Research Home VLE Courses Freesources CPDG Shop Advancing Musculoskeletal Diagnosis and Therapy: A Comprehensive Review of Trigger Point Theory and Muscle Pain PatternsThis review discusses advancements in the understanding and clinical application of trigger points in musculoskeletal pain.Read the article on Frontiers Trigger Point Injections Versus Medical Management for Acute Myofascial PainA systematic review analysing […]
Traditional Chinese Medicine Home VLE Courses Freesources Registration / Login Trigger points in Western Medical Acupuncture (WMA) are compared to ‘Ah Shi’ points in Traditional Chinese Medicine, the loose translation of which means ‘Oh yes / that’s it!’ These points and were already described in the 7th Century by the Chinese physician Sun Tsu. In
Trigger points – what are they? Home VLE Courses Freesources Registration / Login The main cause of trigger points are usually muscle overloading (use exceeding capacity). This is usually via sustained or repetitive low level muscle contractions. The best way to deal with trigger points is different for each patient, so it’s a good for
Research Home VLE Courses Freesources CPDG Shop 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 makeup of these points, to analysing their effects on the body, the process of gaining deeper insight
Research Home VLE Courses Freesources CPDG Shop This enlightening introduction provides a wealth of information to explore the extensive body of research supporting the effectiveness of trigger point acupuncture in addressing a variety of ailments. Dive deeply into the numerous findings, studies, and factors that enhance our understanding of how this targeted approach can offer
Health and safety Home VLE Courses Freesources CPDG Shop Acupuncture is very safe; however, as with 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 events
Health and safety Home VLE Courses Freesources CPDG Shop During trigger point acupuncture, as a practitioner, you 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 for
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
Traditional Chinese Medicine Home VLE Courses Freesources CPDG Shop 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 area
Traditional Chinese Medicine Home VLE Courses Freesources CPDG Shop 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 Medical Acupuncture (WMA) are compared to ‘Ah
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
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
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
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
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
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
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
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
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
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
