3.
4.
Devices to assist with direct compression How to use: You can use
these devices on other body areas, but these are the most common areas I treat on shooting athletes. On a pain scale from zero to 10, with zero being no pain at all and 10 being excruciating pain, apply pressure until you would rate your discom- fort at a three. Hold for 10- 30 seconds and the pain should decrease. Repeat this process three to four times. If the pain does not decrease or if it increases, stop and try another spot. Avoid applying pressure over large blood vessels or over fragile skin. Examples of these devices are pictured.
Techniques 1. Cervical muscles Trigger points at the base
of the skull are associated with limited neck rotation and headaches that radiate into the head, forehead and the back of the eye. You can apply pressure here or at the
base of the neck with the double knobs.
2. First rib/upper trapezius Trigger points in this area commonly cause pain with shoulder elevation (standing position for rifl e, pistol and shotgun) and limited neck rotation. The pain can radi- ate into the shoulder blade, the top of the shoulder, down the arm to the elbow and up the side of the neck into the ear.
3. Sternocleidomastoid and scalenes TPs in this area limit the
neck position for the rifl e standing position due to pain and stiffness. The pain may be local or radiate to the side of neck and ear, down the front of the chest and back through the shoul- der blade.
4. Second, third and fourth ribs through the middle trapezius and rhomboids TPs in the middle tra- pezius and rhomboids can
September 2015 | USA Shooting News 51
be felt over the ribs. These points generally just refer to the upper back and are very common in shotgun athletes.
5. Lumbar muscles Trigger points in this area
can refer pain to the but- tocks, lateral aspect of the hip and the sacroiliac joint.
5. 6.
6. Plantar fascia Trigger points on the bot-
tom of the foot are common and can refer pain along the entire plantar aspect of the foot and to the inner part of the ankle.
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