when applies concentrated finger pressure to tender areas in the muscle in order to break the cycle of spasm and pain.
Trigger point massage and myotherapy are similar to neuromuscular massage.
Neuromuscular massage is also referred to as trigger-point therapy and should be performed with ischemic pressure at a 90 degree angle to the portion of the body where it is being administered.
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Despite the name, trigger point therapy actually has absolutely nothing to do with a gun. In this case, a "trigger point" is a muscle or other part of the body that is stressed and much overused. Trigger point therapy stresses care for that particular place.
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Trigger point therapy is said to interrupt the neural signals that cause both the trigger point and the pain. The object is to eliminate pain and to reeducate the muscles into pain-free habits.
At this point, the service of massage therapy is not taxed in Pennsylvania. Massage therapists do have to pay income taxes on money they make from performing massages.
Neuromuscular massage usually involves treatment to trigger points, which are located in taut bands of muscle fiber bundles. The therapy usually involves the use of ischemic pressure applied to the trigger point so that it releases its tension by resetting the muscle spindles that promote muscle contraction.
The most common treatment for pronator teres syndrome, which is often mis-diagnosed as carpal tunnel syndrome, is Neuromuscular Therapy or Trigger Point Therapy to eliminate myofascial trigger points in the pronator teres muscle, and its associated muscles and antagonists like the supinator.
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Trigger points are small nodules in the muscle that induce a spasm cycle that can be undone by releasing the trigger point. Pressure is applied to the trigger point and the client usually feels referred pain somewhere else than where the pressure is being applied. A series of gradually increasing amounts of pressure are applied to the trigger point by the massage therapist until it 'dissolves' and then stretching is used to help flush the area.The way you know you have a trigger point is if pain is referred elsewhere. This can mean a headache in the front of the head, which is usually referred by the trapesius muscles. Headaches can also be caused by SCM (in the neck). That's why if you've had a relaxation massage and have a headache after, a trigger point was likely activated and not released. (Trigger point was activated, and then pain is referred to another area)After trigger point therapy it is normal to feel sore around the area for a day or two. Drinking a lot of water and taking epson salt baths can help.
At this point medicare does not cover massage therapy (part A). Some of the supplemental plans (part B and C) do cover massage therapy. You would need to check with your provider to see if they cover "massage therapy provided by a licensed massage therapist." Insurance companies do not make decisions based on type of massage but perhaps who is performing it. Sometimes physical therapists' and chiropractors' massages may be covered and a massage therapist's may not be covered. But yes it depends on which part of medicare you are talking about. Supplemental medicare plans may cover massage therapy (and deep tissue massage therapy).