Where you feel a symptom may not always be where it originates

By Maddie Leininger (Small), PT, DPT Owner + Physical Therapist

Trigger points are sensitive areas within a muscle that can reproduce symptoms locally or refer to another area of the body. While some muscles have characteristic referral patterns, symptoms may vary from person to person.

The upper trapezius is a great example. A trigger point in the upper trap can produce a “ram’s horn” referral pattern, with symptoms extending from the base of the skull, wrapping around the ear and side of the head, and toward the temple and forehead. This referred pain can often present as a headache.

A good assessment looks beyond where the symptom is felt. At Range, we consider how different tissues may be contributing to or driving the symptoms, as well as how movement may be influencing the presentation.

Functional Dry Needling is one tool we may use to address muscle tension, trigger points, referred symptoms, and movement restrictions. Combined with exercise, manual interventions, and movement prescription, it can be part of a broader strategy to reduce symptoms and improve function.

The takeaway: Treat the whole picture, not just the symptom.

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