Archive for the ‘General Sciatica Information’ Category

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Posterior Sciatic Block


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Sciatica Home Remedies And Lower back , buttocks remedies

Sciatica is often associated with mild to beating pain on the inner parts of the eyeball. The sciatic nerve is linked with all the other nerve networks in the body, and is located somewhere just beside the human brain, which makes the whole situation that much more complicated. What does one do when we have sciatic nerve pain?Relying on physiotherapy or massage therapy is definitely not enough to cure your sciatica. How many days in a week do you visit the physiotherapy? How long do you take for 1 session?Do you think they are effective enough to get rid of sciatica for good?Or do you think they can only give you temporal relief but are not really helping you to cure the root of sciatica?

Well, as a person who was once a chronic lower back and sciatica patient, my experience told me that physiotherapy is not enough to cure my lower back pain and sciatica. If I have followed the physiotherapy programs without doing some other muscles stretching exercises at home, I  would not have been able to stand and walk around like a normal person now.Sciatica home remedies are often done with specialized exercises and massaging techniques that target the muscles and nerves surrounding the eyes. Typically, when there is pain, there is the presence of mild to severe inflammation in some areas. When this happens, it is very probable that the whole region is linked with the pain. So home remedies capitalize on this network and attempt to divert the pain if it is generally still manageable.Sciatic nerve pain relief does not have to come at a big price. What you can do to someone suffering from sciatic nerve pain is to let that person relax, lying down so that the blood flow to the upper portion of the body is stabilized. The next step would be to start massaging the temples and the neck area of the person. Slowly move the massage to the back of the head and toward the top of the head.

Simple back exercises are the need of the hour says experts. These exercises are supposed to strengthen the weaker muscles and thus can help in curing sciatica. Thus proper stretching of the muscles in the first place can bring you more good than bad. But what if you suffer sever acute sciatica where you are not even able to stand on your own? In this case the only thing you can adopt at home is something called muscle balance therapy. This is the new but effective treatment that can help you get rid of any back pain or sciatic nerve disorder. This treatment aims to correct your lower spine muscles into proper balance with simple exercise that can done with minimal pain.

How Is Sciatica Normally Cured?

Anti inflammatory drugs and surgery are solutions which may or may not cure the condition. Spinal manipulation, massage therapy and physical therapy are all possible solutions and are sometimes recommended before considering surgery.

What is the remedy for this condition and what can be helpful instead of going down the path to drugs and surgery?

Many doctors recommend bed rest but exercise is usually much better in the long term for healing this condition. Some patients like to rest for a few days after an acute attack but if inactivity continues, this may make the pain worse. It is essential to understand that if the back muscles become weak and flabby from lack of exercise, then they will be less able to support the back.
Weak muscles here will cause more pain than before and will increase the chances of injury due to sudden movement.

Exercising the lower back area and postural stretching can be enormously beneficial. Careful attention needs to be paid to posture and body mechanics to get the maximum benefit from the exercises. Exercises need to be done twice a day and under supervision of a trainer or instructor.

Home Remedies for Sciatica Relief

The most effective sciatica home treatment will involve a combination of different methods. You can get instant relief from taking prescription drugs such as an Anti-Inflammatory or paracetamol. These are good for short term pain however you will need a more lasting treatment for the long term.

One of the best therapies for sciatica home treatment is an effective exercise and stretching routine. This has been proven to work for thousands of people over the years. This is great for you because people have tried and tested hundreds of different exercises over the years and now you get to have the finished result of all the best exercises.

And find information on http://www.babaramdevmedicines.com/ramdev-medicines/sciatica.htm

Read more on irregularity in menstruation and Divya Praval Pishti herbal calcium tonic powder

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Travis Tollestrup Gets Relief from Sciatic and Back Pain


BetterPostureGuaranteed.com Travis Tollestrup has had back pain for quite awhile from various basketball injuries. He was skeptical at first as to whether Better Posture Guaranteed could help him, but he is a believer now. For a free video on the best exercise you can do to improve your posture, go to http

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Is Piriformis Syndrome Causing Your Buttock Pain?

Piriformis syndrome is a condition involving nerves and muscles in the buttock area that’s unfamiliar to most people. Piriformis syndrome causes a type of buttock pain experienced by individuals who have damaged or injured their piriformis muscle. This muscle can be found in the buttocks under the gluteus maximus.

