massage and bodywork professionals
a community of practitioners
Mr. Gordon J. Wallis in his post “Knot in a muscle’ raised very important topic and it seems that members expressed variety of opinions. Considering the importance of the subject I decided to open separate discussion and put everything in the scientific perspective.
There are two types of 'knots' you may experience in your practice.
First is called hypertonus and it is usually associated with active trigger point(s). The correctly used trigger point therapy protocol will be able to completely eliminate this abnormality. The second type of the 'knots' is called myogelosis and it is irreversible degeneration of the muscle fibers you feel like 'marbles' in the tissue.
The core of myogelosis will stay with your clients for the rest of the life if it is already formed. However by itself it is usually painless if there is no direct pressure applied to it. At the same time uncontrolled myogelosis is very painful and responsible for a lot of tension because core is direct cause of the neighboring hypertonuses to form around it. This drives your clients crazy.
By the way incorrectly applied Trigger Point Therapy in the form of senseless application of pressure without finding the Entrance into the Trigger Point, using Compass Technique, Stop and Go Approach etc. is directly responsible for the excessive damage of the muscle fibers in the area of hypertonus and later formation of the myogelosis there.
If readers would like to learn how hypertonus, trigger point and myogelosis form, how to differentiate and diagnose them as well as how to treat them correctly using scientifically sounded protocol of Trigger Point Therapy please read our three part article on Trigger Point Therapy in
March/April: http://scienceofmassage.com/dnn/som/journal/0903/toc.aspx
May/June: http://scienceofmassage.com/dnn/som/journal/0905/toc.aspx
July/August: http://scienceofmassage.com/dnn/som/journal/0907/toc.aspx
2009 issues of Journal of Massage Science. This article will answer ALL of your questions in every detail.
If you read the article and need any clarifications you may post your questions here and I will be happy to answer them.
Sincerely Dr. Ross Turchaninov
Tags:
Views: 7219
Hi Gordon.
Dr. Ross Turchaninov is a longtime friend of mine whom I appreciate very much as well admire. We both sharing passion and love to medical massage because of simplicity, virtually side effects free as well because of huge healing power . Having said it can assure you that it doesn't mean that on all and hundreds percent we agree with him. Thank God on most we are agree. Sorry couldn't understood on what and in which way Dr. Ross Turchaninov agree with you on definitions of trigger points as well as trigger point therapy but it has nothing to do with me and you discussing this issue. My feeling that you taking personal our discussion. Please don't. I am expressing my view because don't want readers to get wrong impression on this subject. I'm a bit busy now and little bit later , will extend my post.
BTW. knife reflex is absolutely not normal sign when spastic limb resisting passive motion. In no way can help in trigger point therapy and thank God not a lot of people suffering from this abnormality. If you can initiate/trigger knife reflex but only with people who suffering from the disorders . knife reflex is a symptom. I will continue later.
Best wishes.
Boris
You say my treatments and definitions of trigger points as well as proposed treatment is wrong? Thats really weird because Dr. Ross Turchaninov, your buddy , seems to disagree with you? Interesting? Read the ATTACHMENT please..Its a typical example of how I treat trigger points and the good Doctors following comments. Oh PS- I really initiated a clasp knife reflex on the trigger pointed infraspinatus muscle in order to eliminate the trigger point.. Its very quick an painless..I left it out because I knew it would upset people that already know everything.
Boris Prilutsky said:
Hi Gordon.
Agree with you. Elimination/treatment of trigger points is not difficult procedure and I didn't discuss it with you. Your description and definitions of trigger points as well proposed treatment, is wrong. This all. But let me to repeat. It is easy and extremely important to address all types of trigger points. Actually I don't want you to “go from here”because in many cases you proposing interesting thoughts. Why I am discussing with you issue of trigger points? Because it is very , I would say extremely important topic.
Huge amount of research done on this topics. Additionally many decades of clinical utilization. None of this proposals including by Travell supporting your proposals. None. Of course you can say what you want, and if you understand from my statements that I am” demanding” that you will not talk then my apology. Even for second didn't mean this. Have a proposal to you. Links to article that actually started this discussion is still there. This is actually a scientific review on trigger points as well we offering techniques for trigger point therapy. Please give a look again and if you will disagree with some of the proposed information then post and we will be able to discuss it and everyone will be able to learn. This is not personal issue. I reviewed material that you proposed and brought my opinion. Please you do the same. Thank you.
