The trigger-point is a painful muscle knot, a highly irritated area in the skeletal muscle/fascia which is closely related to the fibrils. The pain often can be detected not in the area of the trigger-point but rather as a radiant pain.
Types of "Trigger-points"
In case of active trigger-points intense pain is experienced both during exercise or rest;
Latent trigger-points are experienced, when the pain can be felt only by direct pressure;
Aborted trigger-points are when the muscle knots is under development and no radiant pain can be detected.
A developing a trigger-point is caused most frequently by a direct trauma, stress, overburden, arthritis, neuropathy, or lack of exercise. At the location of trigger-point the tissue metabolism and blood supply deteriorates, leading to more tension.
During the treatment, first the physiotherapist will map- the painful knots according to observed symptoms. The next step is contact pressure applied in a way to relieve stiffness and to limber-up the tensions ceasing the real cause of the pain on hand. The treatment is not painless but a long-lasting recovery may be achieved.