The piriformis is one of the major muscles you use when you turn your hips.

Pain from this condition begins deep in the buttocks, but can travel all the way down to the feet. The pain can be minor, or it can be so severe it’s debilitating. It can also cause numbness.

Any injury or inflammation of the piriformis can also affect the sciatic nerve, which starts in the lower back and extends down to the feet.

Normally, the piriformis is located just above the sciatic nerve. However, this is not universally true. There are people whose sciatic nerve passes right through the piriformis. Injury, overuse, bad posture, or a congenital abnormality may cause the muscle to exert pressure on the sciatic nerve. When this happens, you can get, literally, a “pain in the butt.” The pain can also follow the nerve pathway down through the legs.
 

Symptoms of Piriformis Syndrome

Your doctor may have a difficult time determining if your buttock pain comes from piriformis syndrome or sciatica.

Typical indications of sciatica and piriformis resemble each other quite a bit. They include:

•Pain starting in the buttocks and the back part of the thigh.
•Pain may travel all the way down to the feet, but it may not
•Streaks of pain may occur in the legs. Sometimes, numbness may occur in the buttocks and legs. In other cases, it won’t.
•Injury or compression of the sciatic nerve sometimes causes numbness in the foot.
•Even sitting or standing in one place for short periods can cause buttock pain.

What To Do About Piriformis Syndrome

You can talk to a physical therapist who can recommend exercises. Many of these can be done in the convenience of your home or office. They don’t require any special equipment. The purpose of these exercises is to reduce or eliminate pressure on the sciatic nerve.

Hydrotherapy, massage, and ultrasound may also be recommended.

Since piriformis syndrome is often the result of inflammation, your doctor may recommend over-the-counter anti-inflammatory drugs such as ibuprofen and naproxen.

If you pain persists or gets worse, your doctor may suggest an injection. Usually this injection would consist of a combination of lidocaine and cortisone.

In certain instances, you doctor may suggest botox treatments.

George McKenzie is a former TV news anchor, medical reporter and radio talk show host.

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Is Sciatica Preventable And Curable?

Sciatica is a term used to refer to the pain that starts in the lower back just above the buttocks. It’s from the lower back that it spreads right down the limbs to the feet. As peculiar as this might seem this pain is real and it can be the source of great discomfort if you’ve never experienced it before.

The name sciatica is derived from the sciatic nerve, the longest and thickest nerve in the human body. And like the rote followed by the pain it stretches from the back to the lower limbs, perhaps even to the feet. Like any other nerve it carries and transmits sensations of either pleasure or pain, but in this case pain and discomfort.

There are a few known causes of sciatic pain. But the basic understanding of the causes is derived from the fact that when pressure is applied against the sciatic nerve it gets inflamed. So the moment the sciatic nerve is swollen only one thing can happen, the alteration of sensations. This would normally occur if you were sitting in an improper fashion for too long.

But sitting in awkward positions isn’t the only cause of pain. If the vertebrae in the spinal column fall out of position during an accident the vertebrae end up applying the same said pressure against the sciatic nerve. And like I mentioned earlier a distortion of sensations will yet again persist.

Having sciatica is not the end of the world, maybe the beginning. There are so many remedies that have been developed as treatment for sciatic pain. One such treatment is the ice pack. Take a packet of ice cubes from the fridge or buy one from a garage. Proceed to rub the entire pack in areas of your back and limbs where you feel the most pain. Do this for a good 10-15 minutes and wait for a while to observe the marked change; you’ll be feeling a whole lot better if you do this three times a day.

If extreme cold against your spine is unbearable there is an option you can pursue. You can try out the heat-pack and get the same positive results. Take the usual bed warmer tube and fill it up with hot water. And just like the ice-pack rub it around the areas where you feel the most pain. Pain relief will follow a few hours afterwards depending on your condition.

Alternative treatments are available in the form of back massages. Find a good massage therapist and allow here to release the tension in your sciatic nerve and lower back. A massage also results in the release of feel good hormones called endorphins. Another thing you can try out is acupuncture. Acupuncture brings about an increased blood circulation and the further release of endorphins.

Looking for a chiropractor nyc? Visit our site for more information and resources on sciatica, herniated disc and chiropractor nyc.