Boris
Gary W Addis said:
Boris, with respect for you, I feel compelled to step into this. I and others are very interested in whatever Gordon wants to say about massage, when he wishes to say it. You said to Gordon in this post, "...but do not offer any information about trigger points as well trigger points therapy." Again with respect, but I don't believe you have any authority to make any demands of him--no more than those two had to order you around in the "muscles have memories" thread.
If you don't wish to read Gordon's posts, then by all means, don't. As for me, I will read Gordon's posts: I alone will be the judge of my reading choices, I alone will choose what to believe or disbelieve. The link he posted absolutely was relevant to a discussion of trigger points--more to the point, any video, text, or audio recording about the workings of the human body is relevant to a discussion of massage therapy.
Boris Prilutsky said:Gordon.I just had no other choice but to copy and paste our morning posts exchanges . Please read careful, and pay attention that you have offered link to video that absolutely not related to trigger points formation as well to trigger points therapy. Also please pay attention that you have wrote” Even if its incorrect (it is though) Results are what count.”
Then please continue to reach results your way,but do not offer any information about trigger points as well trigger points therapy. It is really distracting. This link is not good information in regards of trigger points as well as trigger points therapy. Also read careful what I said that not every sore spot, containing trigger points. Maybe you're helping in cases of “sore spots” and confusing it with trigger points therapy. I mean call it Gordon’s methodology for sore spots. To me it would be good enough as well acceptable. During my decades in practice I have seen few people who provided good therapy for certain cases but practically never tried to explain it in a way as you doing .. few times you mention that all your work based on Dr.Travell’s texts. None of your explanation staying in proximate distance to this material. If you would be Dr.Travell’s follower you never would offer this link as a good information about trigger points. I hope you will view this post as a friendly. I mean it. Otherwise you will lose respect from some people who do respect you.
Best wishes.
Boris
PS. I do have respect to your 26 years of experience, but according to you you never report in medical establishment where daily you are treating people was difficult spinal disorders, including and not limited to difficult muscular pathology etc. therefore I wouldn't simplify .
to know too!!Boris, do keep in mind that there is little consensus among MT researchers about practically any subject you name. Unless some governing board begins to censor free speech of massage therapists, massage therapists have the right to disagree with you and your doctor friend, even publicly. If I so choose to believe, for instance, that the best method for treating trigger points is to soak your body in a vat of beer for three days, that would be my right to try to convince other therapists to try my new method.Please, lighten up.
Hi Gordon.
Dr. Ross Turchaninov is a longtime friend of mine whom I appreciate very much as well admire. We both sharing passion and love to medical massage because of simplicity, virtually side effects free as well because of huge healing power . Having said it can assure you that it doesn't mean that on all and hundreds percent we agree with him. Thank God on most we are agree. Sorry couldn't understood on what and in which way Dr. Ross Turchaninov agree with you on definitions of trigger points as well as trigger point therapy but it has nothing to do with me and you discussing this issue. My feeling that you taking personal our discussion. Please don't. I am expressing my view because don't want readers to get wrong impression on this subject. I'm a bit busy now and little bit later , will extend my post.
BTW. knife reflex is absolutely not normal sign when spastic limb resisting passive motion. In no way can help in trigger point therapy and thank God not a lot of people suffering from this abnormality. If you can initiate/trigger knife reflex but only with people who suffering from the disorders . knife reflex is a symptom. I will continue later.
Best wishes.
Boris
Gordon J. Wallis said:
You say my treatments and definitions of trigger points as well as proposed treatment is wrong? Thats really weird because Dr. Ross Turchaninov, your buddy , seems to disagree with you? Interesting? Read the ATTACHMENT please..Its a typical example of how I treat trigger points and the good Doctors following comments. Oh PS- I really initiated a clasp knife reflex on the trigger pointed infraspinatus muscle in order to eliminate the trigger point.. Its very quick an painless..I left it out because I knew it would upset people that already know everything.
Boris Prilutsky said:
Hi Gordon.
