Article by John Miller & Erin Runge
What Is a Trigger Point and Why Does It Hurt?
What is a trigger point? A trigger point is a sensitive area within a muscle that can feel painful when pressed and may refer pain to other regions. Trigger points often link with muscle pain, tightness, reduced movement, and ongoing musculoskeletal discomfort. Many people notice them as tender “knots” that do not settle with rest alone.

Trigger points are often identified through hands-on muscle assessment during physiotherapy or massage care.
Short Answer: What Is a Trigger Point?
A trigger point is a localised area of increased muscle tension that may cause pain at the site or refer pain elsewhere. Treatment often forms part of a broader plan such as trigger point therapy, combined with movement and load management strategies.
Why Do Trigger Points Develop?
Trigger points may develop when muscles experience repeated overload, sustained postures, poor recovery, or altered movement patterns. Over time, persistent tension can increase sensitivity in the muscle and nearby tissues.
How Are Trigger Points Commonly Managed?
Management may include hands-on pressure techniques, stretching, progressive exercise, and tools such as trigger point massage devices. Some physiotherapists may also use approaches such as dry needling as part of a broader treatment plan.
What This Means for Your Pain
Trigger points rarely exist in isolation. Addressing contributing factors—such as posture, strength, sleep, training load, and work setup—often matters just as much as treating the tender area itself. A physiotherapist can assess whether trigger points contribute to your symptoms and discuss suitable options.
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References
For assessment, treatment options, and practical next steps, please visit our main page: Trigger Point Therapy – Assessment and Treatment Options
- Dach F, et al. Treating myofascial pain with dry needling: a systematic review. 2023. PubMed Central.
- Chen Y, et al. Comparison of dry needling with physical modalities for myofascial pain syndrome: systematic review. 2025. PubMed.
- Simons DG, Travell JG, Simons LS. Travell & Simons’ Myofascial Pain and Dysfunction: The Trigger Point Manual. 3rd ed. Baltimore, MD: Williams & Wilkins; 2019.
For consumer health information about massage, see the Healthdirect massage overview.
Massage Products
These muscle and soft tissue products are commonly used by our remedial massage therapists and physiotherapists to relax or loosen muscles.
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