Pain Management

Trigger Point Therapy

Trigger Point Therapy in NYC

Trigger point therapy works to relieve the pent up muscles by easing tension and reducing the source of pain. This procedure was pioneered in the 1960’s and has become an accepted and effective tool of pain relief. Dr. Kulick performs trigger point therapy in his clinic in NYC to safely and effectively relieve pain. A trigger point is simply a small contraction knot in a muscle which is usually the size of a pea. Dr. Kulick designed his trigger point therapy system to map the pain patterns associated with the spasm and contraction of specific muscle groups.

Trigger points are very common and are often referred to as “muscle knots”.

Why trigger point therapy is important

Around 75% of pain clinic patients have a trigger point as the sole source of their pain.

Trigger points are areas of tenderness in a muscle. There are two basic types of trigger points: active and latent. Active trigger points cause muscular pain and will refer pain and tenderness to other areas of the body when pressure is applied. Latent trigger points are believed to be one of the causes of stiff joints and the restricted range of motion associated with old age. Trigger points may also be associated with myofascial pain syndromes or Fibromyalgia.

Symptoms trigger point therapy treats

Common ailments that respond to trigger point therapy are lower back pain, neck pain, shoulder pain, rotator cuff injuries, and migraines.

Arthritis is often incorrectly cited as the cause of pain. The true culprit may be a trigger point, activated by a particular activity involving specific muscles used in motion.

The following conditions are also frequently misdiagnosed as the cause of pain and may be alleviated with trigger point therapy: carpal tunnel syndrome, bursitis, tendonitis, angina pectoris, headaches and sciatic symptoms along with many other pain problems.

How trigger point therapy works

Trigger point therapy works by your body undergoing a soft tissue release, which increases the blood flow, as well as the reduction in muscle spasm and the break down of scar tissue.Trigger points are identified with a thorough examination of the symptoms and pain patterns. Usually there is a taut band in muscles containing trigger points and a hard nodule can be felt. Often a “twitch response” activates a response in the muscle that causes it to contract; pressing on an affected muscle can also refer pain. It is of utmost importance that the correct diagnosis is rendered in order to effectively eliminate the pain.


Trigger point therapy is technique in which procaine and saline solution is injected into tender and sore body points in order to relieve pain and dysfunction both locally and in other related parts of the body. This therapy eliminates pain and re-educates the muscles into pain-free patterns. After several treatments, the swelling and stiffness of neuromuscular pain is reduced, range of motion is increased, tension is relieved and circulation, flexibility and coordination are improved.

If you are experiencing pain, trigger point therapy may help you relief headaches, neck, jaw pain, lower back pain, sciatica, tennis elbow, carpal tunnel syndrome and other chronic pain. Dr. Kulick combines trigger point therapy with acupuncture and Mesotherapy for an optimal outcome in his clinic in NYC. Please call us 212-867-1777 to schedule your appointment.