Trigger Points in Horses

I recently attended a CPD (continuing professional development) course covering equine positional release techniques with Jo Rose Therapies in Oxfordshire. We covered the theory behind trigger points and muscle spasms, which was followed by a practical session learning advanced stretching and trigger point release techniques.

What are Trigger Points?

Trigger points are restricted, often tender, points that can form within any soft tissue as a result of trauma or misuse. Trigger points can be active or latent;

• Active trigger points are areas that currently trigger pain locally or in another area (referred).

• Latent trigger points are only painful when compressed.

Where are Trigger Points Found?

It is more common for trigger points to form within postural muscles, rather than in muscles that create movement. One trigger point can often cause a cascading effect of trigger points forming in other areas, known as secondary trigger points. They are usually found at the motor end plate, which is where the nerve enters the muscle. One of the most common places I see trigger points is in the caudal thoracic spine (underneath the saddle) and this is often caused through ill-fitting saddles, but can also simply be through a saddlepad causing friction against the skin.

How can Trigger Points be Treated?

If trigger points are not treated promptly, they can cause pain and restrictions which can lead to compensatory gait patterns and muscle guarding. However, they are very easily treated through manual therapies, usually with massage techniques followed by stretching to reduced tension and spasm in the surrounding muscles. If particularly deep, LASER therapy can also be used to relieve trigger points. If I find trigger points during my assessment, this will be integrated into my treatment plan to ensure your horse feels their best following treatment.

Ellie x