Trigger Point Locator: Finding Myofascial Trigger Points for Q Magnet Placement
What Is a Myofascial Trigger Point?
The terminology surrounding trigger points has evolved considerably.
An international expert consensus identified three important features used when examining a suspected myofascial trigger point:
- a taut band within skeletal muscle
- a hypersensitive spot within that band
- referred pain or another familiar referred sensation when the area is stimulated.
More recent research continues to refine the diagnostic criteria, reflecting the fact that there is still uncertainty around precisely how trigger points should be identified and classified.
This is an important distinction.
Not every tender area in a muscle is necessarily a myofascial trigger point.
Active and Latent Trigger Points
An active trigger point is generally associated with symptoms the person recognises as part of their usual pain or discomfort.
A latent trigger point may be sensitive when examined without normally reproducing the person’s familiar symptoms.
Trigger points may also produce discomfort away from the precise location being pressed. This is referred pain and helps explain why the area that hurts is not always the only area worth examining.
A more useful approach is to look for a localised hypersensitive area that fits the person’s familiar symptom pattern and, where appropriate, lies within a palpable taut region of muscle.
A trigger point locator may provide additional information, but it should complement rather than replace this anatomical and symptom-based assessment.
How Do You Find a Trigger Point?
Trigger points have traditionally been identified primarily through examination and palpation.
A practical assessment may consider:
- where the person normally experiences discomfort
- whether a particular muscle is locally sensitive
- whether a discrete hypersensitive spot can be identified
- whether gentle pressure reproduces familiar local or referred symptoms
- whether movement involving that muscle is uncomfortable or restricted.
This does not require aggressive probing. Excessive pressure may simply create tenderness that was not clinically relevant in the first place.
For home users, the goal should therefore be relatively simple: identify whether there is a distinctly sensitive area that corresponds with the symptoms you already recognise, rather than searching the body for every tender point that can be found.
If symptoms are severe, unexplained, worsening or accompanied by weakness, persistent altered sensation or other concerning signs, appropriate professional assessment is more important than attempting to identify a trigger point.
What Does a Trigger Point Locator Measure?
Electronic trigger point and acupuncture point locators generally assess differences in the electrical properties of the skin.
One study involving 49 participants examined skin resistance around myofascial trigger points. Skin resistance was lower at the identified trigger-point location than in the surrounding areas, supporting electrodermal measurement as a possible additional way of helping locate these points. The researchers also found that the measurements did not reliably distinguish between the different trigger-point states.
This means a locator may be useful as a location aid, particularly after an approximate area has already been identified.
It should not be interpreted as a device that independently proves that a specific spot is the cause of a person’s symptoms.
Know When to Seek Medical Advice
If your symptoms are new, unexplained, worsening or substantially different from symptoms you have previously experienced, seek appropriate medical or healthcare advice rather than relying on self-assessment alone.
When is self-management appropriate?
Pointer Pal Trigger Point Locator
Q Magnets currently offers the Pointer Pal Trigger Point Locator as an optional placement aid.
The device is moved over the skin while monitoring changes in electrical skin characteristics. Changes in the signal can help narrow down an area for closer examination and more precise placement.
This can be particularly useful where the target is small and a Q Magnet needs to be positioned accurately.
The following video shows Doug Edwards, an experienced user of the device briefly describing the how to and why of a trigger point locator:
The next video demonstrates how simple it is to apply the Q6-1.5 to a trigger point.
Pointer Pal – Trigger Point Locator
- Hand held Trigger Point Locator
- Helps identify precise application points
- Includes hand-held grounding electrode,
- 2 probe tips (2mm 0.08″ and 4mm 0.16″),
- 9V battery, case and instructions
- Glides over active Trigger Points and emits buzzing sound while the pilot light flashes
AUD$ 77
Trigger Points and Acupuncture Points: Are They the Same?
Trigger points and acupuncture points sometimes overlap anatomically, but the terms should not be used as though they are interchangeable.
A frequently cited study by Melzack and colleagues reported substantial anatomical correspondence between trigger points and acupuncture points used for pain. Subsequent acupuncture literature has also discussed trigger points as having similarities with Ashi points. However, acupuncture points have their own traditional indications and theoretical framework.
