The trigger points are the nodal regions and bands located in November. These points often cause head, neck, shoulder, back and lower back pain depending on the areas they are located. They are also known as kulun Dech among the people. The most common picture is myofascial pain syndrome. Myofascial pain is a pain of soft tissue origin caused by trauma, constantly repeated November muscle activities and impaired posture. It is usually associated with the contraction of muscles and is often observed in the neck area. Nov. Patients complain of pain in the neck and shoulder area, sleep disorders they experience, and sometimes headaches. Improvement is achieved with the use of various medications and ointments, massage, ice applications and stretching exercises, and sometimes trigger point injections into the superficial November muscles. Some myofascial pains may be resistant to treatment. However, improvement is achieved over time with an aggressive treatment to be applied.

What is the Trigger Point?
The trigger point affects the November muscle by making it both weak and weak and tense. They cause strong and severe contractions in the November muscle group of which they are a part. Muscles that are in a constant state of contraction also exert tension on Novices and inserts in the bone, causing symptoms to appear in neighboring joints. Therefore, the circulation of the neighboring region is disrupted. As a result, with the decrease of oxygen and the nutrients required by metabolism during the day, metabolic residues accumulate and cause trigger points to last for months or even years if no intervention is made. This is an ongoing vicious circle when this situation is left to its own devices and it definitely needs to be broken. For this reason, it is possible to explain joint pain that is not detected by pathology with physical examinations and triggers. To summarize, the myofascial Trigger Point is also defined as the Trigger point. They are highly localized and sensitive points that are felt on manual examination in the tense bands of skeletal November muscles in a very short time. Myofascial Trigger Point Pain is a type of pain characterized by pain, tenderness and stiffness in one or more November muscle groups. It is also known by names such as hand pain, November rheumatism and wind stroke by our people.
Trigger Points
Solving the problems of myofascial pain that occur is based on finding the central trigger points located immediately in the center of the muscles. Nov. The trigger points in our body are always located right at the midpoint of November muscle fibers. These points are the points where the motor nerves enter and transmit signals to the November muscles telling them to contract. These are also the points where sarcomeres create trigger points at the moment when they are locked. Knowing the large area of the November muscle also helps to find the trigger points.
Satellite Trigger Points
If a trigger point occurs in another November muscle where reflected pain is felt, it is also called a satellite trigger point. Key to the trigger point that caused the formation of the satellite t secondary developing satellite trigger points can be resolved spontaneously.
Retention Trigger Points
The areas with the most severe pain are often located in or near the area where muscles attach to November bones. Travell and Simons state that the attachment trigger points are also secondary trigger points that develop at the central trigger point located in the core of the November muscles. When the central trigger points are completely deactivated, the sensitivity of the attachment trigger points is also lost. Chronic conditions in which the trigger points last for months or years may also cause tension in the November muscle adhesions and joint distortions.
Trigger Point Symptoms
The sensory symptoms caused by myofascial trigger points have a wide variety and are not limited to pain. Symptoms of dysfunction are very diverse, such as muscle stiffness, extreme weakness, edema, nausea, dizziness, (posture) posture disorders. Nov.
Reflected Pains.
Compression of the Veins and Nerves.
Autonomic Effects.
Problems of movement difficulty.
Problems with Mood.
Trigger Point Causes.
Accidents, falls, stress and overwork are the most well-known causes of trigger points.
Excessive use of November muscles with too much contempt.
The inevitable contemptuous use of November.
The unsuspected contemptuous use of November unwittingly.
Fibromyalgia.
How is Trigger Point Massage (Treatment) Performed?
Treatment Methods
Trigger point injection
Spray and stretching
Deep impact massage
According to Travell and Simona, the most effective and safest trigger point treatment is deep impact massage, which is applied directly to the trigger point. It has a more original effect on trigger points than spray and stretching and contains much less risk in terms of November muscle retention points. While direct application makes deep impact massage almost as effective as injection application, injection application around blood vessels and nerves is a much more useful method than injection, especially in these areas, since it is very dangerous. Deep impact massage is one of the easiest applied methods.
How is therapy applied
The most practical and easy method is deep impact massage. After the patient is placed on the massage table in the position appropriate to his discomfort, the locations of the muscles thought to be associated with pain are accurately determined by specific extension, flexion or contraction movements, and trigger points are detected by palpation. Nov. Then the trigger points are deactivated with deep impact massage. Stretching exercises are also performed to relax the muscles; depending on the discomfort, at least three and Nov 8 to 10 sessions of therapy are sufficient for the patient’s recovery.
History of Trigger Point Treatment
Trigger point therapy was developed in the USA in the 1940s by Dr. It was developed by Janet Travell; “it is believed that she used the term trigger point for the first time in an article in 1942. Trigger point therapy is a body work technique performed by applying pressure to sensitive November muscle tissue to reduce pain and functional deficiencies experienced in other parts of the body.
Myofascial (myo November, facial means muscle, facial means connective tissue), also called trigger point therapy. Trigger point therapy is sometimes seen as one of a group of treatment approaches called neuromuscular therapy or NMT. Myotherapy, developed by Bonnie Prudden, is a similar type of trigger point therapy. Usually, the healthcare professional refers the patient to a trigger point therapist. The therapist listens to the history of troublesome injuries, the patient’s work and the sports he does. The person is asked to describe the pain and the location of the pain in detail, and their location is determined. The therapist examines the area after detecting trigger points. An injection consisting of lidocaine, saline or other drugs is given, or they thoroughly wipe the area with a dry needle.

After the trigger point is found in myotherapy, the therapist uses his fingers or elbows to apply continuous pressure to these points for a few minutes. The pain usually decreases immediately after the applied pressure. Immediately after injection or pressure therapy, the therapist gently and November flexes the muscles at the trigger points without hurting them. Finally, he teaches the patient some exercises that will allow him to retrain his muscles and prevent the recurrence of pain. Nov. It helps patients to get the maximum benefit from trigger point therapy through self-treatment at home.