A trigger point is a tight band inside a muscle that feels like a knot, is very sensitive to pressure and often refers pain to another area. The 'knot' between the neck and shoulder is the best-known example. In trigger point therapy the physiotherapist finds these bands by hand and releases them with controlled pressure, myofascial release and stretching techniques. No needles are used. In Bursa Nilüfer, Fizyoterapist Aydın Ali runs trigger point therapy not as a massage on its own but as part of an exercise programme that addresses why the muscle keeps tightening.
About your physiotherapist
Fizyoterapist Aydın Ali provides one-to-one care for trigger point therapy at the clinic in Bursa Nilüfer — in Fethiye Mahallesi, on Kelebek Sokak, at a central point of Nilüfer, opposite the Fethiye covered market.
It is a short trip by car or public transport from İhsaniye, Odunluk, Balat, Özlüce, Ataevler, 23 Nisan and the surrounding areas. Every session is one-to-one, assessment-based and tailored to you.
The most common experience with neck, shoulder and back tightness is this: massage brings relief in the moment, and a few days later the pain starts from the same spot. The cause is often that why the muscle keeps tightening is never addressed; the trigger point releases, but the posture and load habit that created it stays.
Fizyoterapist Aydın Ali finds the trigger points by hand, releases them with controlled pressure and stretching, then moves straight into exercise in the same session. For desk workers, work routine and break habits are added to the programme too; the lasting difference comes from this work.
A trigger point is a small, tight band formed when part of a muscle stays contracted. Pressing it causes pain at that spot and sometimes in a distant area; a trigger point on top of the shoulder, for example, can refer pain to the neck and the side of the head. So where a person says it hurts and where the pain comes from are not always the same.
Staying in one position for long, repetitive movements, stress and insufficient strength are the most common causes. The assessment looks at both the trigger point itself and the habits that feed it.
No, needles are not used; the whole application is done by hand. The physiotherapist locates the trigger point with the fingers and applies gradually increasing pressure at a level the person can tolerate. As the point releases the pressure is reduced, then the muscle is lengthened and worked with stretching and myofascial release techniques.
A tolerable tenderness, often described as a 'good ache', may be felt; sharp or unbearable pain is not the aim. Mild muscle tiredness for about a day afterwards is possible.
A relaxing massage loosens the muscle in general; trigger point therapy targets specific tight bands found at examination, and each session changes with that person's findings on the day. The real difference comes afterwards: the relief gained is consolidated with exercise and posture work so the muscle does not tighten again.
Without that, the tension returns within a few days. Fizyoterapist Aydın Ali therefore uses the application as a starting point; the lasting difference comes from the work done afterwards.
Trigger point therapy is used most for myofascial pain — pain arising from tight spots in muscle and fascia. Neck and shoulder tension, muscle-related headaches, back pain in desk workers and some low back pain can be assessed within this scope.
The decision always depends on the assessment. If there are findings such as numbness or weakness spreading into the arm or leg, the picture may be nerve-related; the approach then changes and a physician assessment is requested when needed.
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Fizyoterapist Aydın Ali · Bursa Nilüfer. Share your complaint; we plan the process together after the assessment.
A tolerable tenderness may be felt while pressure is applied; the pressure is kept at a level you can tolerate and reduced as the point releases. Mild muscle tiredness for about a day afterwards is possible.
No. The whole application is done by hand; no needles are used and acupuncture is not performed. In Turkey, acupuncture may only be practised by physicians certified in that field.
It depends on how long the complaint has lasted and the habits feeding it. The number of sessions is planned at the first assessment, and the work always runs alongside exercise and a home programme.
At the assessment you are shown stretching and strengthening exercises tailored to you and, if needed, how to apply pressure yourself with a ball or similar tool. Work routine and break habits are part of the programme too.
For muscle pain that knots, cramps and will not settle: manual work first, strengthening second.
Hands-on techniques applied to joints and soft tissue, combined with exercise for a result that lasts.
Mobilisation of soft tissue with stainless-steel instruments, carried out together with exercise.
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