The trigger points in the pectoralis major muscle (a.k.a the “pecs”) can produce symptoms that are nearly identical to the pain associated with having a heart attack or angina pectoris. Referred pain from these trigger points is experienced in the chest, front of the shoulder, down the inside of the arm, and along the inside of the elbow. They may also produce tenderness in the breast and nipple hypersensitivity.
Gastrocnemius Trigger Points: The Calf Cramp Trigger Points
I love working the gastrocnemius trigger points. No other muscle seems to have as much “bang-for the-buck” for both the therapist and the client (but the soleus muscle is a close second). Call me crazy, but sometimes I think every case of myofascial pain (from headaches to foot pain) has it’s origin in the calf muscles. Of course I have found no medical science to support that claim, but when it comes to the peculiarities of the nervous system, who really knows?
Abdominal Oblique Trigger Points: South of the Border Pain
The trigger points in the abdominal oblique muscles are unique in that they primarily produce symptoms associated with abdominal organ dysfunction or disease. Many times, these abdominal trigger points are created by referred pain originated from the abdominal viscera, and will persist long after the visceral dysfunction has resolved itself.
Additionally, these trigger points often refer pain to the testicles and genitalia.
Sternocleidomastoid Trigger Points: Masters of the Migraine
The sternocleidomastoid (SCM) is one of my favorite muscle groups to work with, mainly because the results can be simply extraordinary. Trigger point activity in this muscle can cause a bewilderingly set of symptoms, with many being confusingly similar to the symptoms associated with the common (no aura) migraine headache.
Levator Scapulae Trigger Points: Frankenstein Pain
You can spot levator scapulae trigger points a hundred yards away, just look for the person that is moving about like Frankenstein. Their head appears glued into position on top of their body and their movements are slow and deliberate. They turn their whole body to look at someone and move their eyes in unnatural ways to make up for the fact that they can’t turn their head.
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