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How do you release pelvic floor trigger points?

Posted by Editorial Staff on
TheraWand Pelvic Floor Clock

The Pelvic floor is a very complex system of muscles, tendons, nerves and blood vessels. When any one of these parts become injured, damaged, or overused a hypersensitive and tight region may be created by the body to “protect or guard the region”. In effect, this makes you stop what you're doing and pay attention! If these “hot spots “ go untreated, the region of pain and inflammation will worsen and eventually spread into a “myofascial pain syndrome”. Traditional trigger point treatments focus on placing sustained pressure on the hottest or most painful point of the trigger point. This is generally the spot that refers pain to other areas. For instance, the piriformis trigger point may refer pain to the posterior thigh. This sustained pressure should be maintained for at least 90 seconds or until the tone relaxes. Physical therapists who are skilled in manual therapy techniques know that you can’t just treat the “hot spot” or trigger point. The entire region of muscles and fascia surrounding the Trigger Point needs to be released in order to eventually prevent recurrence of the trigger point. It is unlikely that a painful trigger point will be resolved with a one-time treatment. 

Effective treatment will most likely require multiple treatment sessions and a home program where stretching and self-release are utilized.

A simple example strategy a pelvic floor physical therapists may recommend when releasing pelvic floor “trigger points” and the surrounding regions is to think of the pelvic floor as a clock. Place the 12 on the clock towards your front and the 6 on the clock towards your backside. You can then release these “hot spots” in sequence as if going around the face of the clock or in the order you and your therapist determine is most effective. Generally, the PT will direct you to release in the regions from 2 o’clock to 10 o’clock depending on your specific needs. Your therapist will also help you determine the correct method of release for your body size, shape, and needs.

Usually, the more often you release your pelvic floor muscles the sooner your body can be retrained.

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