Three Pillars Fitness · Client Resource
Trigger
Point Guide
Find the area that's bothering you, apply pressure, then follow your Corrective Exercise Playbook to complete the full sequence.
Kyle Tunis · NASM CES · NASM CPT Self-Release Reference
Step 01 of 04

This guide covers the Inhibit step only — reducing tension in the overactive muscle. Always follow with Lengthen → Activate → Integrate from your Corrective Exercise Playbook for lasting results.

This guide supports self-myofascial release as part of your corrective exercise programme. It is not a substitute for medical advice. If you experience sharp, worsening, or persistent pain — stop and consult a qualified healthcare professional.

Upper Body
Neck, Shoulders & Arms
Upper Body
Upper Trapezius
Stiff neck · Shoulder tension · Headaches at base of skull
Where to Press
The ridge running from the base of your skull down to the top of your shoulder. Focus on the midpoint of the ridge — most people carry their worst knots here. Also the junction where the neck meets the shoulder top.
Tool & Technique
Lacrosse Ball Massage Gun Fingers
Place ball between shoulder and wall. Lean in and hold on tender spots. Slow passes only — no fast rolling. For massage gun: low-medium speed across the ridge.
30–60
Sec per spot
2–3
Passes
What Follows
This is Step 01: Inhibit. Follow immediately with neck side-bend stretches (Lengthen), chin tucks (Activate), and rows with a retracted scapula (Integrate) from your Corrective Exercise Playbook.
01 Inhibit ✓ 02 Lengthen 03 Activate 04 Integrate
Upper Body
Levator Scapulae
Stiff neck · Pain turning head · Knot behind neck
Where to Press
The muscle running from the top inside corner of your shoulder blade up to the cervical vertebrae. The hotspot sits just above and behind where the neck meets the shoulder — often felt as a deep ache when turning your head.
Tool & Technique
Lacrosse Ball Massage Gun
Ball against wall at the back corner of the neck/shoulder junction. Turn head slightly away from the side being worked — this slackens the muscle and allows deeper access. Hold on tender spots, breathe.
30–45
Sec per spot
2
Passes
What Follows
This is Step 01: Inhibit. Follow with neck rotation stretches and upper trap stretches (Lengthen), chin tucks and band pull-aparts (Activate).
01 Inhibit ✓ 02 Lengthen 03 Activate 04 Integrate
Upper Body
Pec Minor
Front shoulder pain · Rounded shoulders · Chest tightness
Where to Press
Beneath the larger chest muscle, attaching to ribs 3–5. The hotspot is just inside the front of the armpit, slightly below the collarbone. Press inward and slightly downward — you'll know when you've found it.
Tool & Technique
Lacrosse Ball Fingers Massage Gun
Lacrosse ball against wall just inside the front of the armpit. Lean in gently — this area is sensitive. Low pressure, sustained hold. Massage gun on lowest setting only. Can also use fingers pressing directly.
30–60
Sec per spot
2
Spots
What Follows
This is Step 01: Inhibit. Critical for rounded shoulders. Follow with doorway chest stretches (Lengthen), band pull-aparts and prone Y-raises (Activate) from your Playbook.
01 Inhibit ✓ 02 Lengthen 03 Activate 04 Integrate
Upper Body
Pec Major
Chest tightness · Shoulder rounding · Pressing limitations
Where to Press
The broad chest muscle. Key spots are along the sternal border (where chest meets breastbone), the mid-belly of the chest, and the attachment near the front of the armpit. Work in sections — sternal third, middle, then lateral.
Tool & Technique
Lacrosse Ball Foam Roller Massage Gun
Lacrosse ball against wall across the chest. Slow horizontal passes, pausing on tender areas. Foam roller can be used lying face down with the roller across the chest. Breathe into the pressure.
60–90
Sec total
3
Zones
What Follows
This is Step 01: Inhibit. Follow with doorway chest stretches at multiple angles (Lengthen), and mid-back activation work (Activate) from your Corrective Exercise Playbook.
01 Inhibit ✓ 02 Lengthen 03 Activate 04 Integrate
Upper Body
Anterior Deltoid
Front shoulder pain · Overhead restriction · Pressing discomfort
Where to Press
The front portion of the shoulder cap. The main trigger point sits at the front face of the shoulder, just below the collarbone attachment. Often refers pain down the front of the arm when compressed.
