82
82
Trigger Point Therapy for Headaches, Migraines, and TMJD: Summary
Image 1
Sources: OpenStax, 2016 David Richfield, 2014
Table 2: Four Points of Trigger Points Latent
Causes stiffness and decreased ROM. Not actively causing pain. Can became active trigger points if not treated Distorts movement and posture Causes stiffness and decreased ROM. Actively causing pain. Patient recognizes that pain Can be agonizing
Active
Primary
Activated by acute or chronic trauma
Secondary
Develops in the referral zone of a primary trigger point
Table 3: Muscle and Trigger Point Chart of Neck and Upper Back Muscle & Image # for TP Origin (Lease Moveable) Insertion (Most Moveable) Signs and Symptoms Action
Trigger Point Activation • Elevated shoulders • Holding telephone • High keyboard • Inadequate armrests • Whiplash • Tight bra straps • Heavy coat • Tight pectoral muscles
Trapezius
Unilateral : Lateral cervical flexion, cervical rotation to contralateral side, elevate, scapula, upward rotation of scapula Bilateral : Cervical extension *Holding a telephone, carrying luggage, improper body mechanics at work desk (keyboard too high, knees and hips not at 90/90, tight bra straps)
• External occipital
• Clavicle,
• Back and
acromion, spine of scapula
head or neck pain
protuberance, superior nuchal line of occiput, ligamentum nuchae, Spinous Processes of C7-T12
• Chest pain
(like sinusitis)
• HA or
migraines • Mid-thoracic pain • Eye brown pain
Powered by FlippingBook