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[24-26]
leasing and improving blood flow . these two points which covered all muscles
BSP4 and BSP5 Lom Plai Pattakhat with MTrPs may break down any MTrPs ad-
diseases have they been described to affect hesions, increase body flexibility, improve the

the upper back, shoulder, neck pain, muscu- range of joint motion, reduce ischemia and
lar knot palpation, limited cervical range of increase blood flow to allow decreased MTrPs
[20, 31-32]
motion, and pain radiated to the supoccipital sensitivity .
and temporal region together with tension The causes and symptoms of BSP1 and
[1, 11-12]
headache and blurred vision . The ra- BSP3 Lom Lam Bong were similar to BSP1

diating pain referred to only the upper ex- and BSP3 Lom Plai Pattakhat except it could
tremity when the patient located pain in be palpated the muscle inflammation at BSP1
[1, 11-12]
shoulder region. The patterns of pain and or BSP3, respectively . Thus, massage
referred pain of this disease are similar to therapy at these two points according to lum-
those of the common clinical syndrome of bar part of back muscles can result in de-
myofascial pain in the neck and shoulder re- clined pain, stimulated blood and lymph cir-
[25, 27-29]
gions . Previous studies have shown culation through exerting pressure on the skin
that the most frequent site of MTrPs was in and muscles as a results of enhanced nutri-
the upper trapezius muscle (95.83%) and re- ents flow to tissue and improved discretion

ferred pain from this muscle may spread ip- of toxin or residual substance inside the
[18]
silaterally from the posterior-lateral region of body . In addition to CTTM practice guide-
the neck (behind the ear) to the temporal re- lines, ASP3 to ASP5 are massaged extraordi-
[29-32]
gion . In this work, the anatomical struc- narily in excess of the CTTM practical guide-
tures according to BSP4 and BSP5 points were lines then there was a decrease in inflamma-

muscles of the back which originated from tion and distributed blood flow into the back
[1, 11-12]
thoracic vertebral level to cervical vertebral region . This study revealed the ana-

level or from the occipital bone for example tomical structures at ASP3 and ASP5 corre-
trapezius, rhomboid, levator scapulae, serra- sponded to AbA in the deepest layer which
tus posterior superior, cervical and capital give rise to lumbar arteries that supplied deep

parts of erector spinae, splenius capitis and muscles of the back such as erector spinae
[21, 30] [21, 30]
semispinaris capitis . Additionally, the lumbolum and multifidus lumborum .
emerging points of posterior rami of spinal For distribution of blood flow into the

nerves and the segmental arteries were also internal reproductive organs and relaxation
found in these points. Therefore, CTTM on of muscles in pelvic floor disorder, the point