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Diet And Exercise For Chronic Back Pain

Do you have a problem with your weight?  If you do, more than likely you’ll have a problem with your back.  These two things tend to go hand in hand and this is for a very simple reason.  The body was not designed to carry around additional weight in the form of body fat.  If we are putting it under a strain by carrying an additional 20, 30 or more pounds around on a regular basis we are also putting our spine, which supports the body, under strain.  Our body may also compensate in other ways, such as our hips moving forward or tilting.  This can also pinch the sciatic nerve which is extremely painful.

In order for us to overcome the back pain that we experience for this reason it is necessary for us to diet and exercise.  Although you have probably been hearing this for the better part of your life, it really is the only way for you to accomplish it.  Let’s take a look at diet and exercise and see how we can use them to overcome the problem.

First of all, let’s tackle the issue of dieting.  There are hundreds of different ways that we can diet and many of them are effective on a temporary basis.  Unfortunately, the diet industry is not interested in having you lose weight because then they would lose you as a customer.  In order for you to lose weight effectively you are simply going to need to eat a healthy diet and to cut your calories so that you are at a slight calorie deficit.  Don’t plan on losing 20 pounds every week, that is a temporary and dangerous fix.  You should be losing about 2 pounds every week in order for it to work well.

As far as exercise is concerned, this is going to depend on your current health condition.  If your back is not hurting at the moment, you should begin by doing some light weight lifting and building your way up to lifting some heavier weights.  Putting some muscle mass on your legs and the core of your body is going to help you to burn calories.  It will also have the added benefit of supporting your back and spine, making it easier for you to move around and preventing many of the injuries that you might be experiencing.

Julie Jones here, I wanted to have you guys check out this great website with scientific techniques to relieve back pain – http://www.i-have-back-pain.com/
Are you tired of suffering from constant pain in your neck, back or shoulders? http://www.i-have-back-pain.com/

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Being Overweight Is A Real Pain

Our bodies are amazingly made and from the tops of our heads down to the souls of our feet, it never ceases to amaze people of how wonderfully our body is able to cope with the things we hand it on a day-to-day basis.  There may be times, however, whenever we overdo it in some way or another and our body is simply not able to keep up with the abuse that we give to it.  This is the case whenever we weigh too much and believe it or not, weight problems can cause other problems in our body that are either mild or extreme.  One of the ways that this is most commonly felt is through back pain.

The reason why our backs tend to hurt whenever we are overweight is because we are putting undue pressure on the spinal column.  The spine was made in order to hold a specific amount of weight that is proportionate to the size of our body.  If we are carrying around an additional 20 or more pounds of body fat, this is going to strain our spinal column and even put it out of alignment.  This is one of the main reasons why we experience back pain.

Another reason why we may have pain in our back is because of our sciatic nerve being pinched.  As we gain weight, our body tends to compensate by shifting our hips forward and this puts it into an unnatural alignment which pinches this nerve.  Sciatica is one of the more painful things that can happen to us and it is unnecessary for us to be feeling this if we are feeling it because we are overweight.

In order for us to overcome these problems and to get rid of the back pain once and for all, we are going to need to get rid of the weight that we are carrying around.  For most of us, it is a matter of shedding weight that we may have been carrying for the majority of our lives.  If you would like to lose anywhere from 10 to 50 pounds or even more there is really only one way for you to do it.  Reduce the amount of calories that you are eating every day and eat healthy foods so that you are at a 500 to 1000 calorie per day deficit.  You will lose about 2 pounds per week which will have amazing benefits on the way that your back feels in just a short period of time.

Julie Jones here, I wanted to have you guys check out this great website with scientific techniques to relieve back pain – http://www.i-have-back-pain.com/
Are you tired of suffering from constant pain in your neck, back or shoulders? http://www.i-have-back-pain.com/

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Do You Have Back Pain? Blame It On The Scale

If there is one problem that more of us experience on a regular basis, it is a problem with our weight.  More than likely, this is something that we have been dealing with for our entire life and it ends up taking a toll on our body in one way or another.  Although it certainly can affect us in a number of different ways, it is common for us to have back pain as a result of carrying the weight around.  That is why if you are having a problem with your back, you should first blame the scale.

