Work hardening and weight training will do nothing but create more pain and disability. Some trigger points may produce autonomic reactions, such as sweating, blanching, dizziness, and nausea. These autonomic responses may be relieved by treating the trigger point. Autonomic effect zones are not necessarily the same as pain referral zones. Trigger point sites can vary slightly from patient to patient.
Many muscles have multiple TrP locations.
The major factor in TrP pain is always mechanical, even if it was triggered by stress. Each patient has a unique combination of neuroendocrine disruption and connective tissue disturbance. All patients need professionals who are willing to work with us until an acceptable symptom relief level is reached. Management of chronic non-malignant pain. Bendtsen, L., J. Norregaard, R. Jensen and J. Olesen.