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The term "trigger point" was coined in 1942 by Dr. Janet Travell to describe a clinical finding with the following characteristics: [citation needed]. Pain related to a discrete, irritable point in skeletal muscle or fascia, not caused by acute local trauma, inflammation, degeneration, neoplasm or infection.
"The Mother of MYOFASCIAL - TRIGGER POINT Knowledge" Travell, Janet G. (2003). "A Daughter's Recollection by Virginia P. Wilson". Texas Heart Institute Journal. 30 (1): 8– 12. Guide to the Janet G. Travell Papers, 1910-1997, Special Collections Research Center, Estelle and Melvin Gelman Library, the George Washington University
Dry needling, also known as trigger point dry needling and intramuscular stimulation, [1] [2] is a treatment technique used by various healthcare practitioners, including physical therapists, physicians, and chiropractors, among others. [3]
Symptoms of a myofascial trigger point include: focal point tenderness, reproduction of pain upon trigger point palpation, hardening of the muscle upon trigger point palpation, pseudo-weakness of the involved muscle, referred pain, and limited range of motion following approximately 5 seconds of sustained trigger point pressure. [2]
The intrinsic muscles of the scapula include the muscles of the rotator cuff- the subscapularis, infraspinatus, teres minor and supraspinatus. [9] These muscles attach to the surface of the scapula and are responsible for the internal and external rotation of the glenohumeral joint, along with humeral abduction.
Trigger point is the phrase coined by Dr Janet Travell (1942) to describe a clinical finding with the following chacteristics: Pain related to a discrete, irritable point in skeletal muscle or fascia, not caused by acute local trauma, inflammation, degeneration, neoplasm or infection.
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Ischemic compression is commonly applied to trigger points, in what is known as trigger point therapy, where enough sustained pressure is applied to a trigger point with a tolerable amount of pain, and as discomfort is reduced, additional pressure is gradually given.