Targeted pressure for muscle knot relief
Trigger point massage therapy focuses on tight muscle fibers known as trigger points. These small areas create localized tension affecting movement and comfort. Registered massage therapists at Revibe use controlled, direct pressure to address tightness and muscular dysfunction. This hands-on technique targets specific points rather than entire muscle groups. Trigger point release addresses muscle knots that persist despite general massage approaches.
What is Trigger Point Massage Therapy
Trigger points are hyperirritable spots in skeletal muscle that form when muscle fibers contract and fail to release fully. The sustained contraction creates a palpable nodule within a taut band of muscle tissue. These points differ from general muscle tension—trigger points concentrate in discrete, localized spots rather than distributing across broader areas.
Trigger points develop when some fibers remain in partial contraction. Energy-depleted muscle fibers cannot complete the relaxation phase. The sustained contraction restricts blood flow to the area, creating local ischemia. This reduced oxygen supply perpetuates the contraction, establishing a self-maintaining cycle. Therapists in Mississauga and Markham use systematic palpation and controlled pressure to release these contracted fibers.
Treatment Approach
Massage therapy sessions at Revibe involve detailed assessment through palpation techniques. Therapists use flat palpation, pincer palpation, and deep palpation to identify trigger points within muscles. Treatment applies sustained pressure directly to trigger points, typically lasting 30-90 seconds per point. The therapist monitors tissue response and adjusts pressure based on patient feedback. Sessions last 30-60 minutes and combine trigger point work with stretching and complementary manual therapy approaches.
Who Can Benefit?
Trigger point therapy addresses muscle pain from various causes including repetitive activities, poor posture, workplace strain, and previous injuries. The treatment works for patients experiencing tension headaches, neck pain, shoulder pain, back pain, and muscle stiffness. Trigger point massage releases contracted muscle fibers regardless of when the dysfunction occurred. Both active trigger points causing spontaneous pain and latent points restricting movement respond to treatment.
Conditions Treated with Trigger Point Massage
Our registered massage therapists at Revibe use trigger point techniques and manual therapy to address a wide range of conditions involving muscle knots, referred pain, and myofascial dysfunction.
Tension-Type Headaches and Cervicogenic Headaches
Tension-type headaches often involve trigger points in neck and shoulder muscles. Upper trapezius points refer pain to the temple. Suboccipital points create pain at the skull base. Sternocleidomastoid points refer to the forehead and around the eye. Cervicogenic headaches stem from upper cervical dysfunction and nerve irritation. Trigger point massage addresses these muscular components through direct pressure. Treatment reduces referred pain while postural correction addresses perpetuating factors.
Common scenarios:Computer workers with tension headaches, patients with headaches linked to neck stiffness, chronic headache sufferers seeking non-medication treatment.
Neck and Shoulder Pain
Upper trapezius trigger points form near the curve where neck meets shoulder. This location experiences constant loading from head weight and shoulder positioning. Forward head posture increases trapezius demands, predisposing to trigger point development. Levator scapulae points develop near the superior medial border of the scapula from prolonged computer work with elevated shoulders. These points refer pain up the posterolateral neck. Neck rotation away from the affected side reproduces symptoms.
Common scenarios:Office workers with chronic neck tension, patients with shoulder pain from desk work, individuals with stiffness limiting neck movement.
Mid and Lower Back Pain
Paraspinal trigger points form along the erector spinae muscles from chronic postural stress or acute overload. Points in the thoracic region refer pain laterally around the ribcage. Quadratus lumborum trigger points form in the lower back and hip region. This muscle stabilizes the pelvis and assists with lateral bending. Trigger points refer pain to the buttock and hip region. Multifidus trigger points develop deep in the spine, creating local pain that often accompanies lower back dysfunction.
Common scenarios:Workers with prolonged sitting, individuals with lower back pain from lifting, patients with chronic postural strain.
Hip and Gluteal Pain
Gluteus maximus trigger points create buttock pain from prolonged sitting or climbing activities. Gluteus medius points develop in the lateral hip, creating local hip pain that refers down the posterior-lateral thigh. Single-leg stance often reproduces symptoms. Piriformis trigger points form deep in the buttock and may contribute to sciatic-like symptoms. Pain refers into the buttock and posterior thigh. Trigger point release addresses these deep muscle restrictions.
Common scenarios:Athletes with hip pain from sports activities, adults with gluteal pain from sitting, patients with buttock pain affecting daily tasks.