The reason why of weight gain is such a bad thing for the back is because it puts the spine out of alignment.  It also tends to put our hips out of alignment and as they tilt forward, they can put undue pressure on the sciatic nerve which can be rather painful.  The human body was made incredibly but it was not made to carry this extra weight around every day, all day.  Fortunately, much of the pain that we experienced in our back as a result of the weight that we are carrying around is not permanent.  If we are able to lose the weight, the pain will more than likely subside to a certain extent.

If you are dealing with back problems and also have a problem with your weight, you may be somewhat limited as to what you can do in order to lose the weight.  For those of us that are healthy and overweight, we may consider running or walking to be a viable alternative of getting exercise.  If your back limits you and this case, you might want to consider simply going on a calorie restricted diet in order to drop the pounds.

Look online for a calorie calculator and determine how many calories you burn every day on a regular basis.  Reduce the amount of calories that you are eating until you are at anywhere from a 500 to a 1000 calorie a day deficit.  If you are consistent with this, you will lose anywhere from one to 2 pounds every week which is a healthy weight loss and will quickly get your back into shape.  Not only will you feel better but you will also look better and you will be better mentally.

Julie Jones here, I wanted to have you guys check out this great website with scientific techniques to relieve back pain – http://www.i-have-back-pain.com/
Are you tired of suffering from constant pain in your neck, back or shoulders? http://www.i-have-back-pain.com/

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Bowen therapy in Brisbane. Bowen therapy for babies, Kenmore Qld

Bowen Therapy-Everything You Could Possibly Want to Know

Bowen Therapy is a great way to get rid of headaches along with various other aches and pains. If you are in need of sciatic nerve pain relief or just suffer from swollen knee pain, don’t despair. This cross fibre muscle release method may be just what you are looking for. A series of gentle moves will give you a sense of overall relaxation and regular pauses are built into the Bowen technique. This allows your body time for rest and healing between moves. Energy flows will be stimulated and balanced and you will walk out feeling much better.

A variety of ailments can be treated using advanced Bowen therapy. Most associate this method with knee, ankle, neck and lower back pain. It can also treat asthma and dizziness along with dental or facial pain. If you suffer from a case of whiplash, these gentle moves can greatly reduce the trauma. For those with joint or muscle pains that cannot be diagnosed, the Bowen method may be just what is needed to get rid of them once and for all. Mental health can also be improved. Emotional stress and anxiety can be greatly reduced using this form of therapy.

Bowen Therapy treatment often requires that the client lie on either a bed or a treatment couch. Clothing is kept on during the entire procedure, although it must be of the lightweight variety. Each session will last approximately 30-60 minutes and two or three sessions will most likely be required. Each treatment should be scheduled five to ten days apart for optimal results. With this treatment, you can expect to achieve long term benefits.

These benefits should last so long as the pain or injury is not reactivated. Tom Bowen, the founder of this non-invasive muscle release technique, emphasized the fact that this is not massage as given by many therapists. His treatment strives to find the source of the problem, not just treat the symptoms. Bowen Therapy is very effective for muscular-skeletal problems and may be just what you need to cure your ails. It definitely cannot hurt to try this method as it cannot do any harm.

Nancy Sullivan is an expert author who resources indepth knowledge and the best service providers in a particular field of expertise. In the field of holistic therapies, Nancy has found a natural health clinic in Kenmore that provides a number of highly qualified and experienced natural therapists who treat a myriad of health issues. Visit http://www.access2health.com.au for more information and a FREE report about how to choose a natural therapist and what you should know before putting your health in their hands

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Trigger Point Therapy

Trigger Point Therapy

by Boris Prilutsky

Introduction

Medical massage therapy procedure consists of mobilization of skin, fascia and muscular tissue, trigger point therapy, and post-isometric relaxation techniques. Each of these modalities is equally important in order to reach rapid and sustained results. For decades, massive utilization of medical massage has proven to be a safe and very effective method of treatment for the support and movement system disorders, inner organ disorders, stress management, and more.

In the last few years, there have been numerous arguments in within the professional community about practitioners utilizing manual therapy and trigger point therapy. In recent professional publications many authors have been raising the following questions: Is a trigger point a formation of fibroconnective tissue in muscles? Have histological studies ever been done on trigger points? Is there a theory of peripheral nerve pain at the motor end plate a new theory and the only theory? Are ischemic compression techniques for trigger point therapy safe and effective?