Agree with you. Elimination/treatment of trigger points is not difficult procedure and I didn't discuss it with you. Your description and definitions of trigger points as well proposed treatment, is wrong. This all. But let me to repeat. It is easy and extremely important to address all types of trigger points. Actually I don't want you to “go from here”because in many cases you proposing interesting thoughts. Why I am discussing with you issue of trigger points? Because it is very , I would say extremely important topic.
Huge amount of research done on this topics. Additionally many decades of clinical utilization. None of this proposals including by Travell supporting your proposals. None. Of course you can say what you want, and if you understand from my statements that I am” demanding” that you will not talk then my apology. Even for second didn't mean this. Have a proposal to you. Links to article that actually started this discussion is still there. This is actually a scientific review on trigger points as well we offering techniques for trigger point therapy. Please give a look again and if you will disagree with some of the proposed information then post and we will be able to discuss it and everyone will be able to learn. This is not personal issue. I reviewed material that you proposed and brought my opinion. Please you do the same. Thank you.
Boris
Gary W Addis said:
Boris, with respect for you, I feel compelled to step into this. I and others are very interested in whatever Gordon wants to say about massage, when he wishes to say it. You said to Gordon in this post, "...but do not offer any information about trigger points as well trigger points therapy." Again with respect, but I don't believe you have any authority to make any demands of him--no more than those two had to order you around in the "muscles have memories" thread.
If you don't wish to read Gordon's posts, then by all means, don't. As for me, I will read Gordon's posts: I alone will be the judge of my reading choices, I alone will choose what to believe or disbelieve. The link he posted absolutely was relevant to a discussion of trigger points--more to the point, any video, text, or audio recording about the workings of the human body is relevant to a discussion of massage therapy.
Boris Prilutsky said:Gordon.I just had no other choice but to copy and paste our morning posts exchanges . Please read careful, and pay attention that you have offered link to video that absolutely not related to trigger points formation as well to trigger points therapy. Also please pay attention that you have wrote” Even if its incorrect (it is though) Results are what count.”
Then please continue to reach results your way,but do not offer any information about trigger points as well trigger points therapy. It is really distracting. This link is not good information in regards of trigger points as well as trigger points therapy. Also read careful what I said that not every sore spot, containing trigger points. Maybe you're helping in cases of “sore spots” and confusing it with trigger points therapy. I mean call it Gordon’s methodology for sore spots. To me it would be good enough as well acceptable. During my decades in practice I have seen few people who provided good therapy for certain cases but practically never tried to explain it in a way as you doing .. few times you mention that all your work based on Dr.Travell’s texts. None of your explanation staying in proximate distance to this material. If you would be Dr.Travell’s follower you never would offer this link as a good information about trigger points. I hope you will view this post as a friendly. I mean it. Otherwise you will lose respect from some people who do respect you.
Best wishes.
Boris
PS. I do have respect to your 26 years of experience, but according to you you never report in medical establishment where daily you are treating people was difficult spinal disorders, including and not limited to difficult muscular pathology etc. therefore I wouldn't simplify .
to know too!!Boris, do keep in mind that there is little consensus among MT researchers about practically any subject you name. Unless some governing board begins to censor free speech of massage therapists, massage therapists have the right to disagree with you and your doctor friend, even publicly. If I so choose to believe, for instance, that the best method for treating trigger points is to soak your body in a vat of beer for three days, that would be my right to try to convince other therapists to try my new method.Please, lighten up.
Hi Gordon.
To me it's looks like you confusing clasp knife reflex with phenomenon of inverse stretch reflex. This reflex is an act of Goldgi tendon organ and have nothing to do with brain or other CNS acts. At second component of post isometric relaxation techniques, we do taking advantage and triggering inverse stretch reflex in order to balance energy production with in pathologically changed muscles. inverse stretch reflex benefits playing little bit in perspective of trigger point therapy but necessary techniques in treatments of muscular pathologies. In many cases PIR techniques is come first and then we applying trigger point therapy techniques which is ischemic compression. Below is a links where I am explaining and demonstrating post isometric relaxation techniques.
http://www.youtube.com/watch?v=D1DHzHSZ81c
http://www.youtube.com/watch?v=JWLgg61xjyw
Best wishes.
