Many of my clients for fibro, TOS Migraine and trigger point work come from the clinic i work in. Which is an outpatient physical therapy clinic. I am also a Physical therapist assistant as well as a Massage therapist. After our patients are discharged from therapy .. I see them on a regular basis as a massage therapist to keep up the therapy long after we finish the physical therapy. This helps to keep the muscles and trigger points in check.
I usually do myofascial release with many of the problems as well as triggerpoint therapy...using the pressure and hold for 10 to 15 seconds. Sometimes we use spray and stretch as well as the trigger point hand held device, which works really great for someone to do at home.
I hope this information helps.
Martha long, PTA, CMT

I have found that positional release techniques and Active Isolated Stretching eliminate most trigger/tender point issues... and therefore most of the need to smash away with conventional trigger point therapy. When I do use trigger point therapy, I have already positioned the client to minimize/eliminate discomfort, and I use short targeted strokes along the fibers or cross fiber friction rather than static pressure - as short strokes have been scientifically shown to be more effective. Muscle Energy Technique is also very helpful when AIS methods are impractical or if the client's tissue response indicates that it may respond better to MET.

Gosh, just about everybody I work on has trigger points....Basically all I do is rub and rub till I find a sore spot(trigger point), then release it...I look  at it as cleaning up sore spots.. And that more often then not clears up all kinds of problems and symptoms...Doesnt matter if there is a referred pain pattern or not. Pretty much if a person comes in with any kind of pain complaint, there is a trigger point somewhere...Soft tissue release techniques work really well , even though they never talk about trigger points... Im working on trigger points every day.   I just finished  clearing out some rhomboid and upper trap trigger points a half hour ago...Im home for lunch now.  I have 2.5 hours of work this afternoon...Im sure I will run into a few more trigger points before my day is over..haha!  Gosh, trigger points are so important with any kind of pain problem, severe or minor.  Sometimes it results in miraculous cures. Trigger Points are IT.