Counseling Sheet

Patient Instruction for Treating Their Own Tender (Trigger) Points

  • Begin by finding a painful area or point within the area of pain.
  • With the tip of your index finger or thumb, press down in that painful region until you identify the most painful point. You may then "back off" the pressure to a light touch.
  • Once the area is identified, bend, twist, fold, lengthen, straighten, or shorten your body (usually where your finger is) until the spot under your finger tip no longer hurts.
  • Hold that position for 90 to 120 seconds.
  • Slowly return that part of your body back to its original position while maintaining fingertip contact on the painful spot.
  • Once you have returned to your original resting position, recheck the most painful area with your fingertip. It should not be as tender.
  • When treating those impossible-to-reach areas in the middle of your back, be innovative. Use a tennis ball in place of your fingertip and lie down on top of it or lean up against a door jam, doorknob or table corner to apply pressure in that region. (Remember that for every point, there is a counter point.)

Optimum results occur if these instructions are followed three times a day.

From the office of Russel G. Gamber, D.O.
University of North Texas Health Science Center
Department of Manipulative Medicine
3500 Camp Bowie Blvd.
Fort Worth, Texas 76103
(817) 735-2235

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