Dr. Jonathan Kuttner Presents an Overview of the Evidence Behind Trigger Point Therapy   Drs. Janet Travell and David Simons (1992) described a trigger point as, “A highly irritable localised spot of exquisite tenderness in a nodule in a palpable taut band of (skeletal) muscle” These hyperirritable localized spots can vary in size, and have been described as “tiny lumps,” “little peas,” and “large lumps”; they can be felt beneath the surface, embedded within the muscle fibers. If these spots are tender to pressure they may well be “trigger points.” The size of a trigger point nodule varies according to the...

   Biceps Brachii Trigger Points - Dr. Jonathan Kuttner   Trigger Points in the Biceps are associated with most painful shoulder conditions including frozen shoulder The biceps brachii decelerates extension and pronation at the elbow and extension at the shoulder joint. It acts as a junction providing myofascial continuity between the thumb and the ribcage (especially obvious when the upper limb is abducted). The muscle plays a vital role in shoulder stability under dynamic conditions, and can contract with the triceps brachii to stabilize the elbow. It has been described as the muscle that puts in the corkscrew and pulls out the...

  Treating Anterior Shoulder Pain - Stuart Hinds   Anterior Shoulder Pain Anterior shoulder pain is common and more frequent than posterior pain.  In this blog, Stuart Hinds shows his approach to gathering a careful understanding of the nature and distribution of the pain, and implementation of NAT trigger point protocols.        Find a Trigger Point Professional in your area 5 Great Shoulder Stretches Dry Needling for Trigger Points NAT Professional Courses Certify as a Trigger Point Therapist Trigger Point Workbooks    Recommended Trigger Point Therapy Courses:                     This trigger...

    Ischemic Compression Technique - Dr. Jonathan Kuttner MD   Online Courses   Trigger Point Therapy Doesn't Usually Need to be Painful There's a common myth that trigger point release must be painful. Whilst there are times when the treatment can be painful, as a general rule, it shouldn't be! Learning painless trigger point release, or at least applying techniques that minimise and cause little pain, is very important. Like everything, this requires a little bit of patience, and plenty of practice. One great way to practice, as a therapist, is on yourself. You will quickly master the art...