The brief answers on aforementioned questions are:

1. Fibroconnective tissue formation in muscles is myogelosis, an incurable muscular pathology.

2. In many cases myogelosis is the result of inadequate treatment of trigger points.

3. A trigger point is a pinpoint localization of pain that can be found in muscles, connective tissue, and periosteum. The morphology of this point of pain is such that the demand of blood supply is much higher than the actual blood supply.

4. The theory of peripheral nerve pain at the motor end plate is not a new theory.

5. Any theory must be supported by clinical output.

6. Ischemic compression as a method of trigger point therapy has been proven by at least 4 decades of massive utilization as a safe and effective method.

7. Ischemic compression techniques are applied by gradually increasing pressure, thus excluding the possibility of doing harm to the patient and to the therapist.

In the search for true understanding of pathophysiology, the body’s sophistication and complexity requires us to take an integrative approach to any issue. Thus I would like to present to the reader a short scientific review of the trigger point issue and the trigger point therapy concept.

If you would like to view hands on demo, please click the link below:

http://medicalmassage-edu.com/dvd-details.php?dvd_id=27&dvd=12

The Nature of Trigger Points

There is no statement in the modern scientific literature that calls a trigger point a “taut band of fibro-connective tissue.” However, it was once used in the late 19th/early 20th century until histological studies conducted by German scientists (Glogowski, and Wallraff, 1951; Miehlke et al., 1950) showed that there is no connective tissue proliferation (myogelosis) in the area of a trigger point in muscles. “In our opinion, fibrositis (in regard to trigger points) has become a hopelessly ambiguous diagnosis… is best avoided” (Travell, Simons, 1983). However, connective tissue will grow between muscle fibers when a core of the myogelosis is formed (Glogowski, and Wallraff, 1951). Myogelosis is a clinical outcome of years of reactivation of the active trigger point in the same area. At the same time, trigger point therapy is useless if the core of the myogelosis is already formed.

In 1843, for the first time, the German physician Dr. F. Froriep described trigger points as painful formation in skeletal muscles. In 1921 another German scientist, Dr. H. Schade, examined them histologically and formed the concept of myogelosis. In 1923 the British physician Dr. J. Mackenzie offered the first pathophysiological explanation of the trigger point formation mechanism and formulated the concept of the reflex zones in the skeletal muscles where the central and peripheral nervous system play a critical role. The reflex zones concept was further developed by the American scientist Prof. I. Korr in 1941 in a series of brilliantly designed experimental studies. Thus, the trigger point concept was developed long before the work of Travell and Simons, who based their publication (see references in “Trigger Point Manual” by Travell and Simons) on the works of the scientists mentioned.

There are numerous published results of histological evaluations of the trigger point areas. Even in the short list of references at the end of this article you can find ample evidence under references 5, 6, 7, 13, and 15.

It is misleading to state that Dr. Travell and Dr. Simons recommended using ischemic compression for trigger point therapy. They advocated injection, stretch and spray techniques, and muscle energy techniques for trigger point therapy. Although, Travell and Simons did mention ischemic compression as an option based on the European medical sources, they never recommended it as a treatment method.

The Role of Vasodilators in Local Ischemia

Awad (1973) examined biopsy tissues from trigger points using an electron microscope and detected a significant increase in the number of platelets, which caused the release of serotonin and mast cells, which in turn released histamine. Both serotonin and histamine are potent vasodilators and their increase is a clear sign that body is trying to fight the local ischemia in the trigger point area. In his now classical work, Fassbender (1975) conducted a histological examination of the circulation in the area of the trigger point and proved once and for all that “… the trigger point represents a region of local ischemia.” The same results were obtained by Popelansky et al., (1986) who used radioisotope evaluation of blood circulation in the area of the trigger point.

The End Plate Theory

The end plate theory is not a new theory. Travell and Simmons constantly emphasize the nervous system as a critical factor in the development of the trigger point and point out the importance of end-plate zones. They even name special types of trigger points called “motor trigger points,” which are located in the middle of the muscle belly at the neuromuscular junction. “The functionally significant structure with regard to the innervation of muscle fibers is the myoneural junction (end-plate zone)…” and “Some trigger points are closely associated with myoneural junctions, others not.” (Travell and Simmons, 1983). The idea of the nervous system and the role of end-plate zones is not a new concept. As early as 1947 Prof. Korr addressed the same issues in his research.