For Q Magnet placement, the practical distinction is useful:
an acupuncture point may be selected because of its role within an acupuncture framework, while a trigger point is selected because a local muscular area reproduces a relevant symptom pattern.
Either may provide a useful adjunct placement depending on the individual situation.
Why Trigger Point Placement Is Relevant to Q Magnets
Q Magnets are passive multipolar medical magnets designed to produce localised static magnetic fields using alternating polarity arrangements.
The Q Magnets approach does not assume that simply placing a magnet anywhere near pain will produce the same result.
Instead, application follows Field | Dose | Placement.
Field
Q Magnets use engineered multipolar configurations including quadrapolar, hexapolar, octapolar and alternating-polarity concentric designs.
These create spatially varying static magnetic fields and localised field gradients rather than the simpler field geometry produced by many conventional magnets.
Learn more about how Q Magnets work and magnetic field gradients.
Dose
For a small superficial trigger point, a very large magnet may be unnecessary.
Conversely, a small magnet should not automatically be assumed suitable where the relevant muscular or neural structure lies substantially deeper.
Dose therefore involves more than surface field strength. Relevant considerations include:
- magnet size
- field characteristics
- target depth
- duration of exposure
- cumulative exposure.
This is why “stronger is always better” is not the Q Magnets approach.
The current Q Magnets Instructions for Use identify models including the QF15-2, QF10-3, QF10-2, Q6-1.5 and Q4-1.5 as suitable for selected trigger-point and acupuncture-point applications, while other models may be more appropriate for broader or deeper anatomical structures.
Placement
Placement is particularly important with a small anatomical target.
If a point has no meaningful relationship to the person’s symptoms, simply applying another magnet is unlikely to improve the logic of the application.
Condition-specific Q Magnets pages therefore identify trigger-point regions that may be relevant to that particular body area, rather than recommending that every trigger point be treated.
Where a Q Magnets Treatment Protocol provides a Primary Placement, that remains the normal starting point. A trigger-point placement may then be considered as an adjunct when:
- the person’s symptoms clearly correspond with a particular muscular area or localised tender point
- an additional area appears to be contributing to the symptoms
- or the Primary Placement has not provided sufficient improvement.
Not every adjunct placement needs to be used, and more magnets do not automatically mean a better application.
What Does the Research Say About Static Magnets and Trigger Points?
Research specifically investigating static permanent magnets positioned over trigger points is limited, but several studies are relevant.
Vallbona et al. – Post-Polio Trigger-Point Pain
Vallbona, Hazlewood and Jurida conducted a double-blind pilot study involving people with post-polio pain.
Static magnetic fields were applied directly over an identified painful trigger point. Greater immediate pain reduction was reported with the active magnetic intervention than with placebo.
A later systematic review of treatments for post-polio syndrome concluded that this trial provided moderate-quality evidence for an immediate reduction in trigger-point pain, while also making clear that this evidence came from a single study in a specific patient population.
Read more about the post-polio static magnet study.
Brown et al. – Chronic Pelvic Pain
Brown and colleagues investigated static magnetic fields in women with chronic pelvic pain.
Active or placebo magnets were applied continuously to abdominal trigger points. Among participants completing four weeks of treatment, the active-magnet group showed significantly better scores on several disability and global-impression measures.
However, this was a small pilot study and treatment blinding was compromised, so the findings should be regarded as encouraging rather than definitive.
Brantley et al. – Myofascial Trigger-Point Pain
A 2004 randomized double-blind study involving 30 participants examined static magnets applied directly over an identified myofascial trigger point for 45 minutes.
The researchers reported reductions in several pain measures in the active group and no significant pre-to-post changes in the sham group.
Importantly, this work was presented at the Bioelectromagnetics Society annual meeting rather than published as a full peer-reviewed journal article, so it should carry less evidential weight than a complete peer-reviewed clinical trial.
Read the Q Magnets summary of the static magnet trigger-point clinical trial.
Static Magnets and Repetitive Magnetic Stimulation Are Not the Same Thing
Research has also investigated repetitive peripheral magnetic stimulation for myofascial pain.
For example, Smania and colleagues reported improvements following repetitive magnetic stimulation of myofascial trigger points. More recent clinical studies have continued investigating this modality.
