This record carries a disputed origin claim — see the provenance plate below. The dispute is inherited from its History plate and is never suppressed on either side of the door.SEE PROVENANCE ↓Trigger point therapy uses manual pressure or related soft-tissue techniques directed to locally sensitive areas described within trigger-point frameworks. Assessment and pressure methods vary, and overlap with neuromuscular or deep-tissue work does not make those records synonymous.
FAMILYNeuromuscular family
SESSION FORMATTable · Draped · Varies by method
IDENTITY VALUES SHARE THE HUB’S FILTER VOCABULARY — ANY CELL REVERSES INTO A CATALOG QUERY.
04 · PRACTICE TODAY — PRESENT TENSE, NO HISTORY, NO OUTCOME PROMISES
How it is practiced and taught
This record is limited to non-invasive manual work. A session is usually region-focused and may use sustained or repeated contact, with force, duration, and positioning adjusted to response and consent.
Diagnostic criteria and treatment protocols vary across studies. Pressure is not presented as permanently deactivating a “knot,” and dry needling, injections, or medical diagnosis sit outside this record.
SESSION ARC
- 01Screen and locate — Symptoms, red flags, scope, and a descriptive—not medical—palpation finding guide the plan.
- 02Consent and dose — The practitioner establishes a tolerable pressure, duration, and stop signal.
- 03Manual contact — Localized sustained or repeated pressure is applied while response is monitored.
- 04Reassess — The area and client response are rechecked without claiming permanent tissue change.
05 · PROVENANCE PLATE — THE RECORD’S ONLY PAST-TENSE ZONE
STATE = KIND OF CLAIM · CONF = STRENGTH OF TRAIL · [Sn] = THE TRAIL
Where it comes from — typed and doored
1940s–50s
Modern clinical descriptions of localized sensitive points and referred-pain frameworks became influential in this period.[S24]
DOCUMENTEDCONF · HIGH
1983
Travell and Simons published a major codification that shaped later professional terminology.[S24]
PROF. MILESTONECONF · HIGH
Contemporary
Definitions, diagnostic reliability, and protocols continue to differ across research and professional systems.[S24]
DISPUTE FLAG — INHERITED BY REFERENCE FROM ITS HISTORY PLATE · SHOWN IN THE BANNER AND HERE, NEVER SUPPRESSED (R3)
DISPUTED · REVIEWCONF · MODERATE
DISPUTED FRAMEWORK — diagnostic criteria and protocols are not uniform.
ENTRIES LEFT OF THE FIRST SCALE BREAK CAP AT MODERATE (R1) · STATE AND CONFIDENCE NEVER MERGE (R5) · ONE HISTORY DOOR PER PLATE.
06 · CAUTION LEDGER — THREE FIXED TIERS, EACH SOURCED, EACH DATED
What the profession documents
⚠ TIER 1 · ABSOLUTE CONTRAINDICATIONS
No absolute contraindications specific to this technique are documented; general massage contraindications apply — acute systemic infection or fever, suspected thrombosis, and acute medical emergencies.[S20]
TIER 2 · SITE & PRESSURE CAUTIONS
—Focused pressure is modified or withheld over acute injury, inflamed or fragile tissue, nerves, vessels, wounds, recent surgery, or unexplained pain.[S24]
TIER 3 · POPULATION CAUTIONS
—Bleeding risk, anticoagulation, impaired sensation, vascular or neurologic symptoms, and systemic red flags require adaptation, deferral, or referral.[S24]
“This ledger summarizes documented professional cautions. It is not medical advice, and it does not replace pathology training, intake screening, or a provider’s clearance.”
REFERENCEPathology caution categories — the sitewide layer this ledger summarizes from.DOOR · LIVE →07 · TRAINING & SCOPE — THE WING NEVER ANSWERS A SCOPE QUESTION INLINE
Where it enters a career, and whose question scope is
TRAINING CONTEXTSPECIAL TRAINING
Post-entry manual specialty education
Useful training addresses anatomy, pain science, palpation limits, dose, contraindications, consent, and referral. Manual trigger-point training does not authorize invasive procedures or medical diagnosis.
EDUCATIONUNDER REVIEW
Named programs and schools are not listed here. Training listings live on the Education wing and arrive through this door once vetting rules for traditional trainings are set. This door does not open yet — and says so.
SCOPE
Whether this technique sits inside your scope of practice is a state question, answered by your board’s rules — never by this record. The atlas keeps that question where it belongs:
08 · SOURCES — EVERY [Sn] ABOVE, RESOLVED IN THE SHARED REGISTER
S20T1FSMTB Model Massage Therapy Practice Act and professional scope-and-safety guidance.CITED
S24T2Trigger-point clinical texts and reviews of manual treatment evidence and diagnostic reliability.CITED
Tiers and statuses per
Method & Sources. No orphan claims, no decorative citations.
09 · Doors & relatedDOORS DESCRIBE — THEY DO NOT ADVERTISE
FAMILY SIBLINGS — NONE YET: THIS RECORD IS UNAFFILIATED (MODERN PRACTICE), A LEGITIMATE FAMILY VALUE WITH NO PAGE UNTIL IT HAS AN EDITORIAL POINT.