According to histological studies (Heine, 1997; Gogoleva, 2001) chronic pain and low grade tension in the skeletal muscles and fascia are responsible for the low grade inflammation around the terminal parts of the sensory and motor neurons which end in the soft tissues. This chronic inflammation activates the local fibroblasts, which deposit collagen around the nerve endings forming so-called “collagen cuffs.” This additional irritating factor triggers an afferent sensory flow to the central nervous system, which is interpreted by the brain as pain. This mechanism is partially described by the generation of pain in the area of motor trigger points. We have to consider that the terminal parts of the sensory and motor neurons are located in the soft tissues, including skeletal muscles. In other words, it would be logical to assume that something must irritate the terminal parts of sensory and motor neurons. This something is a tension in the skeletal muscles, including trigger points that are not associated with motor trigger points (since they are located in other parts of the skeletal muscle). Keep in mind that any inflammatory condition, whether in motor end plates or in muscular tissue, means that there is a decreased amount of blood supply to this inflamed tissue. From this it follows that gradual ischemic compression can be viewed as an anti-inflammatory effort.

There is no doubt that myofascial pain can be the result of peripheral nerve abnormalities. An example of this would be the irritation of the sciatic nerve by an over-tensed piriformis muscle resulting in the formation of trigger points in muscles innervated by the sciatic nerve. This list can be continued because any peripheral nerve’s entrapment in the key areas will cause formation of trigger points in muscles innervated by this nerve.

If one examines a patient with peripheral arterial disorder (e.g., Buerger’s disease) one will find numerous active and dormant trigger points in the leg and foot muscles. It would most certainly be agreeable that insufficient arterial blood supply as a result vascular abnormality is responsible for the formation of trigger points in the skeletal muscles rather than abnormalities in the motor end-plates. The same is true for trigger points in the skeletal muscles, which are developed as a result of chronic visceral disorders (e.g., patients with cardiac disorders exhibit active trigger points in the trapezius, levator scapulae, and rhomboideus muscles). In such cases the end-plate abnormalities do not have anything to do with formation of trigger points in the skeletal muscles. They are the result of the phenomenon of convergence of pain stimuli within the same segments of the spinal cord, which are responsible for the innervation of both the affected inner organ and the skeletal muscles. In 1955 Dr. Glezer and Dalicho formulated the theory that still stands clinically proven. They proposed and developed maps of reflex zone abnormalities of the skin, fascia and muscles, including trigger point development.

The Energy Crisis Theory

There is another theory, which links formation of trigger points with the shortage of ATP in the affected muscles as a result of insufficient arterial circulation. ATP is the energy source for cellular function, including muscles. Authors of this theory, called the Energy Crisis Theory, pointed out the formation of the trigger points in very healthy athletes who did not have signs of peripheral nerve abnormalities and still developed active trigger points. Gradual increase of the resting muscular tone in normal muscles triggers local vasoconstriction, interstitial edema, and ATP exhaustion with the subsequent formation of active trigger points. Prof. D. Simons reviewed this theory as well, and even used extensively works done by his colleagues, Dr. D.R Hubbard and Dr. G.M. Berkoff, in his own research.

Trigger Point Therapy Protocol

Ultimately trigger point therapy has the following goals:

1. Eliminate protective muscular tension in the muscles that harbor active trigger points.

2. Eliminate condition of the hyperirritability of the peripheral receptors, especially pain receptors.

3. Block the pain-analyzing system of the patient.

4. Produce reflex vasodilation.

5. Eliminate local ischemia.

To effectively achieve these goals the practitioner should conduct trigger point therapy utilizing several equally important components:

1. Detect location of the active trigger point.

2. Detect the pathway of pain radiation and examine tissues along this pathway in case satellite trigger points are formed.

3. Place finger in the trigger point. Slowly apply vertical compression of the tissues until the patient feels the first sign of pain. As soon as he or she reports it stop increasing pressure but maintain it at that same level. After 10 seconds of pressure application, the pain that the patient initially felt will disappear. The patient should immediately report to you as soon as he or she feels the pain cease. During the next 20 seconds the practitioner will be able to get to the “bottom” of the trigger point without unwanted activation of the pain analyzing system and generating protective muscular tension in the affected muscle or muscles in the region.

