In addition to adjusting the bones of the spine, it is important to also address the muscles of the back. Many things can irritate muscle fibers (posture at work, previous injuries, needing to be adjusted, diet) and sometimes an adjustment alone won’t fix the muscular problem. Trigger point therapy’s primary focus is the elimination of myofascial pain syndrome caused by irritable areas in muscles. Trigger point therapy can be performed in several ways, the least invasive is through the application of direct pressure to the trigger point within the effected muscle. Application of a vapocoolant spray in conjunction with stretching of the affected muscle, as well as therapeutic ultrasound may also be used. Treating trigger points involves direct pressure to and stretching of the affected musculature. The amount of force used is dependent on patient tolerance. The technique affects the body by eliminating the accumulation of waste in the muscle. Additionally, trigger point therapy allows for restoration of normal muscle tone and flexibility. Trigger points are generally located through physical examination. Even though these areas are very tender, many patients do not realize they have them until the doctor finds them through palpation. It is not uncommon for trigger point therapy to be slightly painful during the treatment and shortly after. Think of it as lactic acid buildup that accumulates in your muscles after you run or lift weights for the first time in awhile. This is a toxin in your muscles and causes discomfort. The same thing happens with TPT. When the toxins are released there can be some discomfort, but most patients notice a quick improvement, increased range of motion, and less tightness in those areas that were treated.