Computer-Related Upper Body Pain
Prolonged computer use creates specific trigger point patterns. Forward head posture overloads posterior neck muscles. Elevated shoulders strain upper trapezius. Static positioning prevents normal muscle recovery. Levator scapulae trigger points create neck stiffness. Rhomboid points generate interscapular pain. Scalene triggers contribute to arm pain and paresthesias. Addressing these points provides symptom relief while ergonomic changes prevent recurrence.
Common scenarios:Office workers with postural strain, computer users with neck and shoulder tension, individuals with upper back pain from desk work.
Myofascial Pain Syndrome
Myofascial pain syndrome describes chronic pain involving multiple trigger points. Patients experience regional pain that persists beyond normal tissue healing timeframes. Physical examination reveals multiple trigger points with characteristic referral patterns. The condition differs from fibromyalgia through distinct trigger point findings. Myofascial pain responds to trigger point treatment. Management addresses active trigger points while identifying perpetuating factors like poor posture and repetitive strain.
Common scenarios:Patients with widespread muscle pain, individuals with chronic regional pain, those with multiple tender points affecting movement.
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Trigger Point Massage Techniques
Registered massage therapists select techniques based on assessment findings and patient presentation. Each method addresses specific trigger points and muscle dysfunction:
Ischemic compression applies sustained pressure directly to the trigger point. The therapist locates the point through palpation, then gradually applies increasing pressure. Pressure continues until the therapist feels tissue resistance or the patient reports moderate discomfort. The sustained pressure restricts blood flow to the hypercontracted fibers, forcing the contraction to release through metabolic mechanisms. Duration typically lasts 30-90 seconds per point. Release feels like softening or melting of the taut band.
Stripping technique applies moving pressure along the length of the taut band. The therapist locates one end of the band through palpation. Pressure applies through the thumb, knuckle, or tool, then moves slowly along the fiber direction. The stroke progresses from the trigger point toward the muscle attachment. Movement occurs slowly—several seconds to traverse the band length. This elongates shortened fibers and addresses multiple points along the band simultaneously. Multiple passes progressively release the tissue.
Pin and stretch combines sustained pressure with passive stretching. The therapist applies pressure to the trigger point, maintaining this pressure while moving the muscle through lengthening. This combination addresses both the hypercontracted fibers and overall muscle shortening. The pressure "pins" the trigger point, creating greater stretch effect on these specific fibers. This approach works particularly well for accessible muscles like the neck and upper trapezius.
Integrated techniques combine pressure with muscle activation. The therapist applies pressure to the trigger point, then instructs the patient to contract the muscle gently against resistance. This isometric contraction at low intensity lasts 7-10 seconds. Following contraction, the patient relaxes completely. The therapist increases pressure slightly during this relaxation phase. The contraction-relaxation cycle repeats 2-3 times. This neuromuscular approach facilitates trigger point release through reciprocal inhibition mechanisms.
Trigger point work integrates effectively with Swedish massage. The session begins with broad Swedish strokes warming tissue. This preparation makes trigger point work more comfortable and effective. After trigger point release, Swedish techniques soothe treated areas. This combination addresses both localized dysfunction and overall tension. Patients receive targeted treatment for specific problems while enjoying general relaxation.
Treatment Outcomes from Trigger Point Massage
Trigger point massage produces measurable changes in muscle tension and pain levels. Palpation assessment tracks improvements in trigger point tenderness and taut band tension. Pain scales quantify changes in discomfort intensity. Range of motion testing documents mobility improvements over treatment courses.
Patients report reduced pain intensity, improved mobility in affected regions, decreased muscle stiffness, better sleep quality, and increased ability to perform daily activities. Trigger point treatment addresses muscular sources of pain rather than temporarily masking symptoms. Changes in trigger point activity affect pain perception and movement quality.
Response timeframes vary based on condition chronicity and trigger point severity. Some patients notice changes within 2-4 sessions. Chronic conditions with multiple trigger points typically require 6-12 weeks of consistent treatment for measurable improvement. Maintenance sessions prevent trigger point recurrence in chronic pain conditions. Home care including stretching and postural modifications supports treatment gains.
Coordinated Rehabilitation at Revibe Mississauga, Markham & Burlington
Trigger point massage combines with other therapies at Revibe. Physiotherapists design strengthening programs that address muscle weaknesses contributing to trigger points. Chiropractors address joint dysfunction that perpetuates muscular tension. Kinesiologists develop movement retraining to prevent compensation pattern return. Acupuncture modulates pain signals through endorphin release.