However, repetitive magnetic stimulation is a powered electromagnetic intervention and should not be treated as clinical evidence for static permanent magnets such as Q Magnets.
Keeping these technologies separate makes the evidence easier to understand and avoids overstating what individual studies demonstrate.
Why Accurate Placement Matters
Trigger points illustrate one of the simplest applications of the FDP principle.
If the relevant area is only a few millimetres across, changing the position of a small device can substantially change which tissue is exposed to the most localised portion of its field.
This is one reason Q Magnets places greater emphasis on anatomical placement than simply recommending stronger magnets.
Laboratory research has also investigated whether structured static magnetic fields and field gradients may influence nerve excitability under experimental conditions.
These findings provide biological plausibility for nervous-system modulation, but they do not establish that every trigger point or every pain condition will respond to a static magnetic field.
For the underlying science, see Effects of Static Magnetic Fields on Nerve Conduction.
Trigger Points Within Condition-Specific Q Magnet Placement
This page explains the general principles of identifying and applying Q Magnets to myofascial trigger points.
It is not intended to replace body-region-specific placement guidance.
For example, trigger points potentially associated with shoulder discomfort differ from those commonly considered for lower-back, hip or neck symptoms.
The condition-specific Q Magnets Treatment Protocol and Adjunct Placement pages should therefore determine which muscle or trigger-point region is relevant.
This page answers the next question:
How do I identify the point accurately once I know which region I am looking for?
That separation allows the condition pages to remain focused and avoids repeating the same trigger-point explanation throughout the website.
Practical Trigger Point Placement Principles
Before looking for a trigger point: Start with the area and symptoms you are already trying to address. The aim is not to scan the body looking for abnormalities or use a locator to diagnose unexplained pain.
When using Q Magnets around a suspected trigger point:
- Begin with the symptoms you are actually trying to address rather than searching randomly for tender areas.
- Identify the anatomical region indicated by the relevant Q Magnets placement guide.
- Gently assess for a discrete sensitive area that reproduces familiar symptoms.
- A trigger point locator may be used as an additional location aid where helpful.
- Select a Q Magnet appropriate for the size and depth of the intended target.
- Avoid simply adding multiple magnets when individual placements have no clear anatomical purpose.
- Reassess whether the placement appears relevant rather than assuming that additional field strength or additional magnets will necessarily produce a better result.
For general application, adhesive and orientation instructions, see How to Use Q Magnets.
Limitations and Safety
Myofascial trigger points remain an evolving area of musculoskeletal pain research. Diagnostic criteria are more standardized than they once were, but no single examination technique or electronic measurement should be considered definitive in isolation.
Likewise, research on static magnets applied specifically to trigger points remains limited. Existing clinical studies provide useful observations and hypotheses, but they do not demonstrate that every type of myofascial pain will respond in the same way.
Q Magnets are intended to provide a magnetic flux field over a superficial body site to potentially provide comfort or localised temporary relief of minor aches and pains. Individual responses may vary, and Q Magnets do not replace medical evaluation or treatment recommended by a healthcare professional.
Seek appropriate medical assessment for severe, persistent, unexplained or worsening pain, particularly where symptoms are associated with significant trauma, weakness, persistent numbness or altered sensation, systemic illness or other concerning features.
Frequently Asked Questions
Can I find a trigger point myself?
A locally sensitive area that reproduces familiar symptoms may be identifiable through gentle palpation. However, trigger points can be difficult to assess reliably, particularly in deeper muscles or when symptoms are complex.
A physiotherapist, doctor, acupuncturist or other appropriately trained health professional may be helpful where the source of symptoms is uncertain.
Does a trigger point locator diagnose trigger points?
No.
A locator measures electrical characteristics of the skin that may differ around some trigger points. Research suggests this can be useful as an additional location method, but it should complement rather than replace examination and symptom matching.
Are trigger points the same as acupuncture points?
No, although there can be anatomical overlap.
Trigger points are identified primarily through muscular sensitivity and symptom reproduction. Acupuncture points belong to a broader acupuncture framework. Some trigger points may correspond with Ashi or other acupuncture points.
Can Q Magnets be placed over trigger points?
Yes. Several Q Magnet models are intended for use over small superficial anatomical points, including selected trigger points. Device selection should still follow Field | Dose | Placement and the current Instructions for Use.