Tool & Technique
Lacrosse Ball Massage Gun Fingers
Ball against wall at the front of the shoulder. Apply moderate pressure and hold. Massage gun at medium speed across the front shoulder head. Arm should be relaxed at your side — not lifted.
30–45
Sec per spot
2–3
Spots
What Follows
This is Step 01: Inhibit. Follow with cross-body and overhead shoulder stretches (Lengthen), external rotation and rear delt activation (Activate).
01 Inhibit ✓ 02 Lengthen 03 Activate 04 Integrate
Upper Body
Latissimus Dorsi
Side / back tightness · Overhead restriction · Post-pulling soreness
Where to Press
The broad back muscle sweeping from the lower spine up to the upper arm. Primary trigger points sit in the mid-lat belly (alongside the ribs, roughly bra-line height) and near the armpit attachment at the back of the shoulder.
Tool & Technique
Foam Roller Lacrosse Ball Massage Gun
Lie on your side, roller under the armpit area. Slow roll down the side of the back, arm extended overhead. Pause on tender spots. Lacrosse ball against wall for more pinpoint pressure at the armpit attachment. 30–60 seconds each side.
60–90
Sec per side
2
Positions
What Follows
This is Step 01: Inhibit. Follow with overhead lat stretches in doorway or hanging (Lengthen), and serratus/mid-back activation (Activate) from your Playbook.
01 Inhibit ✓ 02 Lengthen 03 Activate 04 Integrate
Upper Body
Infraspinatus
Deep shoulder ache · Back of shoulder · Rotator cuff tension
Where to Press
Lives in the triangle of the shoulder blade (scapula), below the spine of the scapula. The trigger point hotspot is the middle of the shoulder blade — deep pressure here may be felt around to the front of the shoulder as well.
Tool & Technique
Lacrosse Ball Massage Gun
Ball against wall, positioned over the shoulder blade area. Cross your arm across your body — this rotates the scapula and exposes the muscle for better access. Lean in and hold. This is often deeply tender.
45–60
Sec per spot
2–3
Spots
What Follows
This is Step 01: Inhibit. Follow with cross-body shoulder stretch and sleeper stretch (Lengthen), external rotation work with band or light weight (Activate).
01 Inhibit ✓ 02 Lengthen 03 Activate 04 Integrate
Upper Body
Forearm Flexors
Wrist pain · Grip tightness · Inside elbow tension
Where to Press
The muscles along the palm side of the forearm, from the wrist up toward the inside of the elbow. Key spots: 1–2 inches below the elbow crease (often the tightest), and mid-forearm belly. Often tender in clients who type, drive, or grip heavily.
Tool & Technique
Lacrosse Ball Massage Gun Fingers / Thumb
Forearm face-up on a table. Use lacrosse ball or opposite thumb and press down the forearm belly slowly. Massage gun at low speed along the muscle belly — avoid directly on the wrist joint or elbow crease.
30–60
Sec per zone
2–3
Zones
What Follows
This is Step 01: Inhibit. Follow with wrist extension stretches (Lengthen), and finger/wrist extensor strengthening (Activate) to rebalance the forearm.
01 Inhibit ✓ 02 Lengthen 03 Activate 04 Integrate
Upper Body
Forearm Extensors
Outer elbow pain · Wrist stiffness · Tennis elbow pattern
Where to Press
The muscles along the back of the forearm, from the outer elbow down toward the wrist. The hotspot is typically 1–3 inches below the outside of the elbow — often referred to as the "tennis elbow" zone even in non-tennis clients.
Tool & Technique
Lacrosse Ball Massage Gun Fingers / Thumb
Forearm face-down on a table. Lacrosse ball or thumb pressing down and along the extensor belly. Massage gun at low-medium speed. Fist gently closed during release — keeps the muscle accessible without guarding.
30–60
Sec per zone
2–3
Zones
What Follows
This is Step 01: Inhibit. Follow with wrist flexion stretches (Lengthen), and eccentric wrist curl exercises (Activate) — this pairing is the most evidence-backed approach for lateral elbow issues.
