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Trigger point is a hyper-sensitive spot in the muscle that's tender to the touch and it refers pain in a predictable pattern. I have a particular approach to it that not every massage therapist knows how to do. My approach uses a little action to help release the muscle fibers that are stuck in contraction.
It's matching a level of pressure that meets the needs of the muscle - never going over "good hurt or the muscles will fight back.
Yes, after clients are healed and cleared by their surgeons.