Trigger Points

Comment

Comment by Michelle Doyle, D.C., CNMT on April 6, 2010 at 11:08pm

Very saddened to hear of the passing of Dr. David Simons, one of the pioneers of trigger points and myofascial pain. Right to the end of his life he was still researching and writing. He will be greatly missed. Lets all continue to honor him by keeping up the great work with MTPs.

Comment by Martha C. Long on April 3, 2010 at 8:11am

this message is for jaya jeff sims....I go with the clients reaction to the TP. If it is too intense I try to work around it .. letting it go for a while and come back to it.
Most of the time the TP are pretty centralized, as we work on the more intense TP first. Most of my clients come back every other week or once a month for treatment, so we have time to let things calm down before attempting more TP. I hope that answers your questions??
Martha

Comment by Jeff Sims on January 27, 2010 at 11:41pm

does anyone work with a guideline of limiting the number of trigger points worked on/released in one treatment?

Comment by Stephen Jeffrey on December 31, 2009 at 6:54am

wishing you all a very happy TP eradicating new year !

Comment by Joseph E. Muscolino on December 13, 2009 at 11:29pm

Yes, sorry for the typo in the page numbers of T&S, It is 140 and 141.

Comment by Stephen Jeffrey on December 13, 2009 at 6:22am

Can I tell you about my Right Knee problems "healer heal thyself" and all that ?
I used to be a good 10k runner 34mins but a knee problem put me out and dispite the best efforts of myself and a glittering aray of fellow pros we could never sort it out (a huge amount of fibrosis in VM ) I had never really connected to much with Clairs multiple times a day approach of repeated compressions with a triggerpoint tool. I didn't follow his advice exactely but with repeatedly "digging out " the tissue 3/6 times a day with an NMT bar for 4 weeks, the tissue did recover, strenghthened in the gym with leg press I returned to running after a 5 yr lay off with a 45min 10k. So glad I can run again as I find it essential in battling bouts of deppression.

Comment by Jeff Sims on December 13, 2009 at 4:20am

working within the pain threshold? Clair suggests:
"The level of pain caused by massage is a useful measure of safety and effectiveness. To gain maximum benefits, you should exert enough pressure to make it hurt a little, but it should feel like a good hurt. Aim at a pain level of seven on a scale of 1-10. Pressure greater than seven risks causing the muscles to tighten defensively. Self-applied massage is best done in very short sessions, 15 or 20 seconds per trigger point. Several brief sessions during the day do more good than intensive treatments once or twice a week. Keep in mind that massage only helps create conditions for healing, it's the body itself that does the real work."

Comment by Michelle Doyle, D.C., CNMT on December 12, 2009 at 3:48pm

Thanks for sending Clair's article, Steve...it helps to clarify. I tend to not hold TrPs very long, but do the 'repeated milking action' or kneading the TrPs, because holding compression can be painful for the patient and hard on the practitioner as Clair mentions. And I really do like the 'microstretch' involved with deep stroking massage...very efficient use of time and energy. Either method works...depends on what works best for that specific patient and the practitioner.

Comment by Stephen Jeffrey on December 12, 2009 at 12:03pm

Here's Clair's version of deep stroking over ishemic compression.

http://www.massagetherapy.com/articles/index.php/article_id/485/Tri...

Comment by Jeff Sims on December 9, 2009 at 6:02pm

muscles that seem suited to "stroking" or muscle stripping: erector spinae, forearm flexors & extensors, quadriceps, hamstrings, with permission gluteus maximus, medius & minimus, anterior, lateral and posterior compartments of the leg, posterior cervicals, scalenes, SCM, pectoralis major.

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