Trigger Points and Referred Pain Myofascial trigger points are tiny contraction knots that develop in a muscle when it is injured or overworked. The Physiology of a Trigger Point The part of a muscle fiber that actually does the contracting is a microscopic unit called a sarcomere. Contraction occurs in a sarcomere when its two parts come together and interlock like fingers. Millions of sarcomeres have to contract in your muscles to make even the smallest movement. A trigger

Early on in my training I was told by a very knowledgeable physiotherapist that I should not train my upper trapezium and I should focus on my lower trapezium and to do this with all my clients. This is because it is believed by many that we all have overactive Upper Trapezius. As I was starting out and as this was the general consensus I did as I was taught and did not question it. Over the years working with many clients I started to notice that many of my clients that comp