Which Q Magnet should I use for a trigger point?
Small Q Magnet models are commonly used for small superficial trigger points, while a broader or deeper muscular target may require a different model.
The best choice depends on the target’s size, depth and anatomical location rather than assuming that the largest or strongest device is automatically preferable.
Do I need to treat every trigger point listed on a placement page?
No.
Adjunct trigger-point placements are options, not a checklist.
Use the points that correspond with the person’s symptoms and anatomical presentation. Where a Primary Placement is provided for a condition, begin there and introduce adjunct placements selectively.
What if a trigger-point placement does not help?
Reconsider whether the point is actually relevant to the symptoms.
Trigger-point placement may also be considered when a condition’s Primary Placement has not provided sufficient improvement, but simply adding more points is not necessarily the answer. The target, field and dose should all be reconsidered.
Where to Go Next
If you are trying to locate a small target more precisely, see the Pointer Pal Trigger Point Locator.
If you already know the body region involved, use the appropriate Q Magnets Treatment Protocol or Adjunct Placement page to determine which anatomical areas may be relevant.
And for the overall methodology behind device selection and placement, see Field | Dose | Placement.
The objective is not to find every tender point.
It is to identify the most anatomically and symptomatically relevant target, select an appropriate field and dose, and place it accurately.
One of the benefits of Q Magnets application is that unlike therapies such as dry needling or laser therapy, they can easily be worn continuously between treatments. Read on to see what the research says in this area and how to get the best results.
THE RESEARCH:
Three studies have shown positive effects of multipolar magnets on trigger points:
- Vallbona et al conducted a controlled trial to investigate the treatment of chronic pain experienced by post-polio patients with identified painful trigger points with a multipolar magnet and found a significant and prompt relief of pain.
- Brown et al investigated the treatment of chronic pelvic pain with a multipolar magnet applied to abdominal trigger points and at the end of the intervention patients with the active magnet had significantly lower Pain Disability Index.
- Smania et al conducted an RCT comparing the effects of short, medium and long term treatment with repetitive magnetic stimulation (rMS), TENS and placebo treatment on myofascial pain syndrome (MPS). The authors concluded that the therapeutic benefits of rMS lasted much longer than TENS and that rMS may be a novel, non-invasive, and reliable therapeutic approach for MPS.
Hazlewood and Markov discussed the potential of using permanent magnets placed over trigger points but failed to recognise the importance of segmental central sensitization. The persistent pain of MTPs can lead to neuroplastic changes in the spine, leading to secondary hyperalgesia and the amplification of the pain sensation (REF 1).
A number of experienced clinicians have observed that where central sensitization is diagnosed, targeting the affected spinal segments with the larger Q Magnet devices (that have the necessary depth of penetration) will in many cases dampen or “turn off” the sensitization. Where there are two adjacent levels affected such as L4/5 and L5/S1 the octapolar OF50-3 model can be used. At 50mm in diameter, the OF50-3 is large enough to cover both levels and also powerful enough to envelope the spinal segments with a therapeutic field.
Studies in the past including Collacott failed to prove efficacy of the magnetic device because the device was too weak to penetrate to the target tissue, this is now possible with Q Magnet therapy.
THE APPLICATION:
Myofascial pain starts with a sudden and sustained muscular contraction in a localised area. This type of pain is focused in areas of MTPs located in one or more of the affected muscles. Active MTPs are painful, quite small (3-5mm in diameter) and highly localised hyperirritable regions with palpable taut bands of skeletal muscle.
Locating MTPs, even with examination by experienced health practitioners is not always reliable. An objective measure such as a skin resistance measuring device or point locator can be a useful tool to confirm manual diagnosis.
Skin resistance and its reciprocal, skin conductance, are terms used to identify the skin’s ability to resist or transmit electric current. Pain is a primary factor influencing the skin’s capacity for electricity and specifically decreasing skin resistance. The biochemical changes seen in active MTPs are a result of painful stimuli increasing the rate of blood flow and sweat secretion from sweat glands and ducts. The increased sweat content can account for variations in skin resistance. Several studies have documented the accuracy of skin conductance measurements as a method for identifying acupuncture points (REF 2).
