Myofascial trigger point therapy for triceps surae dysfunction: A case series

Aggressive Musculoskeletal Physiotherapy: Should We Treat Pain with Pain?

“…This theoretical assumption is reinforced by the fact that as shown, subjects with different musculoskeletal pathologies reported significant improvement in their symptoms and functional capacity after each noxious treatment procedure. Additionally, we should remember that it is also thought that dynamic and aggressive therapeutic manipulation of the body (deep-pressure massage with hands or clinical instruments) also results in the release of endorphins which can mask the perception of pain [30,31].…”

Effects of Graston Technique on blood flow in the upper extremity

“…Myofascial trigger points are defined as hyperirritable areas in the muscle or fascia that can be felt as a hardened nodule. 36,37 Two types of trigger points are latent and active. A latent trigger point will not cause pain unless direct pressure is applied, but may restrict motion or cause muscular weakness.…”

“…A latent trigger point will not cause pain unless direct pressure is applied, but may restrict motion or cause muscular weakness. 36,37 An active trigger point will cause pain at rest spontaneously and also restrict motion and cause weakness of that muscle. 36,37 Active trigger points are most known to patients due to the referred pain caused, usually their chief complaint.…”

“…36,37 An active trigger point will cause pain at rest spontaneously and also restrict motion and cause weakness of that muscle. 36,37 Active trigger points are most known to patients due to the referred pain caused, usually their chief complaint. 37 Many times an acute strain of a muscle causes these trigger points and within a few days is repaired on its own.…”

“…One common place for myofascial trigger points to occur is within the triceps surae complex. 36 Trigger points noted in these muscles can cause cramps, referred heel pain, and limited dorsiflexion range of motion (ROM). 36 Perhaps the most discussed treatment for trigger point therapy is pressure release or ischemic compression, which is described as placing pressure over the nodule until the muscle tension or pain is relieved.…”