This staged approach moves from passive manual therapy to active rehabilitation. Initial treatment reduces acute pain and releases trigger points through massage techniques. Progressive loading rebuilds tissue tolerance. Movement pattern retraining maintains corrections during functional activities. Combined approaches prevent conflicting treatment and optimize recovery timelines.
Physiotherapy and trigger point massage complement each other. Physiotherapists address movement dysfunction and provide exercise rehabilitation. Massage therapists address muscular trigger points and tissue restrictions. Trigger point release improves range of motion for exercise programs. Physiotherapy strengthens muscles and corrects movement patterns.
Practitioners communicate about treatment responses and progression. Shared treatment notes track trigger point changes, range of motion gains, and functional improvements. This coordination prevents conflicting treatment approaches and optimizes recovery timelines for patients with chronic pain and myofascial dysfunction.
Self-Care and Prevention Strategies
Between trigger point massage sessions, specific exercises and stretches maintain treatment gains. Therapists demonstrate movements that address your particular trigger points and support muscle recovery. Regular stretching maintains muscle length and prevents trigger point recurrence.
Workstation ergonomics position monitors at eye level and keyboards at elbow height. Sleeping positions avoid extreme joint angles—side-lying with pillow support maintains neutral spine alignment. Lifting techniques engage hip and knee extensors rather than spinal muscles (use legs, not back). Activity modification allows tissue adaptation without exceeding healing capacity.
Graded exposure gradually increases load on recovering structures. Pain that subsides within two hours after activity indicates acceptable stress levels. Persistent pain signals tissue overload requiring activity reduction. Regular position changes prevent sustained muscle contraction. Standing every 30-60 minutes allows muscle recovery. Micro-breaks throughout the day reduce cumulative strain.
Exercise Examples
• Cervical retraction strengthens deep neck flexors
• Thoracic extension exercises reduce upper back rounding
• Shoulder blade exercises improve upper back posture
• Hip stretches counteract prolonged sitting postures
• Core stabilization exercises support spinal alignment
• Pelvic tilts address lower back mobilitySelf-Care Tools
• Ice therapy reduces inflammation after aggravating activities
• Heat therapy increases blood flow before stretching
• Foam rolling releases tissue tension in accessible areas
• Stretching holds last 30 to 60 seconds for tissue lengthening
• Resistance bands build strength in weakened muscle groups
• Postural awareness during daily activities maintains alignment
Frequently Asked Questions About Trigger Point Massage Therapy
Response to trigger point massage varies based on condition chronicity and trigger point severity. Some patients notice changes within 2-4 sessions. Chronic conditions with multiple trigger points typically require 6-12 weeks of consistent treatment for measurable improvement. Treatment duration depends on how long you've had the trigger points, muscle condition, and your body's healing response.
Trigger point pressure creates moderate discomfort but should not be severely painful. You'll feel pressure and tenderness when the therapist works on active trigger points. The therapist adjusts pressure intensity to your tolerance. Some soreness may occur 24-48 hours after treatment as muscles adapt, similar to post-exercise soreness. This post-treatment tenderness typically subsides within 1-2 days.
Trigger point massage uses focused, sustained pressure on specific muscle knots. Swedish massage uses broad, flowing strokes for general relaxation. Trigger point work targets dysfunction and referred pain patterns. Swedish massage addresses overall tension and promotes relaxation. Many sessions combine both approaches—Swedish strokes warm tissue before trigger point work, then soothe areas after release.
Most extended health plans in Ontario cover massage therapy, including trigger point techniques. Coverage varies by provider and plan limits. Revibe offers direct billing for accepted plans and provides receipts for insurance submission. Verify specific plan details regarding massage therapy coverage and any restrictions on treatment frequency or duration.
Trigger point massage addresses compensatory patterns and muscle tension that develop after old injuries. Even if the original injury healed years ago, your muscles may have developed trigger points and movement adaptations that create ongoing pain. Massage techniques can release these trigger points regardless of when the injury occurred. Treatment addresses current muscle dysfunction rather than the original trauma.
Therapists use systematic palpation to identify trigger points. Flat palpation slides perpendicular across muscle fibers to detect rope-like taut bands. Pincer palpation grasps muscles between thumb and fingers. Deep palpation applies progressive pressure through superficial layers to reach deeper muscles. The therapist feels for firm nodules within muscle bellies and confirms trigger points by checking for characteristic pain referral patterns.
No referral required. You can book directly with our Mississauga or Markham massage therapists. However, bringing medical information, imaging reports, or diagnoses helps therapists understand your condition better and coordinate care with your healthcare team if needed.