Acupuncture points (APs) have also been associated with areas of low electrical skin resistance but are mainly located along the body’s meridians. There are other points not associated with meridians but there is a strong correlation between acupuncture points and myofascial trigger points. However, acupuncture points located at trigger points “are not frequently used by acupuncturists and do not share the same clinical indications as the trigger point therapy (REF 3)”
There still remains plenty of debate regarding the accuracy of skin resistance readings to locate acupuncture points. One placement option for Q Magnet therapy is applying the devices using adhesive plasters over MTPs. From the feedback of experienced manual therapists, the use of trigger point locators has proven to be an effective tool to precisely locate hyperactive nerves where the unique field generated by Q Magnets have the best physiologic effects.
There are number of skin resistance point locators on the market, we recommend the Pointer-Pal as it’s reliable and reasonably priced.
Once the location of the MTPs have been found, then the appropriate Q Magnet device can be placed over that point. There are a number of Q Magnet sizes for different applications. See Q Magnet models.
For instance you can apply the QF15-2 model which has a 15mm diameter and is 2mm thick. To achieve a greater penetration, select a thicker device such as the QF15-3 which is 15mm in diameter and 3mm thick. A wider diameter magnet will simply cover a larger skin surface and potentially more nerves, while the thickness and strength of the magnet is what determines depth of penetration of the field.
Published research on myofascial trigger points, acupuncture points and electrical skin resistance:
Response of Pain to Static Magnetic Fields in Postpolio Patients: A Double-Blind Pilot Study
Vallbona C, Hazlewood CF, Jurida G
Arch Phys Med Rehabil. 1997 Nov;78(?):1200-1203
Efficacy of static magnetic field therapy in chronic pelvic pain: a double-blind pilot study.
Brown CS, Ling FW, Wan JY, et al.
Am J Obstet Gynecol. 2002;187:1581-7.
Repetitive magnetic stimulation: A novel therapeutic approach for myofascial pain syndrome.
Smania N, Corato E, Fiaschi A, Pietropoli P, Aglioti SM, Tinazzi M
J Neurology. 2005; 252(3):307-314
CONCLUSIONS: There is evidence that the application of magnetic fields (via permanent magnets) on trigger points is more effective for pain relief as compared to application to other body surface area.
Hazlewood CF, Markov MS
Environmentalist. 2007; 27:447-451
Recognition of central sensitization in patients with musculoskeletal pain: Application of pain neurophysiology in manual therapy practice.
CONCLUSIONS: By using our current understanding of central sensitization during the clinical assessment of patients with musculoskeletal pain, manual therapists can apply the pure science of nociceptive and pain neurophysiology to the practice of manual therapy. The diagnosis of central sensitization in individual patients with musculoskeletal pain is not straightforward, however manual therapists can use information obtained from the medical diagnosis, history taking of the patient, clinical examination, and the analysis of the treatment response to recognize central sensitization. The outcome of the diagnostic process can be used to determine the appropriate treatment parameters (e.g. intensity and frequency of various manual therapy techniques).
Nijs J, Van Houdenhove B, Oostendorp R
Manual Therapy . 2010; 15:135–141
The evaluation of electrodermal properties in the identification of myofascial trigger points.
CONCLUSIONS: The changes in skin resistance between the MTP and the surrounding tissue support the inclusion of this technique to help identify MTPs. The similarity between MTP states warrants investigation into the physiologic differences at specific anatomic locations.
Shultz SP, Driban JB, Swanik CB.
Arch Phys Med Rehabil. 2007 Jun;88(6):780-4.
Electrical skin resistance and thermal findings in patients with lumbar disc herniation.
CONCLUSIONS: Electrical skin resistance is more sensitive and early in detecting sympathetic dysfunction in patients with lumbar disc herniation than skin temperature. Also, this test is cheap, easy for both the patient and the physician to be performed, and helpful in the follow-up of patients with lumbar disc herniation, after physical therapy and/or surgery.
Tuzgen S, Dursun S, Abuzayed B.
J Clin Neurophysiol. 2010 Aug;27(4):303-7.
The term electrodermography (EDG) is currently used to encompass the wide range of electrophysiological measurements related to skin that were previously known as the galvanic skin response (GSR). While the original term GSR was intended to be used solely to represent one specific electrical skin phenomenon, it eventually became widely applied to all forms of electrodermal measurement.
