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Manual Trigger Point Therapy

Pain and dysfunction of the musculoskeletal system can have different causes. Musculature as the primary cause of pain and functional impairment have long been neglected. The muscles have a great influence on disorders of the musculoskeletal organ and can directly cause both acute and chronic pain conditions. Travell and Simons show that the "myofascial trigger points" they describe, are very often responsible as a dominant disease factor for pain and functional limitations in the neuro-musculo-skeletal system. Those myofascial trigger points are zones in a muscle which are created by overloading or traumatic overstretching and are characterized by hypoxia (lack of oxygen).


Myofascial trigger points are palpable, provocation by means of pressures triggers pain that is often transmitted to other parts of the body (referred pain).


The following symptoms can be caused by trigger points:


  • Ache

  • Paresthesia

  • Muscle weakness without primary atrophy

  • Movement restrictions

  • Proprioceptive disorders with impaired coordination

  • Autonomic vegetative reactions


How can we treat these trigger points?

  • With hand movements (myofascial trigger point therapy) or with needles (dry needling), the muscle fibers can be influenced in such a way that blood circulation is established in the trigger points and the pain disappears.

  • Active training therapy

  • Myofascial release techniques

          - For example: foam roller and lacrosse ball.

  • Perception/improvement of posture


My treatment concept follows 4 combined manual techniques in combination with stretching / deionization and functional strengthening of the muscles.

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