01 Inhibit ✓ 02 Lengthen 03 Activate 04 Integrate
Upper Body
Biceps Brachii
Front arm tightness · Elbow bend restriction · Pulling fatigue
Where to Press
The belly of the bicep, midway between the shoulder and elbow — on the front of the upper arm. The trigger point typically sits in the middle third of the muscle belly and may refer achiness toward the shoulder or down into the elbow bend.
Tool & Technique
Massage Gun Fingers / Thumb Lacrosse Ball
Arm relaxed at your side or resting on a surface. Massage gun at medium speed down the belly. For more targeted release, use thumb or ball pressed against a wall. Elbow slightly bent reduces guarding and allows deeper access.
30–45
Sec per spot
2
Spots
What Follows
This is Step 01: Inhibit. Follow with elbow extension stretches against a wall (Lengthen), and triceps/posterior chain activation (Activate) to rebalance elbow flexion dominance.
01 Inhibit ✓ 02 Lengthen 03 Activate 04 Integrate
Core / Spine
Thoracic, Lumbar & Mid-Back
Core / Spine
Thoracic Erectors
Upper / mid back stiffness · Posture · Poor thoracic extension
Where to Press
The muscles running alongside the thoracic spine (mid-back, roughly T1–T12). Key spots are the bands of muscle either side of the spine, especially at the mid-back junction (around bra-line height) and the upper thoracic area between the shoulder blades.
Tool & Technique
Foam Roller Lacrosse Ball (double) Massage Gun
Foam roller perpendicular to the spine, hands behind head supporting neck. Roll in segments — upper, mid, lower thoracic — pausing on stiff areas. "Peanut" (two balls taped together) targets the tissue either side of the spine more precisely.
60–90
Sec per zone
3
Zones
What Follows
This is Step 01: Inhibit. Follow with thoracic extension over the roller (Lengthen), and prone Y-T-W raises or band pull-aparts (Activate) from your Playbook.
01 Inhibit ✓ 02 Lengthen 03 Activate 04 Integrate
Core / Spine
Lumbar Erectors
Lower back tightness · Post-training ache · Stiffness bending forward
Where to Press
The muscles running along either side of the lumbar spine (lower back). Focus on the thick muscle column either side of L1–L5, particularly the area just above the iliac crest (top of the hip bone) where they commonly accumulate tension.
Tool & Technique
Foam Roller Lacrosse Ball Massage Gun
Foam roller under the lower back, feet flat. Do not roll directly on the lumbar vertebrae — position the roller slightly off-centre to target the muscle column. Lacrosse ball against wall for pinpoint work. Massage gun at medium speed along the paraspinals.
60
Sec per side
2
Passes
What Follows
This is Step 01: Inhibit. Follow with child's pose and knee-to-chest stretches (Lengthen), dead bugs and bird dogs (Activate) to re-establish core control and reduce lower back dominance.
01 Inhibit ✓ 02 Lengthen 03 Activate 04 Integrate
Core / Spine
Quadratus Lumborum
Side lower back pain · Hip hike · Flank tightness
Where to Press
Deep muscle between the lower rib and the top of the hip, at the side of the lower back. The trigger point is in the notch between the last rib and the iliac crest, just lateral to the spine. Often the culprit behind "one-sided" lower back pain.
Tool & Technique
Lacrosse Ball Massage Gun
Ball against wall, positioned at the side of the lower back just above the hip. Lean in — this can be deeply tender. Hip slightly dropped on the working side to slacken the QL. Hold and breathe. Massage gun at low-medium speed.
45–60
Sec per side
2
Spots
What Follows
This is Step 01: Inhibit. Follow with lateral side-bend stretches over a foam roller (Lengthen), and single-leg stability work to reduce QL overuse (Activate).
01 Inhibit ✓ 02 Lengthen 03 Activate 04 Integrate
Lower Body
Hips, Knees & Lower Leg
Lower Body
Hip Flexors / Psoas
Front hip tightness · Lower back ache · Post-sitting pain
Where to Press
The psoas runs from the lumbar spine through the pelvis to the inner thigh. Access it just inside the hip bone (ASIS), pressing in and slightly downward. The trigger point is often 2–3 inches inside and below the hip crest. This is a deep, sometimes intense release point.
