PAL Physiotherapy

Physiotherapy for Myofascial Pain in Gurgaon

Physiopedia describes a Trigger Point as “a hyperirritable spot, a palpable nodule in the taut bands of the skeletal muscles’ fascia”. They are sensitive ‘knots’ in soft tissues which can be activated by inflammation, infections, electrolyte imbalances, muscle overuse, etc. All human beings have trigger points in their body, but that doesn’t necessarily mean they are painful. Pain arises under sudden muscle contraction or direct compression of the skeletal muscle belly. Such pain is felt in the affected muscle, or gets radiated to other areas due to pain reference. Musculoskeletal pain syndrome is commonly caused by myofascial trigger points. 

When the trigger point pain or strain persists, it gets acknowledged as myofascial pain syndrome. Trigger points can be active or latent. An active trigger point is felt painful at rest, of which the pain is radiated to another area. Latent trigger points can cause restriction of movement or muscle weakness, and pain can only be felt on the application of pressure over the affected area. The trigger knots are not limited to specific areas, but can be found in any skeletal muscle. Such knots or lumps may even lead to the limiting of blood supply in the area, and thereby irritating it even more. Trigger points begin by mimicking other problems, and make the patient feel that he/she is suffering from some other health issue.


  • Can be a result of muscle overuse during prolonged exerciseor physical activity like occupation and sports.
  • Injuries inflicted from over-stressing muscles in extensive physical activities.
  • People suffering from stress and anxiety have a strong tendency to clench their muscles which leads to excessive contraction or strain, and thereby the development of trigger pointpain.
  • Acute trauma or repetitive microtrauma.
  • Deficiency of necessary vitamins and minerals.
  • Disturbed sleeping patterns, lack ofexercise, and poor body posture.
  • Surgical scars, injuries that damage tissues, joint problems.


  • Headache, migraine, lower back pain, morning stiffness, tinnitus
  • Abnormalities in posture and joint problems in body parts like neck, shoulders, and pelvic girdle.
  • Muscle weakness and stiffness
  • Difficulty in movement of the affected area.
  • Heavy pain in a muscle that either persists or worsens
  • Existence of lumps or knots in the muscle
  • Difficulty in sleeping due to pressure on the trigger points while lying down.


  • Analysis of a patient’s medical history is a significant step towards diagnosing any medical condition. The patient’s family history of diseases should be properly checked to look for any signs of fibromyalgia, as it is a significant factor in determining this condition
  • The patient’s routine of physical activities, demands of the occupation (in case of athletes, manual laborers, or people with desk jobs), sleep routine, diet intake, stress patterns, medications, etc also need to be examined in detail so as to reach a logical factual conclusion.
  • A thorough examination of the lumps or nodules found on the muscles should be done. It should also be made sure whether the occurring pain is local or referred. 

Physiotherapy Treatment for Trigger Point

One of the most efficient methods of treatment of trigger points is physical therapy. Since these knots are activated by muscle overuse, underuse, or inflammation, it’s easier to treat them physically without the use of medicines. Since trigger point pain also causes difficulty in mobility of the affected area, the other muscles are strained to perform the function of that muscle, which may lead to the formation of lumps on them as well due to overexertion. Various kinds of treatment are provided for back, neck, shoulder, knee, and joint pains; headaches and migraines, etc.

Different people with different levels of injury require specific treatment. Chronic conditions may require intense treatment over a longer period of time to see improvement. Training is given for the maintenance of a good body posture and balancing the body mechanisms while lifting heavy objects. Regular sessions of exercise are given by the therapist, along with the encouragement of stretching and remaining physically active in daily life activities as well. There are various techniques of massage, like Deep Stroking Massage which is done rhythmically in only one direction. Such massaging over the tense muscles strengthens muscles’ flexibility and endurance, along with easing the pain.

Ischemic Compression Technique involves applying a substantial amount of pressure on the trigger point to help the contracted muscle gain relaxation without causing pain. The Spray and Stretch technique of treatment uses ethyl chloride spray over the stretched painful area. Methods that employ the rhythmic contraction and relaxation of the muscles are Reciprocal Inhibition, Contract-Relax/Hold-Relax, Post-Isometric Relaxation, etc. These physiotherapy treatments maintain the joint range, and allow muscles to exert their maximum power without causing fatigue. Other specific techniques include Ultrasonography, Myotherapy, Muscle Energy Technique, and Neuromuscular Technique.

Sector 41, Gurgaon

  • Plot-5P , Basement, Sector- 41
  • Near Shaktipeeth Mandir, Gurgaon
  • Helpline: +91 9811 3434 17
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Sector-56, Gurgaon

  • 560 -P, Basement
  • Near Alpine public School, Sector 56
  • Helpline: +91 9811 3434 17
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