Trigger Points

Trigger points can be found throughout your body. They are painful, extra-tense points within a tight muscle.

If left unattended they will shorten your muscles’ reach and refer pain to surrounding areas causing other muscles to tighten and shorten as they become impacted.

Eventually trigger points can change the way you walk and move!

Here are six ways to release trigger points.

With your hands, wherever you can reach. Likely areas would be top of the shoulders, feet, top of the neck against your skull, knees, and hands.

On a tennis ball on the floor or against the wall. Key areas would be between the shoulder blades and around the hip joint, feet again.


With a Theracane. Deep pressure delivered to the top of shoulders, outside of the thighs and back; no need to get down on the floor!


By foam rolling, often called SMR or self-myofascial release. Key areas are thighs (front, back, inner, outer) and legs.


With a partner. They may be willing to apply the pressure and you can do the movement.


Come in and get a massage of course! Let my fingers do the walking.


The key to all of these methods is patience. You must be willing to stay in position and WAIT for the muscle to release. The length of time you wait will depend on how long the trigger point has been there, whether or not the surrounding bony structures are in correct alignment, if there has been an injury or not and how dense or loosely packed your muscle tissue is.

After only a few minutes of working with your trigger points you will feel significant pain relief and relaxation. I do this every few days just to take the kinks out and to shorten my recovery time.

Occasionally when I’m having trouble sleeping, 10 minutes trigger point release works very well to prepare me for sleep or to put me back to sleep. Try it!

For more interesting articles, please go to

Foam Rolling Extends Performance, Minimizes Injury

Do you have a foam roller?

If you are active and past your twenties, you could benefit immensely by using a foam roller. Perhaps you are like several of my clients; they do own one but either they don’t know where it is or just don’t use it. Wow, that’s like having tennis balls and just using them to play tennis with. (See blog ‘Four remedies to keep you on track between massage sessions’ under the heading ‘Healing Modalities’)

There are many different kinds of foam rollers with varying density so you might end up with several before finding the one that’s right for you, right now. Also, as with all things, shop around, even online because prices vary widely for the same equipment.

How to get started

Assuming you don’t have tears in your muscles and no danger of blood clots (check with your physician or PT first), you can easily roll your calves, hamstrings, quads, IT bands and adductors. For this blog we’ll keep it to those parts of your body.

You can decide where to start based on your self-knowledge and awareness of pain and injuries. Work the area that is the most chronically tight first.

Get on the floor and position the roller under the muscle you want to start rolling, one leg at a time, a couple of inches away from the joint.
Rolling four different compartments of the leg

For calves, place the roller under your calf, sit upright and place your palms as close to your butt as possible, then push down to take your body weight. Stack one leg on top of the other and slowly begin rolling towards your torso and back down. It will get your attention right away. While uncomfortable, take your time and if possible, pause for 15 seconds or so where it hurts most to allow for myofascial release. Don’t forget to breathe.

The blog ‘Massage for Sore Feet’ is about my experience with plantar fasciitis and includes a photo and description of how to do some basic rolling on your calves, which was a major help in my recovery.

Hamstrings foam rollingFor hamstrings, move to the thigh and allow plenty of time for 15-30 second releases as you roll. Hamstrings are tight on many people because of all the sitting we do, so loosen them up! Tight hammies can also contribute to low back pain.

IT band foam rolling
For IT bands, get onto your side, stacking your hips one on top of the other and get the roller underneath your thigh to begin the slow rolling. For most active people IT bands are tight and they put abnormal stress on knee and hip joints, as well as altering our gait.

Quads palms foam rollingFor quads you will be face down, probably on your elbows or palms for rolling. Pay close attention to the strip of your thigh where the IT bands and quad muscles merge; you will find significant trigger points there that once released will help loosen your whole leg.

Inner thigh foam rolling


For adductors you can splay the target leg out like a frog to roll those inner thigh muscles. Your knees will love you for this and give you faithful service for longer than if you did not roll!



Why bother?

Sorry to say it but stretching alone is not enough to release deep muscle tightness and besides, most of us stretch incorrectly and wonder why our results are unremarkable.

Rolling your legs regularly little by little is a great way to forestall knee and ankle injury and to keep your legs more balanced front to back and side to side so that performance is maximized whether you’re running a race, working out or just going for a short hike.

You will get the immediate results from rolling right after activity, before soreness sets in, so within 15 minutes if you can.

As you get more used to foam rolling you can play around with the positioning to get the more medial (inside) and lateral (outside) muscle fibers.

At first you might only do a couple of minutes at a time depending on how tight you are but I encourage you to stick with it day after day until the discomfort is manageable and you can move on to another target area.

Where can I find a foam roller?

Below are some links to suppliers to get you started. Most sporting goods stores will stock foam rollers and some gyms now have them on hand, but the quality will vary. You’ll probably spend $30 or so

If the roller is too soft it won’t produce much result; if it’s too hard it will cause major pain and possibly bruising. Go easy on yourself at first or ask your trainer or massage therapist for guidance and a demo.

When you graduated from a softer roller to a firmer one, don’t throw the old one out! When you have really pushed your activity you will be glad to use a softer roller again.

Most rollers come with instructions and ideas for use so read those first.

Happy rolling!