Longmire, DR
Pain Physician. 2006;9:69-82
Trigger points and acupuncture points for pain: Correlations and implications
ABSTRACT: Trigger points associated with myofascial and visceral pains often lie within the areas of referred pain but many are located at a distance from them. Furthermore, brief, intense stimulation of trigger points frequently produces prolonged relief of pain. These properties of trigger points — their widespread distribution and the pain relief produced by stimulating them — resemble those of acupuncture points for the relief of pain. The purpose of this study was to determine the correlation between trigger points and acupuncture points for pain on the basis of two criteria: spatial distribution and the associated pain pattern. A remarkably high degree (71%) of correspondence was found. This close correlation suggests that trigger points and acupuncture points for pain, though discovered independently and labeled differently, represent the same phenomenon and can be explained in terms of the same underlying neural mechanisms. The mechanisms that play a role in the genesis of trigger points and possible underlying neural processes are discussed.
Melzack R, Stillwella DM, Fox EJ
Pain 1977;3:3-23
The Status and Future of Acupuncture Mechanism Research
The analogy between trigger points and acupuncture points became widely discussed since Melzack et al.’s landmark study in 1977. There are a number of similarities between the two: the two structures have similar locations; needles are used at both points to treat pain; the pain associated with the local twitch response at trigger points is similar to the de qi sensation; and the referred pain generated by needling trigger points is similar to the purported propagated sensation along the meridians. However, the acupoints located at these trigger points are not frequently used by acupuncturists and do not share the same clinical indications as the trigger point therapy. Trigger points may represent a subset of acupuncture points—specifically, the ah shi points.
Napadow V, Ahn A, Longhurst J, Lao L, Stener-Victorin E, Harris R, Langevin HM.
J Altern Complement Med. 2008 Sep;14(7):861-9.
Skin Impedance Measurements for Acupuncture Research: Development of a Continuous Recording System.
CONCLUSION: We conclude that our system is a suitable device upon which we can develop a fully automated multi-channel device capable of recording skin impedance at multiple APs simultaneously over 24 h.
Colbert AP, Yun J, Larsen A, Edinger T, Gregory WL, Thong T.
Evid Based Complement Alternat Med. 2008 Dec;5(4):443-50
Characteristics of Electrical Skin Resistance at Acupuncture Points in Healthy Humans.
CONCLUSIONS: This study shows that electrical skin resistance at APs can either be lower or higher compared to the surrounding area. The phenomenon is characterized by high short-term and low long-term reproducibility. Therefore, we conclude that APs might possess specific transient electrical properties. However, as the majority of the measured APs did not show a changed ESR, it cannot be concluded from our data that electrical skin resistance measurements can be used for acupuncture point localization or diagnostic/therapeutic purposes. (This paper should be read in conjunction with the comments by A Colbert below)
Kramer S, Winterhalter K, Schober G, Becker U, Wiegele B, Kutz DF, Kolb FP, Zaps D, Lang PM, Irnich D.
J Altern Complement Med. 2009 May;15(5):495-500.
The ongoing debate: do acupuncture points have lower skin resistance than nonacupuncture sites?
My conclusion regarding the findings of Kramer et al. is more guarded than theirs. Before calling a halt to the use of skin resistance measurements for localization of acupuncture points, I propose that we precisely replicate the study design of Becker et al. Until Becker et al.’s outcomes are either confirmed or disproved, the spirited debate as to whether APs have lower skin resistance needs to continue.
Colbert AP
J Altern Complement Med. 2009 May;15(10):1059.
Electrophysiological correlates of acupuncture points and meridians.
CONCLUSIONS: Electrical correlates have been established for a portion of the acupuncture system and indicate that it does have an objective basis in reality. Thus far, the data are supportive to our general theory of the action of the acupuncture technique as influencing a primitive data transmission and control system.
Becker R, Reichmanis M, Marino A, Spadaro J.
Psychoenergetic Systems 1976;1:105–112.
Electrical properties of acupuncture points and meridians: A systematic review.
Ahn AC, Colbert AP, Anderson BJ, et al.
Bioelectromagnetics 2008;29:245–256.
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