Boris
PS.I'm go back to class. Lately on will extend my reply with huge hope that you will understand my good intentions and respect to you. Short example. If readers will decide to adopt idea that they can trigger clasp knife reflex, at any clients even the one who's not suffer from this abnormality, and will believe that this is the way to address trigger points it will be terrible. I passionately love our craft and actually in such cases must to offer my opinion. Can you imagine that in communicating with doctors one will explain that she/he triggering clasp knife reflex in order to address trigger points? Will the Dr. refer patients to such practitioner? Can assure you will not. More than this. this Dr. also will have impression that massage therapists have no idea what they doing and will not refer patients to me and to others too including to you Gordon.
Gordon. I do believe that you can deliver results, but not by triggering clasp knife reflex. On this at next post.
Boris,if the brain thinks the muscle is doing more work then it can handle safely, the brain sends a neurological signal to that muscle to just go limp. In order to protect the muscle from tearing off the bone. Thats why when those guys try to bench press huge amounts of weight they always have spotters to catch the weight in case his muscles collapse. So if a muscle has a trigger point in it...I know how to initiate that clasp knife relfex, the muscle releases, and the trigger point is gone..
Boris Prilutsky said:
Hi Gordon.
Dr. Ross Turchaninov is a longtime friend of mine whom I appreciate very much as well admire. We both sharing passion and love to medical massage because of simplicity, virtually side effects free as well because of huge healing power . Having said it can assure you that it doesn't mean that on all and hundreds percent we agree with him. Thank God on most we are agree. Sorry couldn't understood on what and in which way Dr. Ross Turchaninov agree with you on definitions of trigger points as well as trigger point therapy but it has nothing to do with me and you discussing this issue. My feeling that you taking personal our discussion. Please don't. I am expressing my view because don't want readers to get wrong impression on this subject. I'm a bit busy now and little bit later , will extend my post.
BTW. knife reflex is absolutely not normal sign when spastic limb resisting passive motion. In no way can help in trigger point therapy and thank God not a lot of people suffering from this abnormality. If you can initiate/trigger knife reflex but only with people who suffering from the disorders . knife reflex is a symptom. I will continue later.
Best wishes.
Boris
Gordon J. Wallis said:
You say my treatments and definitions of trigger points as well as proposed treatment is wrong? Thats really weird because Dr. Ross Turchaninov, your buddy , seems to disagree with you? Interesting? Read the ATTACHMENT please..Its a typical example of how I treat trigger points and the good Doctors following comments. Oh PS- I really initiated a clasp knife reflex on the trigger pointed infraspinatus muscle in order to eliminate the trigger point.. Its very quick an painless..I left it out because I knew it would upset people that already know everything.
Boris Prilutsky said:Hi Gordon.
Agree with you. Elimination/treatment of trigger points is not difficult procedure and I didn't discuss it with you. Your description and definitions of trigger points as well proposed treatment, is wrong. This all. But let me to repeat. It is easy and extremely important to address all types of trigger points. Actually I don't want you to “go from here”because in many cases you proposing interesting thoughts. Why I am discussing with you issue of trigger points? Because it is very , I would say extremely important topic.
Huge amount of research done on this topics. Additionally many decades of clinical utilization. None of this proposals including by Travell supporting your proposals. None. Of course you can say what you want, and if you understand from my statements that I am” demanding” that you will not talk then my apology. Even for second didn't mean this. Have a proposal to you. Links to article that actually started this discussion is still there. This is actually a scientific review on trigger points as well we offering techniques for trigger point therapy. Please give a look again and if you will disagree with some of the proposed information then post and we will be able to discuss it and everyone will be able to learn. This is not personal issue. I reviewed material that you proposed and brought my opinion. Please you do the same. Thank you.
Boris
Gary W Addis said:
Boris, with respect for you, I feel compelled to step into this. I and others are very interested in whatever Gordon wants to say about massage, when he wishes to say it. You said to Gordon in this post, "...but do not offer any information about trigger points as well trigger points therapy." Again with respect, but I don't believe you have any authority to make any demands of him--no more than those two had to order you around in the "muscles have memories" thread.
