Muscle is an orphan organ.
No medical speciality claims it.
David Simons MD


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  • Symptom relief
  • Performance enhancement
  • Spine Anti-Aging
  • Injury rehabilitation
  • Health Mentoring
  • Chronic pain support
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What Trigger points are

Myofascial Trigger points are tiny, hypersensitive areas of local spasm in our muscles. They are extremely common, cause a great deal of everyday pains and aches pain (plus other musculoskeletal symptoms) and are a mystery to many sufferers, especially in cases where there isn’t a specific anatomical cause that could justify their symptoms..

This is due to their unique ability to reflect symptoms, when «active», in a wider area than their size or the muscle where they reside, sometimes locally, sometimes more distally, in patterns of pain (referral patterns) that are specific for each muscle.

Besides pain, they can also elicit (to their referral zones) other symptoms, like numbness, burning sensation or “electrical current” feelings -these are the sensory symptoms.

But even in a latent state, where no sensory symptoms are present, they might produce kinetic symptoms. Limited mobility, stiffness, weakness and a feeling of "tightness" both locally and distally being the most common.

What are the most common symptoms?

Daily aches and pains due to trigger points:

  • Headache
  • Neck pain
  • Migraine headaches
  • Low Back Pain
  • Sciatica
  • Knee pain
  • Back pain
  • Shoulder pain

They can mimic almost the entire range of the most common musculoskeletal symptoms:

  • Trochanteric bursitis
  • Tendonitis
  • Meniscal tear
  • Frozen Shoulder Syndrome
  • Carpal Tunnel Syndrome
  • Impingement Syndome (shoulder)
  • Plantar fasciitis
  • Heel spur
  • Temporomandibular Joint Syndrome (TMJ)
  • Trigeminal Neuralgia
  • Tennis/Golfer’s elbow

Rare symptoms that seem not to be related to the musculoskeletal system:

  • Toothache
  • Ear pain
  • Tinnitus
  • Vertigo
  • Dry, non-productive, persistent Cough
  • Tooth pain
  • Pain behind the eye
  • Diplopia
  • Eyelid drop
  • Angina (Chest pain)
  • Tachycardia (palpitations)
  • Premenstrual Aches
  • Abdominal pain
  • Babies colic
  • Menstrual Cramps
  • ‘Growth’ pains

How they are caused

Trigger Points develop in muscles that have been biomechanically abused

once off or that are under repeated overuse due to sports or working conditions (eg weight lifting with poor ergonomics, moving house, workouts or prolonged computer use), direct or indirect trauma(falls, MVAs, new exercises in a fitness routine), from overtraining or normal training with a poor movement pattern (eg training or moving while in pain from another cause/disease).

They can also be triggered by fever, colds, lack of vitamins and minerals in our diet, other diseases (rhizitis, sinusitis, chronic inflammatory bowel disease, rheumatoid arthritis), poor physical condition, immobility (prolonged bed rest/ cast), sedentary lifestyle and stress.

Our way of dealing with TPs

The simplest method of resolving a trigger point is ischemic compression.

That is, constant pressure by hand, at a certain angle, that temporarily restricts the blood flow to the local spasm and causes it to relax..

But that is not enough for permanent results. Two other key conditions need to be met, besides loosening the trigger point itself: correcting the faulty movement pattern of the area and managing the factors that are responsible/ or contribute to sustain it.

Implementation of an Integrated Protocol includes assessment of the overall functioning of the affected area and self-management and self-support guidelines, for immediate and lasting results.


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After 22 years of everyday practice, continuous education and passionate studying of the human body, Dr Moustaka's Clinic is the only center that has handled over 10,000 cases and has implemented, as a central focus in the therapeutic approach, specific Trigger Points Therapy protocols.

For the first time, these protocols are available outside the clinic, at a center specializing in Neuro-Muscular Release in Glyfada.


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