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A typical experience
I had a new client the other day for an 80 minute massage. I asked him if there is anything that he wanted me to know. He told me that he suffers from a herniated disc that he has had for a few years. He has constant low back and right hip pain that at times radiates down the back of his leg to his knee. He told me that he has had two injections in his low back and has to stay on anit- inflamtory medication. Anything to avoid surgery. The pain is always there. I asked him if he ever saw a chiropractor for his pain. He said yes. But the adjustments hurt his hip so bad that he could not continiue. So here is a guy that thinks he is on the verge of surgery. I knew that there was a very strong probubllity that was not the case. The vast majority of pain people experience is nocioceptive pain( soft tissue- muscle, tendon, ligament, facia). MDs and Chiropractors see pain as neuropathic pain( nerve pain). With that asumption they give the wrong treatments and therapies. Now there is no denying that at times injections and surgery is needed. Not denying that. But most of the time - NOT. 70% to 85% of all pain comes directly from trigger points. Anyway I showed my client a testimonial from a client that I was able to help out of a very painful condition that she had delt with for a couple of years. I showed him that testimonial because all pain has a psychological eliment too it. I wanted him to start thinking maybe he is not on the edge of surgery. I palpated his entire back upper torso, both hips, and right leg. I found a very painful spot on his right L5 erectors. Another very painful spot on his right greater trochantor. A painful spot in the middle part of his lower right hamstrings. And also a tender spot on the right spinous of L3. I knew that if Iwas able to eliminate all those painful palaptory spots that I would most likely eliminate his pain problem. Because a healthy body had no painful spots even with deep massage. Ive been hunting and eliminateing trigger points for thirty years now. He walked out of the massage room pain free. He was pain free for the first time in years. All those other professional people misdiagnosed him because they assume neuropathic pain over nocioceptive pain. I assume the other way around. I'm a Massage Therapist.
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Permalink Reply by Gordon J. Wallis on
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#17 on the chart indicates the location of your clients trigger points, if I understood the location correctly. Any TPs in that area often indicate painful periods, cramping and stuff. Doesn't mean it has to of course. However that area is not inervated by L5 as indicated on that chart. Any therapy done to L5 for pain in that area would most likely be ineffective, sense the area is actually inervated by the nerves that come out of T12 or L1. Gosh, I wonder how many Chiropractors are using that chart?
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Hard to believe the above chart even made it to publication? The attachment below is fact( as far as what area is inervated by what spinal segment ).
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Permalink Reply by Therese Schwartz on
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I actually don't know. I'm not sure if she's post-menopausal; I'll find out.
Gordon J. Wallis said:
Just curious. Does she have painful periods or menstral cramps? Often times Trigger Points in those areas indicate that.
Gordon J. Wallis said:
Yea there is a technique that should deactivate those TPs at refex speed( in a matter of seconds ). I will contact you via email in here.
Therese Schwartz said:Gordon, I have a question for you. I'm asking it here rather than through email in case it helps another therapist too, although if you prefer to have an email conversation rather than a public one, that's good too.. Right before one of my chronic-horrible-low-back-pain clients got here at 5:30 today, I looked at your attachments. I paid attention to the one with the rectus abdominus Trp's. She had really painful TrP's on both the left and right sides, right on top of the pubic bones. I did the best I could with them but they were still painful at the end of treatment. Can you give me any suggestions to try? I won't see her again for 4 weeks, just FYI. Is there any self-care she can do?
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What I found is level with 15 on that chart but on each side. On the other chart you posted, they are right at the very end of the L1 innervation area, on top of the pubic bones.
Gordon J. Wallis said:#17 on the chart indicates the location of your clients trigger points, if I understood the location correctly. Any TPs in that area often indicate painful periods, cramping and stuff. Doesn't mean it has to of course. However that area is not inervated by L5 as indicated on that chart. Any therapy done to L5 for pain in that area would most likely be ineffective, sense the area is actually inervated by the nerves that come out of T12 or L1. Gosh, I wonder how many Chiropractors are using that chart?
