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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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When the pain stops and ROM is restored after trigger point therapy, that is a damned fine indication that trigger point were in fact the cause of the pain.
For two years, the guy had been the recipient of expensive medical testing, and had been given pills for the pain along with physical therapy "stretching and strengthening" treatments, but nothing brought him any relief. When all else fails to produce, but a few minutes spent with Gordon instantly relieves the pain, it's understandable that both the client and Gordon credit Gordon's trigger point therapy techniques with providing the pain relief.
There is much more at work here that lends itself to the client feeling better, than massaging a soft tissue lump. Basing your outcome only on technique and projected outcomes (eg; agenda driven) certainly makes us seem all kinds of awesome, doesn't it?
Oversimplifying the human body and how it responds (eg; CNS) to touch seems to be, collectively, more about keeping us relevant and our clients happy than taking the time to fully understand what is currently being brought to light in pain science research.
The truth is much of what we think we are doing, is simply untrue, and also much of what we are doing, is unclear because we have no way of measuring these outcomes - too many variables to produce unbiased, credible findings. To fill-in the gaps with projections and pseudo-sciency terms and notions does nothing to further our vocation, especially for those who want to align themselves with the medical community.
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