Dr. Christopher Lannon - Personalizing conservative healthcare for a better experience.
The Trigger Point Phenomenon


What are trigger points?
     Trigger points are essentially knots in muscle that have been there way too long.  Trigger points can form through injury, over-use, repetition, postural faults, strenuous exercise/activity and too much inactivity.  
    Initially, a knot or adhesion will form in the muscle.  Everyone has experienced this at sometime and can relate.  Over time, these knots lead to a decreased blood flow in that specific area.  We need that blood in order to bring the muscles oxygen.  Less blood flow will equal less oxygen.  
    Our muscles still want to produce energy/movement for us, but it becomes difficult to do so in this oxygen deprived environment.  The body will begin to produce energy anaerobically (without oxygen).  
    The end result of this biochemical reaction is lactic acid.  Pockets of lactic acid form what is known as trigger points.  Trigger points are sore to the touch, cause general pain and tend to follow specific patterns.  Long distance runners will experience oxygen deficient muscles in what has become known as the "runner's burn."     


Nimmo/Pressure points:   Also called the Nimmo Receptor-Tonus Method, this technique is  now  taught  in  most  chiropractic  colleges.  A normal  muscle has
normal tonus (muscle tone). Accident, insult, and injury may cause pain, muscle knots and muscle spasm. If this situation exists for a sufficient time, it can change the position of bones, producing subluxations (misalignments), body distortions, low hips, etc. Later a trigger point may form in the muscle which sends a barrage of painful impulses into an area producing constriction of the blood vessels with consequent  damage  to surrounding  tissues.
      However, it was discovered that pressure applied in proper degree, at proper intervals, will release both trigger points and muscle spasm.  The doctor will either use their hands, or at times use a Wooden "T-Bar" with a rubber tip, to apply a steady pressure to a specific area. This method is often used in conjunction with chiropractic adjustments and other modalities.  Many conditions that are encountered in general chiropractic practice can be successfully treated using the Nimmo technique
 
Many times I use other techniques to break up adhesions/trigger points.  I often will use nimmo in conjunction with additional therapies.