College of Massage Therapists of British Columbia (CMTBC) Practice Exam

During trigger point pressure release, if a patient complains of intense discomfort, what is the most appropriate modification of the treatment?

1. Release initial pressure and reapply gentle touch

2. Continue applying pressure until tolerance is reached

3. Switch to a different muscle group

4. Increase pressure immediately to relieve tension

The correct answer is: Release initial pressure and reapply gentle touch

In the context of trigger point pressure release, when a patient reports intense discomfort, the most suitable modification to treatment is to release the initial pressure and reapply gentle touch. This approach prioritizes the patient's comfort and pain tolerance, which is essential in therapeutic practice. Trigger point therapy involves applying pressure to specific areas of muscle tightness to alleviate pain and restore function. However, the technique requires careful attention to the patient's feedback. If the patient experiences substantial discomfort, it's crucial to recognize that continued pressure can lead to increased resistance and a negative response, potentially exacerbating the issue. By releasing the initial pressure and reapplying a gentler touch, the therapist allows the muscle to relax and encourages a more positive therapeutic environment. This gentle approach helps the patient acclimate to the treatment, alleviating discomfort while still addressing the trigger point effectively. It fosters a collaborative experience, whereby the therapist adjusts based on the patient's sensations, promoting trust and comfort. In contrast, continuing to apply pressure or increasing it immediately disregards the patient's reported discomfort and can lead to a breakdown in communication and therapeutic rapport. Switching to a different muscle group may not directly address the source of discomfort or the original issue, leaving the underlying problem unaddressed. Thus, moderate and responsive adjustments are