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It's kind of like I keep saying the same thing over and over in here. Truth really does remain hidden, for many people. When it comes to body pain anyway. A new client came in the other day. I asked her if she had any aches and pains. She told me that she has chronic low back and hip pain thats getting worse. Its now radiating pain down her leg. The reason being, according to her medical doctors, is because she has a compressed lumbar spine that is now pinching a nerve. They sent her to back school where the PTs had her doing various exercises in order to relieve her pain. But it only made her hurt more. The docs wanted to start injecting her spine and hips. I then showed her a testimonial and a 50 second video clip of me doing my trigger point thing. She kind of looked at me in disbelief as to what I showed her and what I was saying. After all, she has had this pain for years and been to experts. Ok, well, I will spare you the details. It was all trigger points in all the right places. L4,5 Paraspinals, Glute max, glute med, piriformis, glute min, upper Sacrum, Ql, Rectus Abdominis, and Vastus Lateralis, as well as the Latissimus dorsi near her arm pits. Check the pain patterns out. And of course exercising trigger pointed muscles just does not work.. It only perpetuates the trigger points and makes things worse. All those Trigger points deactivated. She was amazed about how good she felt after her session. I pointed out to her that some of those trigger points will return, and that she will need a few follow up sessions in order to wipe them out once and for all. The look on her face was.. I don't know how to discribe it.. Stunned I guess? Her last coment was.. I can't believe this? She rescheduled.
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I wish that I could post more then one attachment. I will try to post two.. At least one will show. And you will see the pain pattern of only one of her trigger points. Vastus Lateralis, and Gluteus Minimus almost always are the real culprits when it comes to the Sciatica pinched nerve diagnosis. And she had both of those and more!
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Ok, here is the Gluteus Minimus. Ture Sciatica is not near as common as these two guys.. The other culprit that contributes to the Sciatica pinched nerve misdiagnosis is the Piriformis. In some people, when that muscle trigger points, it can actually pinch that big nerve that runs down the leg. Often times things are just not as they seem.
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An interesting client came in the other day. Her complaints were.. Chronic neck pain, chornic hip pain, painful periods, and a right rib that keeps going out. She has been seing other types of health care practioners for years. Well, her chonic neck pain turned out to be several trigger points in the upper T spine. a really big left upper trap trigger point, trigger points in her levator scapulae both sides, posterior neck trigger points both sides, and a left masseter trigger point. Her chornic hip problem were gluteus medius trigger points both sides, a big trigger point on the mid boarder of her left sacrum, trigger points in her QL both sides where they connect to the illiac crest, as well as a trigger points in her vastus lateralis on both sides. Her rib that keeps going was a trigger point in her right sarratus anterior. She aslo had a bad trigger point in her sternal area which is related to rib pain, breathing and so on. Her painful periods caused trigger points in her abdominal area. One in her lower left quadrent, and another in her mid lower right quadrent. Those trigger points will only exasperate the internal organ stress( overies or uterus )Anyway all the trigger points deactivated. She was stunned about how good she felt. None of the people that she saw for her pain ever mentioned the word trigger point or address her problems so specifically. Ya know, when you mention the word trigger point to any other medical practitioner or therapist, they all know what trigger points are..... Yea Right !!
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This young lady suffers from dysmenorrhea( painful periods ). She was in a lot of pain when I saw her the other day. I often find trigger points in the abdominal area of these women. The trigger points are there as a result of internal organ stess. The muscle tissue around the interanl organs contract, pulling on the conective tissue in the abdominal wall causing the trigger points. The trigger points exasperate and perpetuate the internal organ stress. If you eliminate the trigger points you greatly reduce the stress on the interanal organs and relieve the symptoms( PAIN ). The entire abdominal session was too long to attach to this site. So I made two short clips of me releasing only two of the trigger points involved, and then another clip of a short testimonial from her. They will all have to be posted on seperate entries. I find it interesting that some people still deny the existance of trigger points?
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I will have to post the first video here.
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Here is the last trigger point of the session.
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Here is the young ladies testimonial.
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