If you don't wish to read Gordon's posts, then by all means, don't. As for me, I will read Gordon's posts: I alone will be the judge of my reading choices, I alone will choose what to believe or disbelieve. The link he posted absolutely was relevant to a discussion of trigger points--more to the point, any video, text, or audio recording about the workings of the human body is relevant to a discussion of massage therapy.
Boris Prilutsky said:Gordon.I just had no other choice but to copy and paste our morning posts exchanges . Please read careful, and pay attention that you have offered link to video that absolutely not related to trigger points formation as well to trigger points therapy. Also please pay attention that you have wrote” Even if its incorrect (it is though) Results are what count.”
Then please continue to reach results your way,but do not offer any information about trigger points as well trigger points therapy. It is really distracting. This link is not good information in regards of trigger points as well as trigger points therapy. Also read careful what I said that not every sore spot, containing trigger points. Maybe you're helping in cases of “sore spots” and confusing it with trigger points therapy. I mean call it Gordon’s methodology for sore spots. To me it would be good enough as well acceptable. During my decades in practice I have seen few people who provided good therapy for certain cases but practically never tried to explain it in a way as you doing .. few times you mention that all your work based on Dr.Travell’s texts. None of your explanation staying in proximate distance to this material. If you would be Dr.Travell’s follower you never would offer this link as a good information about trigger points. I hope you will view this post as a friendly. I mean it. Otherwise you will lose respect from some people who do respect you.
Best wishes.
Boris
PS. I do have respect to your 26 years of experience, but according to you you never report in medical establishment where daily you are treating people was difficult spinal disorders, including and not limited to difficult muscular pathology etc. therefore I wouldn't simplify .
to know too!!Boris, do keep in mind that there is little consensus among MT researchers about practically any subject you name. Unless some governing board begins to censor free speech of massage therapists, massage therapists have the right to disagree with you and your doctor friend, even publicly. If I so choose to believe, for instance, that the best method for treating trigger points is to soak your body in a vat of beer for three days, that would be my right to try to convince other therapists to try my new method.Please, lighten up.
Gordon.the big difficulties to keep on professional discussion with you is because frequently you making different statements with very little explanation. Few tiimes in your statements you claimed that your entire work is around Travell's teachings.
Then you claimed that all what needed and what you doing is triggering clasp knife reflex which is ridiculous claim. now you claiming you treating trigger points by activating stretch reflex. As well offering to me to learn Kaufman Technique because this technique is your techniques for 20 seconds making huge different.I'm trying to keep good level of correspondence, that everyone will be able to learn, please try to be consistent and then I and you and others will enjoy it.
I will continue our discussion, because I'm positive that other readers can learn some stuff from it.
regards
Boris
Gordon J. Wallis said:
Well, whatever reflex you want to call it...Golgi tendon reflex....You initiate it...and the trigger point melts away... Hundreds of people are using these techniques.. not just me...I can pretty much make any trigger point go away using only a slight pull or push...It doesn't seem to work as good on the arms and legs..but had a lady a couple weeks ago walk in with crutches...I initiated the reflex on her foot...She walked out without crutches..Her doctor told her she had bursitis...in 20 seconds after I touched her foot... Pain vanished....Saw her again a couple days ago.. She said,, Gordon,, I dont know what you did.. But my foot is fine now.....Hundreds of people are using these techniques.. not just me... Its the Kaufman Technique. The most highly effective techniques for trigger points around by far.. Makes everything else, obsolete or second choice. I highly recommend you learn those techniques.
Well, whatever reflex you want to call it...Golgi tendon reflex....You initiate it...and the trigger point melts away... Hundreds of people are using these techniques.. not just me...I can pretty much make any trigger point go away using only a slight pull or push...It doesn't seem to work as good on the arms and legs..but had a lady a couple weeks ago walk in with crutches...I initiated the reflex on her foot...She walked out without crutches..Her doctor told her she had bursitis...in 20 seconds after I touched her foot... Pain vanished....Saw her again a couple days ago.. She said,, Gordon,, I dont know what you did.. But my foot is fine now.....Hundreds of people are using these techniques.. not just me... Its the Kaufman Technique. The most highly effective techniques for trigger points around by far.. Makes everything else, obsolete or second choice. I highly recommend you learn those techniques.
Dear readers.