4. To accomplish the first three goals apply effleurage and kneading techniques on the affected muscles in the inhibitory regime for 5-7 minutes (comfortable gradual increase of pressure, in the same direction of the strokes).

5. Exit the trigger point as fast as possible to produce quick and effective vasodilation and elimination of the local ischemia.

The correct protocol of trigger point therapy does not have pitfalls. This protocol is equally effective for the motor trigger points, as well as for other trigger points. The applied pressure is never strong enough to go over the patient’s threshold of pain, causing the pain and injury of motor nerve endings. Peripheral vasodilation restores local pH to normal, increases oxygenation of the tissues in the area of the trigger point, and gradually eliminates the trigger point.

References

1. Awad, E.A.: Interstitial myofibrositis: hypothesis of the mechanism, Arch. Phys. Med. Rehab, 54(10):449-453, 1973

2. Fassbender H.G. Pathology of the Rheumatic Diseases. Springer-Verlag, New York, 1975

3. Froriep, F. Ein Beitrag zur Pathologie und Therapie des Rheumatismus. Weimar, 1843.

4. Glezer, O., Dalicho, V.A. Segmentmassage. Leipzig, 1955

5. Glogowski, G., Wallraff, J. “Ein beitrag zur Klinik und Histologie der Muskkelharten (Myogelosen)”, Z. Orthop., 80:237-268, 1951

6. Gogoleva, E.F. “New Approaches to Diagnosis and Therapy of Fibromyalgia associated with Spondylosis.” Ther. Arch., 4:40-45, 2001.

7. Heine, H. Lehbruh der biologischen Medicine. Stuttgart, Hippokrates, 1997.

8. Hubbard, D.R., Berkoff, G.M. “Myofascial trigger points show spontaneous needle EMG activity”, Spine, 18:1803-1807, 1993.

9. Korr, I.M. “The Neural Basis of the Osteopathic Lesion.” JAOA, 47(4): 191-198, 1947.

10. Kreymer, A.Y. Vibration Massage in Diseases of the Nervous System.

Tomsk University, Tomsk, 1987.

11. Mackenzie, J. Angina Pectoris. Henry, Frowde & Hodder & Stroughton, London, 1923.

12. Mezlack, R., Wall, P. “Pain Mechanism: A New Theory.” Science, 150 (Nov): 971-979, 1965.

13. Miehlke, K., Schulze, G., Eger, W. ” Klinische und experimentelle Untersuchungen zum Fibrositis-syndrom. Z. Rheumaforsch, 19:310-330, 1960.

14. Popelansky, Y.Y., Zaslavsky, E.S., Veselovsky, V.P. Medicosocial significance, etiology, pathogenesis, and diagnosis of non-articular diseases of soft tissues of the lims and back. Vorpr. Rheumat., 3:38-43, 1986.

15. Schade, H. “Untersuchungen in der Erkaltungstrade: III. Uber den Rheumatismus, in besondere den Muskelrheumatismus (Myogelose).” Munch. Med. Wschr., 68, 95-99, 1921.

16. Travell, J.G., Simons, D.G. Myofascial Pain and Dysfunction. The Trigger Points Manual. Williams & Wilkins, Baltimore, 1983.

17. Wall, P.D., Crowly-Dillon, J.R. “Pain, Itch and Vibration.” A.M.A. Arch. Neurol., 2: 19-29, 1960.

Boris Prilutsky, MA, has been teaching medical massage for over 30 years. He is the founding director of the Institute of Professional Practical Therapy (IPPT) in Los Angeles, Calif., and graduated from the Pedagogic Institute of Higher Education in Vinnitsa, Ukraine, with a degree in physical education, and Medical College in Ramat-Gan, Israel, with a major in chiropractic medicine. Boris has worked with athletes and athletic organizations throughout Europe, has been a personal therapist to many world dignitaries, and has trained thousands of therapists worldwide. He also treats patients with various neural, muscular and skeletal disorders at the Back and Limb Institute in Beverly Hills, California.

(310) 550-6109

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