"We endeavour to create an environment conducive to muscle healing" 
William Huhn

Some may believe that I am anti-exercise, since I almost always advise my clients to stop (or greatly reduce) their exercise routine. This belief is not quite true... 
I believe exercise is great for the body, and mind - but if you have trigger points, you must remove them from the involved muscles first! Once the trigger points are removed and the involved muscles have healed, you may return to a graduated, (rehab) exercise routine. If this protocol is not followed, then the client cannot expect to obtain the remedial effects of Trigger Point Therapy.

All clients are advised to acquire a copy of The Trigger Point Therapy Workbook: Your Self-Treatment Guide for Pain Relief  

The following notes are given to our clients to take home (their 'homework') after their first treatment.

After your first treatment, limit your physical activity (if possible) for the rest of the day. Mild activity is best.

After a treatment, please, drink water (filtered city tap-water is ideal) - lots of it (at least 1 litre) for the balance of the day or until urine is clear... but not so much that you wet the bed. Trigger Point treatments, release 'toxins' into your system and water helps move it quickly through the kidneys. This also helps minimize the groggy after effects that may occur and reduces kidney stress.

DO NOT ice the muscles that we are treating. Ice will cause the trigger points to re-form. If you experience swelling/inflammation after your treatment, call me to discuss using ice. Generally speaking, moist heat (gentle warmth) is what we want. 

Muscle that is being treated must be kept warm. No running around in cold weather without a coat - and if we are treating your neck or head muscles... a scarf please. If you are one who sleeps au naturel, you will need to start wearing a night-shirt to bed to keep those upper body parts from getting chilled (blankets do come off from time to time) while you are asleep! It does make a difference when it comes to trigger points.    

If possible have an Epsom salt (magnesium sulphate) bath. Ideally this should be as soon as possible after today's treatment. Add about 2 cups to the bathwater... it's very relaxing, and some of the magnesium is absorbed, helping to de-stress your knotted muscles. (Magnesium is known to aid in muscle relaxation) Epsom salts are inexpensive and can be purchased at any drug store and most supermarkets. No Epsom salts? A plain warm (not too hot) bath is still a good post-treatment muscle soother.

If you are active, (i.e. athletic) look for ways to alter/modify/reduce your routine until we get those trigger points removed; much shorter, milder workouts would be better for those trigger point involved muscles. Often the exercise must be greatly reduced or stopped completely. And remember, muscles that have trigger points will NOT strengthen until the knots are removed and the muscle heals.

Until we get those TrPs removed, use caution with stretching. If you feel you must stretch... please do it gently, and only to the barrier (just till you feel the muscle start to pull) holding for about 30 seconds. In the case of rotator cuff/frozen shoulder issues, I do not recommend any stretching to these related muscles while they have trigger points, as this will very likely exacerbate or perpetuate the symptoms.

If you are relatively inactive, look for ways to vary your routine. Avoid the Easy-Chair (very bad for the lower back and abdominal muscles) and go for a short walk (on level ground) or maybe try a relaxing swim (in a WARM pool) You may also want to check with your local Parks and Recreation for beginner (seniors style) exercise programs they might offer (but consult with me first regarding any exercise programs). You may talk to a qualified fitness trainer or yoga instructor; he or she, may be able to customize a program to suit your needs (again, consult with me first). You must go easy though... or you'll make things worse for those muscles that have trigger points. And please tell your trainer (if you have one) you are having Trigger Point treatments. And be sure to have them call us so we may explain what we're trying to achieve.

Note: Don't forget to consult your M.D. or primary health care provider, before starting an exercise program... especially if you have health conditions and are concerned about how much activity you should undertake.

Those of you that work at a computer... TAKE BREAKS... a few minutes up and away from the desk (every 20 minutes or so) does wonders for reducing stress to the upper back and those headache-causing trigger points! Also, you must support your elbows while at the computer. Either use armrests or a bolster placed on you lap to support the elbows.

You will likely feel some muscular 'after effects'. This may include muscle twitches, soreness/tenderness or even pain to seemingly unrelated areas. Some clients may experience nausea, headache or dizziness. Of course we try to avoid this happening! However, the whole muscle imbalance has been altered by the treatment and your body has to learn some new 'balancing tricks'. This is not unusual, and often only lasts a day or two.

You may bruise. We try to steer clear of this happening, but sometimes it may occur with this type of bodywork/technique, especially if there is excessive tension in the tissue we are treating.

You may feel bruised. Muscles (and their trigger points) that are quite bad, may not be too receptive to treatment during a session and may need a few days 'rest' before continuing with treatments.

Again, we are trying to 'reset the muscles back to normal' (heal them) and they may be resistant to the treatments. The best chance for success will require us both doing our part, to the best of our ability.

And of course, let us know if you have any concerns regarding how you are feeling, post-treatment.

William Huhn Method
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Our office is closed on weekends and holidays. To book your appointment for treatment, or for more workshop information:
Phone: 250.714.6056                                                           Email: info@triggerpoint.ca             1455 Townsite Rd. Nanaimo, BC V9S 1M9
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