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THERE ARE SEVERAL CAUSES of trigger points. These include direct trauma (an accident or injury), unusual exertion and repetitive strain. Direct trauma involves impact, as from a fall, or an automobile or skiing accident.
The trigger point model states that unexplained pain frequently radiates from these points of local tenderness to broader areas, sometimes distant from the trigger point itself. Practitioners claim to have identified reliable referred pain patterns which associate pain in one location with trigger points elsewhere.