PikeKing, If you have a trigger point that's too painful to roll, try getting the foam roller as close to it as you can within a tolerable pain limit. Rest on that spot and work with your breath to relax. Hopefully the muscle will begin to relax, allowing you to move the foam roller slightly closer to the trigger point.
Rolling back and forth over a tender trigger point is not always effective. If it causes you to tense up from the pain, then you are not accomplishing your goal of mobilizing that tissue. Work with the foam roller first, since it's softer than the med ball. If you get to the point where the foam roller is not effective, then start working with the med ball.
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