Tool & Technique
Foam Roller Lacrosse Ball Fingers
Lying face down on a foam roller positioned across the front hip crease. Slowly lower onto it, breathing into the pressure. Alternatively, lacrosse ball on the floor. Avoid pressing directly on the spine. This muscle releases slowly — hold 45–90 seconds.
45–90
Sec per side
2
Spots
What Follows
This is Step 01: Inhibit. Core to pelvic tilt correction. Follow with half-kneeling hip flexor stretch with posterior pelvic tilt (Lengthen), glute bridges and dead bugs (Activate) from your Playbook.
01 Inhibit ✓ 02 Lengthen 03 Activate 04 Integrate
Lower Body
TFL / IT Band
Outer hip tightness · Lateral knee pain · Hip snapping
Where to Press
The TFL muscle sits at the front of the outer hip, just below and in front of the hip bone. The IT band runs the full length of the outer thigh. Focus release on the TFL belly itself (outer hip) and the junction where the IT band meets the outer knee — not the full band, which is a tendon and doesn't release from rolling.
Tool & Technique
Foam Roller Lacrosse Ball Massage Gun
Lie on your side, roller under the outer hip/upper thigh. Slow passes, pausing on tender areas. For TFL specifically: ball against wall at front-outer hip, slightly below the hip crest. Focus time on the muscle, not the full IT band length.
60–90
Sec per side
2–3
Zones
What Follows
This is Step 01: Inhibit. Follow with standing hip crossover stretch (Lengthen), and glute medius work — clamshells, lateral band walks (Activate) from your Playbook.
01 Inhibit ✓ 02 Lengthen 03 Activate 04 Integrate
Lower Body
Glute Medius
Side hip pain · Knee valgus driver · Hip instability
Where to Press
The fan-shaped muscle on the outer upper hip, above the greater trochanter (bony hip bump). Trigger points are common in the middle and posterior portions — press in just above and behind the bony hip, spreading across the upper outer glute area.
Tool & Technique
Lacrosse Ball Foam Roller Massage Gun
Ball against wall, side of outer upper hip. Lean in and find tender spots — hold. Can also be done on the floor lying on the ball. Massage gun at medium speed across the glute med area. Cross the opposite leg to rotate and access deeper fibres.
45–60
Sec per spot
2–3
Spots
What Follows
This is Step 01: Inhibit. Follow with hip internal rotation stretches (Lengthen), clamshells and lateral band walks (Activate) to train the glute med in its functional role from your Playbook.
01 Inhibit ✓ 02 Lengthen 03 Activate 04 Integrate
Lower Body
Glute Max / Piriformis
Deep buttock pain · Sciatic-type ache · Hip rotation restriction
Where to Press
The piriformis sits deep beneath the glute max, running from the sacrum to the outer hip. Trigger point is found in the centre of the buttock, approximately halfway between the tailbone and the hip socket. Pressure here may refer sensation down the back of the leg.
Tool & Technique
Lacrosse Ball Foam Roller Massage Gun
Sit on a lacrosse ball on the floor or chair, positioned in the centre of the buttock. Cross the ankle of the same leg over the opposite knee — this figure-4 position rotates the hip and gives direct access to the piriformis. Hold and breathe. Don't roll aggressively.
45–90
Sec per side
2
Spots
What Follows
This is Step 01: Inhibit. Follow with pigeon pose and figure-4 stretches (Lengthen), glute activation in bridges and single-leg work (Activate) from your Playbook.
01 Inhibit ✓ 02 Lengthen 03 Activate 04 Integrate
Lower Body
Adductors
Inner thigh tightness · Groin restriction · Knee valgus contributor
Where to Press
The inner thigh muscles from the groin attachment down to the inner knee. Primary trigger points are in the upper third of the inner thigh (close to the groin) and the mid-belly of the adductor magnus. Often neglected but a significant driver of knee valgus.
Tool & Technique
Foam Roller Lacrosse Ball
Lie face down with one leg out to the side, roller under the inner thigh. Slow passes from groin to knee, pausing on tender areas. Lacrosse ball on the floor for pinpoint work higher up near the groin. Keep the foot relaxed — no active flexion.
