Everything you need to know about pain and how we can help you

DMR Therapy® (Deep Myofascial Release) is extremely effective in addressing trigger point pain as well as pain originating in the fascia that envelops muscles and supports the skeleton and organs of the body.

Muscle tissue, responsible for movement, may be thought of as our largest organ. The wear and tear of our daily activities is most obvious in their impact on muscle tissue  rendering them vulnerable to dysfunction. Small contraction knots in overused or traumatized muscles, known as trigger points*, seem to be a factor in most common muscular aches and pains.Trigger points are known to cause various kinds of joint pain mistakenly ascribed to tendinitis, bursitis or ligament injury.

Active trigger points always produce symptoms, but they are often difficult to identify because the pain they produce may be far from the actual trigger point. These knots not only cause pain in the involved muscles but can also result in fatigue and weakness. Symptoms such as neck and jaw pain, back and shoulder pain, rotator cuff issues, carpal tunnel syndrome, hip pain, sciatica and knee issues are normally caused by trigger points. They may also cause dizziness, numbness, vertigo, sinus problems, toothache, chronic dry cough, tinnitus, cardiac arrhythmia, migraine, TMJ, reflux, irritable bowel syndrome, bladder control issues, painful intercourse, painful menstruation and genital pain.

Medical research has found that as much as 75% of chronic pain complaints actually have their origin in these knots and they are at least a component of virtually every chronic pain problem. They often form after trauma and may actually begin to overshadow the original problem.

Why hasn’t my doctor mentioned trigger points?

Unfortunately, there is no medical specialty that focuses on muscle pain.

“Muscle is an orphan organ. No medical specialty claims it. As a consequence, no medical specialty is concerned with promoting funded research into muscular causes of pain, and medical students and physical therapists rarely receive adequate primary training in how to recognize and treat myofascial trigger points”.

Dr. David G. Simons:  Travell and Simons’ Myofascial Pain and Dysfunction, The Trigger Point Manual

Physicians usually concentrate their attention on the bones, joints, bursae and nerves. The normal therapies, including anti-inflammatory medications, painkillers, steroid shots and stretching and strengthening exercises are not appropriate therapies when trigger points are the source of the problem. Consequently conventional treatment often results in very little long-term success and may even do more harm than good.

Common advice given to persons, especially athletes, suffering from trigger point pain symptoms is to exercise and strengthen the muscle. However, it is important to note that muscles that contain trigger points should not be exercized:

Again from Travell and Simons:

“Disturbances of motor functions caused by trigger points include spasm of other muscles, weakness of the involved muscle function, loss of coordination by the involved muscle, and decreased work tolerance of the involved muscle. The weakness and loss of work tolerance are often interpreted as the indication for increased exercise, but if this is attempted without inactivating the responsible trigger points, the exercise is likely to encourage and further ingrain substitution by other muscles with further weakening and de-conditioning of the involved muscle.”

In addition to referring pain and symptoms to other areas of the body, they can also cause muscle shortening which will always affect the involved bones. Bones will move in the direction that muscles pull them. Excessive and constant muscle tension (caused by trigger points), and the resulting stress to involved bones, can be manifested as:

  • subluxation of the vertebrae
  • joint irritation, arthritis, arthrosis
  • scoliosis, lordosis, kyphosis,
  • tilting pelvis,
  • shortened leg length
  • TMJ symptoms
  • clicking joints

Muscle shortening is also normally the cause of tendinitis. The strain on the tendon where it connects muscle to bone causes micro-tears and inflammation. Releasing the trigger point can often give immediate relief.

Addressing trigger points is normally the least invasive and most effective treatment available. Individuals suffering muscular pain should be aware of trigger point dynamics in order to avoid medications (with their attendant side effects), ineffective exercise regimens and especially, surgical intervention

DMR Therapy (Deep Myofascial Release) is extremely effective in addressing trigger point pain as well as pain originating in the fascia that envelops muscles and supports the skeleton and organs of the body.


The term “trigger Point” was coined by Dr. Janet Travell, personal physician to President John F. Kennedy, to describe a special type of hyperirritable knot in tense muscle fiber that causes intense pain, often far from the trigger point itself (referred pain).

President Kennedy appointed Dr. Travell as his personal physician thanks to her treatment of the debilitating myofascial pain that in 1955 had threatened to prematurely end his political career.

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