Brown

Favourite movie

The Untouchables

If you need help leading your active lifestyle, we’d be happy to help!

Click the link HERE to be taken to our online booking site, where you’ll be asked to select whether you’d like to book an appointment in Smiths Falls or Kanata, then to select a mutually convenient date and time for an appointment!

Client of the Month: Alec Jarvis

Client of the Month: Alec Jarvis

November’s Client of the Month is Alec Jarvis, who is balancing full time work with Mattamy Homes with being back in school at Algonquin College, and training to be competitive in the CrossFit world!

Hobbies

CrossFit, Eating, Netflix

Why did you seek Applied Kinesiology care?

Lower back pain, which was starting to make work and the gym uncomfortable

What benefits have you seen since starting Applied Kinesiology care?
How has this impacted your day to day life?

Less and less back pain each visit – work has been getting easier, and lifts are going up again at the gym!

Last book you read

Triathlon Canada Magazine

Favourite movie

Django Unchained

Adjustments for a Cause: Camp Aftermath

Adjustments for a Cause: Camp Aftermath

Want to feel great physically while feeling great about yourself? Need an excuse to see a Chiropractor?

On Tuesday October, 8, 50% of all services billed at Nobility Chiropractic & Wellness will be donated to Camp Aftermath. Camp Aftermath is an amazing local charity dedicated to helping Veterans and First Responders with long term management of PTSD through active philanthropy and teaching positive daily habits and skills such as meditation, yoga, and exercise.

Click here to be taken to the booking website, and book an appointment on October 8 in Kanata!

(Don’t forget the step-by-step guide on how to use the booking system if you’re unsure!)

Client of the Month: Zachary Carcasole

Client of the Month: Zachary Carcasole

October’s Client of the Month is Zachary Carcasole, a carpenter by trade, a powerlifter by hobby, and an all-around great guy!

Hobbies

Hockey, going to the gym, eating food

Why did you seek Applied Kinesiology care?

When I started coming to see Bryan I was having migraines every other day and lower back issues that were preventing me from squatting or deadlifting in the gym. Which is 2/3 of a powerlifter’s moves.

What benefits have you seen since starting Applied Kinesiology Care?

After about a month I was getting much less frequent migraines and was enjoying the improvement of my everyday life. I was able to go back to the gym and do what I enjoy again.

Favourite movie 

Man on Fire