60–90
Sec per side
2
Zones
What Follows
This is Step 01: Inhibit. Follow with 90/90 hip stretches and sumo squats (Lengthen), clamshells and banded squats to reinforce knee alignment (Activate) from your Playbook.
01 Inhibit ✓ 02 Lengthen 03 Activate 04 Integrate
Lower Body
Quadriceps / Rectus Femoris
Front thigh tightness · Knee cap pain · Squat restriction
Where to Press
The front of the thigh. Key zones: the mid-belly of the rectus femoris (centre of the thigh, midway between hip and knee), the outer sweep of the vastus lateralis (outer front thigh), and the area just above the knee cap where tightness impairs full flexion.
Tool & Technique
Foam Roller Lacrosse Ball Massage Gun
Lie face down with roller under the front of the thigh. Slow passes from hip to just above the knee. For the vastus lateralis — roll slightly to the outer thigh. Flex and extend the knee slightly while on tender spots for active release.
60–90
Sec per side
3
Zones
What Follows
This is Step 01: Inhibit. Follow with standing quad stretches and couch stretches (Lengthen), terminal knee extensions and hamstring curls (Activate) to restore anterior/posterior balance.
01 Inhibit ✓ 02 Lengthen 03 Activate 04 Integrate
Lower Body
Hamstrings
Back of thigh tightness · Knee bend restriction · Post-hinge fatigue
Where to Press
The back of the thigh from the sit bone (ischial tuberosity) to just below the knee. Common trigger points: the proximal attachment near the sit bone (often the sorest after heavy deadlifts), the mid-belly of the biceps femoris (outer ham), and the medial hamstrings near the inner knee.
Tool & Technique
Foam Roller Lacrosse Ball Massage Gun
Sit on the roller with it under the back of one thigh. Cross the opposite leg on top to increase pressure. Slow passes from just below the sit bone to above the knee. For the sit bone attachment specifically — lacrosse ball on a chair or box. Massage gun at medium speed.
60–90
Sec per side
3
Zones
What Follows
This is Step 01: Inhibit. Follow with standing or lying hamstring stretches (Lengthen), and glute bridges / Nordic-style work (Activate) to ensure hamstrings function properly in the posterior chain.
01 Inhibit ✓ 02 Lengthen 03 Activate 04 Integrate
Lower Body
Calf / Gastrocnemius
Calf tightness · Ankle restriction · Knee pain contributor
Where to Press
The back of the lower leg. Primary trigger points in the medial (inner) belly of the gastroc about midway between knee and heel, and in the soleus slightly deeper and lower. Calf tightness is a common but underaddressed contributor to knee tracking issues and limited squat depth.
Tool & Technique
Foam Roller Lacrosse Ball Massage Gun
Sit on the floor, roller under the calf. Cross opposite leg on top for more pressure. Rotate the lower leg slightly inward and outward while on tender spots to access different fibres. For the soleus specifically — position the roller lower, closer to the heel.
60–90
Sec per side
2
Zones
What Follows
This is Step 01: Inhibit. Follow with straight and bent-knee calf stretches against a wall (Lengthen), and single-leg heel raises for soleus strengthening (Activate).
01 Inhibit ✓ 02 Lengthen 03 Activate 04 Integrate
Lower Body
Peroneals
Outer lower leg pain · Ankle instability · Lateral shin tightness
Where to Press
Running along the outer lower leg, from just below the knee to the outer ankle. Trigger points are typically in the upper half of the outer leg, below the fibula head. Overactive in clients with history of ankle sprains or those who pronate.
Tool & Technique
Foam Roller Lacrosse Ball Massage Gun
Side-lying with roller under the outer lower leg. Slow passes from just below the knee down toward the ankle. Avoid pressing directly on the fibula bone — keep pressure on the muscle belly just in front of it. Massage gun at low speed.
45–60
Sec per side
2
Passes
What Follows
This is Step 01: Inhibit. Follow with ankle inversion stretches (Lengthen), and tibialis anterior/single-leg balance work (Activate) to restore ankle stability.
01 Inhibit ✓ 02 Lengthen 03 Activate 04 Integrate
No Results Found
Try a different muscle name or symptom
Hold & breathe
Release & move on ✓