Trigger Point TherapyRecover from workouts or just everyday stress faster with Praxis Trigger Point Therapy
Target the source of your pain and discomfort with Praxis Trigger Point Therapies. Trigger Point Therapy and is used to treat chronic conditions and restriction of motion. Praxis uses dry needling to treat a variety of chronic pains including head aches and migraines, temporomandibular joint pain, chronic exertional compartment syndrome, and fibromyalgia.
What are Trigger Points?
Trigger Points are commonly focal areas of muscle that are unable to relax from a contracted state. You may know as them ‘knots” or “spasms.” This typically occurs when a muscle responds to inflammation from a nearby injury and contracts in an effort to stabilize the injury. This can be quite painful as irritating muscle metabolites accumulate and/or nearby nerves are compressed. Chronic injuries and inflammation may also promote fibrotic adhesions to form between connective fascia and muscle that reduce range of motion over time. The pain from trigger points may be localized to the trigger point itself or may be referred to another area that is affected by the biomechanical change caused by the trigger point.
How area trigger points treated?
As many of us have experienced, the classic advice for rest, heat, and over the counter analgesics often fall short of providing relief for trigger point pain. Conversely, injecting a trigger point with a very small needle can provide great relief of myofacial pain. Trigger point injections may be done either with a dry needle or a hypodermic needle with medication.
Dry needles are the same thin solid needles used for acupuncture. The sterile and disposable dry needle is pointed, but not sharp, to separate tissue instead of cutting it. Insertion through the skin and into the muscle is typically painless and rarely causes minor bleeding. Dry needling of a trigger point can illicit a “twitch” response which is the muscle depolarizing and instantly relaxing. Other times, a muscle may respond more slowly over the course of 5-15 minutes. This is thought to be because dry needling can stimulate an endorphin response that decreases pain and improves blood flow. Less commonly, some patients may even experience a brief euphoria or flushness with dry needling. Most often, patients simply report the release of tightness and pain.
Hypodermic needle injection of trigger points are also very effective. Like a dry needle, hypodermics also have the potential to depolarize a contracted muscle, however they are primarily used to deliver medication. Medication injection options include a mix of a local anesthetic and cortisone, or a local anesthetic and PRP. Use of cortisone injections for joint point is increasingly controversial due to potential adverse side effects however the small amount of cortisone used for these injections is less of a concern.
What about other types of chronic pain?
We have had very good results using Dry Needling to treat a variety of chronic pains including head aches and migraines, temporomandibular joint pain, chronic exertional compartment syndrome, and fibromyalgia. Please feel free to inquire if you have an atypical pain and/or if you are interested in alternatives to narcotic analgesia for chronic pain.