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Trigger Points

This is a group where massage therapists can share their voice on trigger points

Members: 330
Latest Activity: Aug 14, 2022

Discussion Forum

use of spray & stretch technique by LMTs 8 Replies

i've been using the spray and stretch technique this year with excellent results in myofascial trigger point cases of acute pain, short appointments with multiple muscle group involvement, and…Continue

Started by Jeff Sims. Last reply by Laura Garza Jun 24, 2012.

Trigger Points, easily eliminated 13 Replies

I can release trigger points anywhere on the body in 20 seconds with only finger tip pressure. Ive said it so many times.. No one believes me. Whatever... This time is that last I will say it..  Ive…Continue

Started by Gordon J. Wallis. Last reply by Shawnda Kettles Dec 7, 2011.

Observing breathing pattern disorders in the most chronic TP affected client. 1 Reply

My observation is those that are belly breathers are the worst.Do you do any diaphram release work and give corrective breathing advice? if so what do you ask your clients to do.? SteveContinue

Started by Stephen Jeffrey. Last reply by Dr. Ross Turchaninov Nov 4, 2011.

Follow up to the trigger point article

We observed so many misunderstanding in regard to trigger points and trigger point therapy that we decided to address them all at the same time in special article in the new issue of Journal of…Continue

Started by Dr. Ross Turchaninov Oct 26, 2011.

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Comment by Alfred Ball on November 5, 2009 at 8:27am
I am not sure how Clair is doing, but have heard he passed away. This is unconfirmed though.
Comment by Duane Herndon on October 8, 2009 at 11:58am
Thank you for the great information Henry. I have been working with the TMJ muscles along with the masseter and scalenes on my client with some relief for the tinnitus. He had spoken with a chiropractor who mentioned the sinus issue, so I wanted to check it out. I will definitely consider your recommendations for the foot and leg trigger point work as well in my client's next session, as he does exhibit some signs of postural distortion in the neck shoulders and back. I appreciate your feedback and I will keep you posted on progress with this situation.
Comment by Stephen Jeffrey on October 8, 2009 at 6:03am
Hi Alfred that all sounds good to me.
What is your or the groups experience of rib elevation in the upper thoracic area, as a primary factor, in chronic TP formation in shoulder joint muscles.
Regards steve
Comment by Alfred Ball on October 8, 2009 at 4:52am
I agree with Don Solomon. This is our approach to TrPs, Fascial Stretch Therapy and movement correction. Many chronic active TrPs are caused by muscles which are under eccentric load (locked long), the latent ones are locked short. Address both sides with patient movement education to get the muscles and joints into more optimal and efficient and operationl lengths (Thomas Myers, Anatomy Trains).
As Travell and Simmons say, some times there are factors such us Stress, increased cortisol and nutrition which affect muscle metabolism (not often addressed with patients/clients).Other times there are unchangeable factors like structure which affect biomechanical load (length length, scoliosis), so TrPs need to be addressed on a regular, long term basis - and will not ever fully "go away," but they can be diminished.

Don - really looking forward to speaking with you after the Fascial Conference. I am going back to Arizona for the Level II Upper Body Fascial Stretch Therapy
Comment by Don Solomon on October 8, 2009 at 1:42am
Dear Group
I have been listening to the verious discussions re Trpts and thought I would put my 2 cents woth in.. Firstly I believe in creative spelling :)
Although I agree with both Steven and Henry on the Prodrama to the actual trigger point release I have to differ on the general application. I think we have to alway start with a accurate assessment with a measurable base line, next clear for injury followed by application of corrective treatment (Fascial release, and Trpt release, plus breathing exercises and postural correction). I think it is easy to fall into the trap of specific treatment. It is to easy to loose sight of the overall effect. The qusstion is not how to treat the trpt but why is it there in the first place. Multisystem approach (like Osteopathy). We need to avoid recipe type approaches and, instead use assesment based and evidence based aproaches. Check out http://www.fasciacongress.org/2009/abstract_pdf/J_088R%20Vagedes%20Myofascial_Release_Triggerpoints_DeepBreathingTraining%5B1%5D.pdf
If the link does not work go to http://www.fasciacongress.org/2009/abstracts.htm then under section six click on •Myofascial Release in Combination with Trigger Point Therapy and Deep Breathing Training Improves Low Back Pain
I look forward to your thoughts.. Your,
Don Solomon, RMT (Vancouver BC, Canada)
Comment by Duane Herndon on October 7, 2009 at 11:22pm
A client recently brought an issue to my attention related to TMJ and tinnitus related to a trigger point in the sinus cavity. Has anyone heard of this situation, as I would like to gather some information to help my client with his condition. Thanks!
Comment by Stephen Jeffrey on October 7, 2009 at 7:05pm
My thoughts are that as the tissue is already ischemic and may have been so for some time, days months even years, ischemic pressure for another 5 seconds or even up to 2 mins longer wont do any harm.( sometimes you do have to wait a long time for muscle melt) I agree with you Henry, preparation and pinpoint accuracy are so important.
Regards steve
Comment by Stephen Jeffrey on October 5, 2009 at 8:36am
Hi Alex, Alfred and Henry, (and anybody else ) did you read Boris Prilutsks article, do you have an opinion ?
http://www.articlesbase.com/alternative-medicine-articles/trigger-point-therapy-85527.html#
I find to get the best release of TP you have to go through a range of strokes (taking several minutes) to prepare the TP for release. Can there ever be any shortcuts (less physical) in palpation/preparation in your view?
Alex , if I get a pop it tends to be the nearest vertebre adjusting ala osteo/chiro but without the high Velocity Thrust!
Regards steve
Comment by Alex Savelev on October 5, 2009 at 12:14am
Thanks Stephen for the link, great show there what happen in that kind knots. I do agree with time of application of the pressure, and return to area in some time (I never look on timer) but same concept.
In this cases I mostly use deep slow strokes with fixation of attachments (if can), then work on another side same, then return there again so its probably take 5+m, on second time I and clients often fill stretching "pups" in muscle belly, also clients tell me they fill numbness in area after return (body produce endorphin)
Comment by Alfred Ball on October 4, 2009 at 3:51pm
I am just starting to do more research on TrPs. Thanks for the article link. Yes, TrPs are already ischemic, you can make it more ischemic with the stroking, however you are also changing the neurological signal, to the contracted sacromere, which is is not relaxing. There has to be some other neurochemical, physiological component too.
 

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