Treating Trigger Points: A Guide to Muscle Relief

February 16, 2018 | Raleigh Orthopaedic Team
Physician Performs Physical Therapy

Medically reviewed by Dennis Meszler, PT, MPT, SCS

Trigger points are a common source of muscle discomfort, especially for athletes and desk workers alike. These tight, sensitive knots in your muscles can cause localized pain or even refer pain to other areas of the body. Learning how to identify and treat them—both in the clinic and at home—can be an essential part of staying active and pain-free.

What Is a Trigger Point?

A trigger point is a taut band of muscle that becomes irritated when pressure is applied. These bands can develop for a variety of reasons, including:

  • Poor posture, which may cause certain muscles to overwork
  • Repetitive strain, common among endurance athletes and those with physically demanding routines
  • Prolonged static positions, such as sitting at a desk for long hours

Trigger points can lead to pain directly at the site or in other areas of the body, making them a key focus in physical therapy.

In-Clinic Treatment Options

Physical therapists use a range of techniques to address trigger points. Some of the most effective include:

  • Dry needling: A thin needle is inserted directly into the trigger point to elicit a twitch response and encourage the muscle to relax.
  • Instrument-assisted soft tissue mobilization: Tools are used to apply pressure and break up tight areas in the muscle.
  • Manual therapy: Using hands, elbows, or knuckles, the therapist applies sustained pressure directly to the tight band until it releases.

While the exact physiology behind why this works isn’t fully understood, one theory is that the pressure temporarily limits oxygen to the area, which resets the muscle’s response and leads to release. It may be uncomfortable at first, but many patients find significant relief after treatment.

Self-Care: At-Home Trigger Point Release

Since your therapist won’t always be with you, learning to release trigger points at home is essential. Tools like tennis balls, lacrosse balls, or softballs can be highly effective when used properly.

Here’s a general technique to follow:

  1. Search the area: Roll the ball over the muscle to find a tight, tender spot.
  2. Apply pressure: Once you locate a trigger point, stop and apply firm, steady pressure. Don’t roll—just hold. It may feel uncomfortable, but try to breathe deeply and relax.
  3. Maintain pressure: Hold the pressure until you feel the tension begin to release. You can gently move the nearby joint (such as flexing your foot if working on the calf) to assist the release.
  4. Repeat as needed: If tolerable, move on to find and release other trigger points in the same area.
  5. Use the muscle: After a release, use the muscle gently to promote blood flow and recovery.

Empowering You to Take Control

Our goal in therapy is to help you become independent in managing your own muscle pain. By learning these at-home techniques and understanding when to apply them, you’ll be better equipped to prevent discomfort and improve your overall muscle health—no matter your activity level.

Schedule an Appointment with Raleigh Orthopaedic

If you’re dealing with pain, discomfort, or an injury, don’t wait to get the care you need. Our expert team at Raleigh Orthopaedic is here to help you feel better, move better, and get back to doing what you love. Schedule an appointment online or call us at 919-781-5600 to be seen—often within 48 hours. For immediate care, we offer walk-in orthopedic urgent care services. Click here for hours and locations.

Disclaimer: The information on this site is for general informational purposes only and is not intended as medical advice. It should not be used as a substitute for professional diagnosis, treatment, or medical judgment. Always consult a physician or qualified healthcare provider with any questions you may have about a medical condition or treatment.

Dennis Meszler, PT

Dennis Meszler, PT, MPT, SCS is a physical therapist at Raleigh Orthopaedic Clinic.