I would like just to summarize a bit this discussion. There is many different scientifically developed as well not scientifically developed methodologies of treatment. For example Chinese medicine, energy work, different techniques of body/ mind medicine etc.
I personally accepting and believe in most of this methodologies, because A) they side effects free B) in many cases helping people to get rid of different disorders. Trigger point therapy is name of separate discipline which is well researched and clinically proven. In article we provided detailed explanation as well proposed techniques. You are welcome to read it again. If somebody claiming that he/she providing trigger point therapy differently and it better way than established classical trigger point therapy than one must explain mechanism etc. if one successfully addressing disorders, not trying to make up some theory , telling honestly that she,/he cannot explain how it works, it is difficult to argue with clinical outcome. Maybe Gordon having this gifts but as he explain how he does it, he for sure do not providing trigger point therapy, but trying readers to believe that applying light touch during 20 seconds is a regular adequate trigger point therapy and is a result of triggering clasp knife reflex which is ridiculous claim and explanation. I passionately love our craft therefore couldn't allow to this wrong information being not questioned. I mean to be politically correct and to stay a site. It would be very wrong on my site to allow this false information not to be challenge . In any case I believe that in the end we all did learn from this discussion.Thanks.
Best wishes.
Boris
Boris, just a minor point. Not meant to be criticism of you or anyone else.
In the comment below, you mention the efficacy of Eastern modalities including energy work. I don't claim to know anything about Eastern techniques. However, I don't believe anyone has yet to explain scientifically how the energy modalities work--yet, many many many MTs attest that they do work. Kaufman is a doctor, and has been documenting his successes, but as yet I haven't seen anything to show how he gets the positive effects. Doesn't mean that it doesn't work, merely that you and I don't understand it yet. The technique Daniel mentioned, Guasha, and the one mentioned by Massage Gnome, Graston, appear to this casual reader to be kinda brutal, but both Massage Gnome and Daniel (both of whom I respect) believe wholeheartedly in the techniques. Doesn't mean they are brutal as I first thought, or that they don't work. I hope to learn everything about everything.
Boris Prilutsky said:
Dear readers.
I would like just to summarize a bit this discussion. There is many different scientifically developed as well not scientifically developed methodologies of treatment. For example Chinese medicine, energy work, different techniques of body/ mind medicine etc.
I personally accepting and believe in most of this methodologies, because A) they side effects free B) in many cases helping people to get rid of different disorders. Trigger point therapy is name of separate discipline which is well researched and clinically proven. In article we provided detailed explanation as well proposed techniques. You are welcome to read it again. If somebody claiming that he/she providing trigger point therapy differently and it better way than established classical trigger point therapy than one must explain mechanism etc. if one successfully addressing disorders, not trying to make up some theory , telling honestly that she,/he cannot explain how it works, it is difficult to argue with clinical outcome. Maybe Gordon having this gifts but as he explain how he does it, he for sure do not providing trigger point therapy, but trying readers to believe that applying light touch during 20 seconds is a regular adequate trigger point therapy and is a result of triggering clasp knife reflex which is ridiculous claim and explanation. I passionately love our craft therefore couldn't allow to this wrong information being not questioned. I mean to be politically correct and to stay a site. It would be very wrong on my site to allow this false information not to be challenge . In any case I believe that in the end we all did learn from this discussion.Thanks.
Best wishes.
Boris
Gary, I'm not claiming to know how energy work actually works - it's related to the electrical and electro-magnetic systems of our bodies but I don't understand it all. I've read over and over that if we want to understand energy work we should learn about quantum physics. What I did want to tell you is that in the 1970's Dr. John Upledger, DO and founder of the Upledger Institute (CranioSacral Therapy and much more) did a lot of testing of energy work. What he found is that it's scientifically provable that the intention of the therapist has a direct result on the electrical resistance of the tissues of the client/patient. When the therapist has a neutral intent, the resistance is somewhat less than normal. When the therapist has the intention of offering energy to the tissues and allowing the tissues to do with that energy what they need to, the electrical resistance drops to almost nothing. In that place, the tissues release. They found that the physicist in the next room reading the ohm meter could predict with 100% accuracy when the client was having a release. Thought you'd find that interesting!
© 2024 Created by ABMP. Powered by