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What are Central Trigger Points?

By Anne Asher, About.com

Updated: January 11, 2008

About.com Health's Disease and Condition content is reviewed by our Medical Review Board

Question: What are Central Trigger Points?

Trigger points are the hallmark of myofascial pain syndrome. If you find muscles with tight knots that feel like a tautly pulled band, you may have found a trigger point. But there are several different types of trigger points.

Answer: A central trigger point is one that is located in the belly (middle) of the muscle. This location is also where a nerve talks to the muscle to tell it to contract and move. (In reality, this nerve-muscle conversation takes place as a series of chemical reactions.)

A central trigger point occurs when the muscle fibers at this location become impaired. As a result of the trigger point increased tension develops in the muscle fiber, and the fiber itself becomes a taut, tense band with easily irritated knots, or trigger points, along its length. The muscle has lost its ability to relax, and this can result in pain.

Source:

Simons, D., MD, Travell, J. MD, Simons, L., PT. Myofascial Pain and Dysfunction: The Trigger Point Manual. Vol. 1 Upper Half of the Body. 2nd Edition. Williams & Wilkins A Waverly Company 1999. Baltimore.

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