Trigger points are sensitive points in our soft tissue that can be painful. These muscle “knots” can occur anywhere in the body and patients may complain of tightness and pain in the upper back, neck and head area such as tension headaches or migraines. There are various ways of releasing the muscle tension and reducing aches and pains. Some of the common treatments are pressing and holding these trigger points with massage or dry needling techniques (IMS). Other effective but lesser known treatments to reduce the frequency and intensity of migraine headaches are trigger point injections or therapeutic Botox. Ask your doctor which options are best for you!