Most patients undress to their comfort level and are draped with sheets throughout the session. The therapist only uncovers the area being treated. Wear whatever makes you comfortable arriving and leaving. Discuss any draping preferences or concerns with your therapist before the session begins.
Treatment frequency varies based on your condition. Acute trigger point development may respond to weekly sessions initially. Most chronic pain patients benefit from bi-weekly treatments during active care, transitioning to monthly maintenance sessions. Your massage therapist will recommend a schedule based on your response, trigger point severity, and functional goals.
Referred pain radiates from the trigger point to distant areas following predictable patterns specific to each muscle. Upper trapezius trigger points refer pain to the temple and jaw. Gluteus medius points refer to the posterior thigh and lateral hip. This explains why treating only the painful area often fails—the source lies in the trigger point, not where you feel pain. Therapists address both the trigger point and referred pain pattern.
What Our Patients Are Saying
Nothing but good experiences here! First time getting massage therapy and chiropractic therapy here! My Massage Therapist, Ghari, is amazing and is super friendly and easy to talk to! All the tension in my neck and shoulders are gone every time I see her! My Chiropractor, Trevor, is very informative and always goes out of his way to make sure I get the most out of my treatments! He also does acupuncture and its been working wonders for my wrists/forearms! Reception is friendly as well and the overall vibes are always good there! Highly recommend!! ☺️✨️
I've been going to revibe for about 2 years now and have never had a bad experience. Their entire staff is extremely knowledgeable and complete professionals. Massage therapist, Min has made such a huge difference in my mobility, especially dealing with the stiffness in my back. His treatments have been extremely thorough and he has given me great suggestions to help improve my daily physical habits. I have been going to Benson for physiotherapy for about 5 months now and he helped fix an ongoing knee issue within a month by identifying what the root cause was and creating a treatment plan for me which included some excellent work outs to do at home. He has also helped me address shoulder problems I have been dealing with for many years. Finally, I just started seeing Dr. Jennifer Tang who is a naturopath and she has been extremely helpful in coming up with a plan to address gut issues I have been experiencing. Not only is she very knowledgeable, she is clearly someone who cares about her patients and continuously checks up on them, which is greatly appreciated. Her acupuncture treatments have also started to make a difference in my life. Revibe is such an incredible collective of health experts who truly love what they do and care about the people they treat.
I’ve been going to Revibe physiotherapy for a few weeks for tendinitis in my shoulder. Winston, massage therapist, has been really helpful with massaging my shoulder and ankle and helping with exercises to help my shoulder and ankle heal. Scott has been really helpful with torn ligaments in my ankle and exercises to help improve movement. Both Winston and Scott have been amazing in my healing journey!
Book Your Appointment in Mississauga, Markham or Burlington
Revibe operates clinics in Mississauga (serving Streetsville, Erin Mills, Meadowvale, and surrounding areas) and Markham (serving Unionville, Thornhill, Buttonville, and surrounding areas). Both locations provide comprehensive assessment and treatment services for your health and wellness needs.

Mississauga Clinic
Location: 2290 Dixie Rd, Mississauga, ON L4Y 1Z4
Phone: 905-783-8423
Hours: Monday-Friday 8am-8pm, Saturday 9am-3pm
New patient visits include comprehensive assessment and first treatment session (75 minutes). Bring previous imaging reports, medical diagnoses, and lists of current symptoms. Wear comfortable clothing that allows access to treatment areas.
Serving: Streetsville, Erin Mills, Meadowvale, Churchill Meadows, Lorne Park, Port Credit, Clarkson, and surrounding Mississauga neighborhoods. Convenient access from Highway 403, QEW, and Erin Mills Parkway.
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Markham Clinic
Location: 220 Torbay Rd, Markham ON, L3R 1G6
Phone: 905-783-8423
Hours: Monday-Friday 8am-8pm, Saturday 9am-3pm
Insurance coverage varies by provider. Extended health plans often include manual therapy and wellness services. Direct billing available for plans that Revibe accepts. Receipts provided for insurance submission or tax purposes.
Serving: Unionville, Thornhill, Markham Village, Buttonville, Milliken, Cornell, Angus Glen, and surrounding Markham and Richmond Hill areas. Easy access from Highway 7, Highway 404, and Major Mackenzie Drive.
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Burlington Clinic
Coming Soon
We're excited to announce that our Burlington location will be opening soon. Stay tuned for updates on our new clinic serving the Burlington, Oakville, and surrounding areas.

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