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Trigger Point Therapy - 5 Step Neck Technique

Posted by Team NAT on

Treating Occipitalis Trigger Points - Dr. Jonathan Kuttner


Ischemic Compression Technique 


Trigger Points and Common Neck Pain

Trigger point therapy is not a miracle cure but it can sometimes seem that way, especially when we bring relief to long term sufferers of common conditions such as neck pain.

This simple 5 step sequential technique (outlined below), can be extremely effective for both short and long term relief.  

This standard approach may be effective for chronic tension and neck ache, stress headache, cervical spine pain, and whiplash.

Trigger point therapy can be very effective for this region. Thanks to various studies over the years, we have a reasonably good idea of how these trigger points manifest. 

We do not know why following a certain order and sequence seems to accelerate the process. This is widely believed to relate to the "unlocking" of protective holding patterns that the body naturally adopts in response to trauma, stress and injury.


Study the anatomy and direction of the muscle fibers.

Head and Neck Trigger Points


Head and Neck Trigger Points



Trapezius Trigger Points

Start with sitting ICT to upper and middle trapezius (STP).


Rhomboid Trigger Points

Slide down the rhomboids (downward), only pausing on trigger points.


Splenius Capitis Trigger Points

Move up to trigger points within the splenius capitis.


Scalenes Trigger Points

Finally locate and inhibit trigger points in the scalenes group.



Generously massage the treatment area.


Cervical Erector Spinae Trigger Points

Dragging massage technique to cervical erector spinae:

With patient supine, stand on the opposite side. Place fingertips under muscles on opposite side of neck. Slowly drag patient toward you, while asking them to turn their head toward you. Repeat on other side.


Epicranius Trigger Points

With patient still supine, finish with ICT on posterior points of epicranius (occipitofrontalis), asking patient to drop the weight of their head into your fingers.











This trigger point therapy blog is intended to be used for information purposes only and is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis and/or treatment rendered or prescribed by a physician or competent healthcare professional. This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell. 




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