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Trigger point massage targets the tightest parts of the body (most often the lower back and neck), helping to enhance mobility, posture, and range of motion. While the majority of massage isn't painful, some could be. If you're getting a massage at a professional facility, the masseuse may use massage oil or a lubricant in order to minimize the sensation that could come with some types of massage. Slimming down is usually recommended so you don't risk triggering the knots which could lead to pain.  
The term"trigger point" refers to the technical areas where massage therapy focuses its attention. There are actually hundreds of these points throughout the body, but if the pain occurs, it is typically located in a certain area. Trigger points are usually hyper-sensitive, meaning that they are"on" over other regions within the body. As a result of this, chronic pain from such spots may lead to discomfort in many locations. Trigger points can be activated by activities such as repetitive movement (running, jumping, etc..)  
Trigger points can be very tricky to treat and target, but with some simple self-massage techniques you can improve circulation, reduce muscle knots, loosen knots, etc. For instance, when I do my weekly Swedish massage, I begin with my hands and go up to my shoulders. I work my way down to my arms, working the muscles along my spine. Then I bring myself back up to my neck and keep the massage from there.  
Some therapists have been known to indicate stretching for the relief of pain, but if your muscles are tight, it will only worsen the situation. This is why it's important to begin at the origin: with the muscles. While a therapist may have the ability to target specific tender points, they generally don't know enough about your personal condition to efficiently target the regions for the best results.  
Another frequent recommendation by massage therapists is to apply a cold compress to the trigger points. Cold compress is really very effective in reducing pain, but it doesn't always work. Cold compress only works because the blood vessels surrounding the hyper-sensitive areas become smaller. This results in decreased blood flow and reduced oxygen into the muscles, which then causes more pain.  
If you're searching for trigger point therapy to aid with chronic pain, or to relieve the discomfort of injuries or sports injuries, start looking for a provider who has experience handling injuries and sports injuries. Look also for providers who specialize in trigger point massage. You want someone who is fully trained and educated in this treatment technique. A massage therapist who is just starting out may not have the experience you require.  
Trigger points are almost everybody's worst nightmare, and almost everyone would like to avoid them as much as possible. Trigger points are knots, either shallow or deep, that form in muscles. There are many diverse knots, and each person develops a different sensitivity to pain. Trigger point massage is often recommended for the removal or reduction of these troublesome knots.  
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