CPDG trigger point research

Research articles

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CPDG evidence of acupuncture

Evidence history

Research Home VLE Courses Freesources Registration / Login Through extensive research and discovery, experts have been able to uncover a multitude of steps, that lead to an enhanced understanding, and knowledge, of Myofascial Trigger Points. From studying the physiological make-up of these points, to analysing their effects on the body, the process of gaining deeper

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CPDG evidence of efficacy

Evidence of efficay

Research Home VLE Courses Freesources Registration / Login This illuminating introduction provides a wealth of information to delve into the vast body of research supporting the efficacy of trigger point acupuncture in tackling a plethora of ailments. Take a deep dive into the multitude of findings, studies, and factors that contribute to our comprehension of

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CPDG recovery position for fainting

Adverse events

Health and safety Home VLE Courses Freesources Registration / Login Acupuncture is very safe, however as in all invasive treatments, adverse events can occur. If they occur, they should be recorded in the patient’s notes and in a logbook. Reports from an NHS-NRLS database (Wheway 2012) showed 325 reported incidents over a 3-year period. Adverse

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CPDG health and safety delivering training

Safety

Health and safety Home VLE Courses Freesources Registration / Login During trigger point acupuncture, you as a practitioner must give careful consideration to an array of safety precautions. Ensuring proper needle insertion and placement, evaluating the patient’s current physical state and medical history, and vigilantly monitoring their reaction to the therapy are all crucial components

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CPDG trigger point what if i do nothing

What if I do nothing?

Homework for you and your patients Home VLE Courses Freesources Registration / Login Would Trigger Points get better if I do nothing? Resting and avoiding the original cause of your trigger point will help in reducing the pain and symptoms. But, on closer examination, you will find that after a period of rest, the muscles

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CPDG He sea points for trigger points

He Sea Points

Traditional Chinese Medicine Home VLE Courses Freesources Registration / Login Within TCM the He-Sea points are classified as one of the five shu-points. It is said He-Sea points are where the flow Qi in the channel becomes wide and steady and turns inwards to flow towards the channel related organ. The practical application within the

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CPDG acupuncture for trigger points TCM

Traditional Chinese Medicine

Traditional Chinese Medicine Home VLE Courses Freesources Registration / Login In Traditional Chinese Medicine TCM), pain is caused by stagnation, the lack of movement or flow. Therefore, any obstruction, whether it is caused by an Ah Shi point, a strain, or other, will cause pain. Trigger points in Western Medicine Acupuncture (WMA) are compared to

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CPDG acupuncture for trigger points

Direct needling

Treatment options Home VLE Courses Freesources Registration / Login What does direct needling, or pistoning, achieve? From a neurophysiological viewpoint, trigger point needling may reduce both peripheral and central sensitization by eliminating the source of nociception in the periphery/muscle. Eliminating nociceptive signals that travel to the spine will moderate activity in the Dorsal Horn area

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CPDG Cinderella pain theory

Cinderella hypothesis

What is pain? some hypothesis Home VLE Courses Freesources Registration / Login CinderellaAn alternative hypothesis to explain the emergence of trigger points is the ‘Cinderella’ Hypothesis, proposed by Hagg, and it describes how musculoskeletal disorder symptoms may arise from muscle recruitment patterns during sub-maximal level, static exertions with a moderate or low physical load. Smaller

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CPDG motor end plate theory

Motor end plate hypothesis

What is pain? some hypothesis Home VLE Courses Freesources Registration / Login The motor end plate hypothesis of pain is an intriguing theory that explores the underlying mechanisms responsible for specific pain sensations in the body. This hypothesis was first introduced by researchers in the field of pain management and neuroscience who proposed that pain

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CPDG energy crisis theory

Energy crisis

What is pain? some hypothesis Home VLE Courses Freesources Registration / Login The energy crisis theory of pain is an intriguing and thought-provoking explanation for how pain manifests in our bodies. According to this theory, when cells do not receive the energy they need, they produce chemicals that can initiate an excruciating sensation. This can

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CPDG trigger point twitch response

Local twitch response

Diagnosis Home VLE Courses Freesources Registration / Login Elicit Local Twitch Response (LTR) (Mense and Simons, 2001): finger pressure perpendicular over the taut band produces a quick contraction in the muscle fibres of the taut band – a twitch response (LTR). Although not yet fully understood it is thought that the LTR is a spinal

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CPDG trigger point EMG

EMG

Diagnosis Home VLE Courses Freesources Registration / Login EMG recording of excess Miniature End Plate Potentials (MEPPs), which is spontaneous electrical activity that is not seen in surrounding tissue due to excessive release of ACh (Hubbard and Berkoff, 1993). It is hypothesized that excessive Ach released at the motor endplate perpetuates a contracture of associated

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CPDG trigger point doppler

Doppler

Diagnosis Home VLE Courses Freesources Registration / Login Doppler: Hot spot, and retrograde flow in diastole as vascular bed is highly resistive. (A) Subject with an active (symptomatic) trigger point visible as a hypoechoic region on the grayscale image, and an artery running through the trigger point visible on colour Doppler (the Doppler sample volume

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CPDG trigger point ultrasound

Ultrasound

Diagnosis Home VLE Courses Freesources Registration / Login Ultra Sound: Hypoechoic area Gray-scale imaging of a trigger point in the upper trapezius. (A) An isolated trigger point appears as a well-defined focal hypoechoic nodule. (B) A series of 4 hypoechoic trigger point in the upper trapezius. From Sikdar and Shah, 2009.   Listen here

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CPDG diagnosis trigger point palpate

Palpation

Diagnosis Home VLE Courses Freesources Registration / Login Palpation: Myburgh (2008) and Lucas et al. (2009 and 2016) reported that “there is no accepted reference standard for the diagnosis of trigger points, and data on the reliability of physical examination for trigger points are conflicting.”. Hsieh (’07) states that inter-examiner reliability is of a moderate

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CPDG diagnosis of trigger point

Diagnosing a trigger point

Diagnosis Home VLE Courses Freesources Registration / Login Diagnose a Trigger PointFor diagnostic purposes palpation of a tender point should reveal a palpable taut band with obvious pain on pressure, referred pain, and a local twitch response. The patient may call out ‘That’s it!’ when you hit the right spot. In TCM it is called

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