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Myofascial Trigger Points

Myofascial Trigger Points
  • Author : Jan Dommerholt,Peter Huijbregts
  • Publisher :Unknown
  • Release Date :2010-10-22
  • Total pages :294
  • ISBN : 0763779741
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Summary : This book examines a special topic, JMMT. Emphasis is on the etiology of trigger points with a critical overview of current concepts. The contributing authors are the most respected myofascial pain research and practice experts. The authors address the etiology of trigger points, the epidemiology of myofascial pain, clinical management of patients, specific treatment issues, and the role of trigger points in various pain syndromes.

The Trigger Point Therapy Workbook

The Trigger Point Therapy Workbook
  • Author : Clair Davies,Amber Davies
  • Publisher :Unknown
  • Release Date :2013-09-01
  • Total pages :376
  • ISBN : 9781608824960
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Summary : Trigger point therapy is one of the fastest-growing and most effective pain therapies in the world. Medical doctors, chiropractors, physical therapists, and massage therapists are all beginning to use this technique to relieve patients’ formerly undiagnosable muscle and joint pain, both conditions that studies have shown to be the cause of nearly 25 percent of all doctor visits. This book addresses the problem of myofascial trigger points—tiny contraction knots that develop in a muscle when it is injured or overworked. Restricted circulation and lack of oxygen in these points cause referred pain. Massage of the trigger is the safest, most natural, and most effective form of pain therapy. Trigger points create pain throughout the body in predictable patterns characteristic to each muscle, producing discomfort ranging from mild to severe. Trigger point massage increases circulation and oxygenation in the area and often produces instant relief. The Trigger Point Therapy Workbook, Third Edition, has made a huge impact among health professionals and the public alike, becoming an overnight classic in the field of pain relief. This edition includes a new chapter by the now deceased author, Clair Davies’ daughter, Amber Davies, who is passionate about continuing her father’s legacy. The new edition also includes postural assessments and muscle tests, an illustrated index of symptoms, and clinical technique drawings and descriptions to assist both practitioners and regular readers in assessing and treating trigger points. If you have ever suffered from, or have treated someone who suffers from myofascial trigger point pain, this is a must-have book.

Trigger Point Therapy for Myofascial Pain

Trigger Point Therapy for Myofascial Pain
  • Author : Donna Finando,Steven Finando
  • Publisher :Unknown
  • Release Date :2005-08-22
  • Total pages :256
  • ISBN : 9781620550687
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Summary : A clinical reference manual for the evaluation and treatment of muscle pain • Contains detailed illustrations of pain patterns and trigger-point locations • 15,000 copies sold in first hardcover edition Myofascial pain syndromes are among the fastest growing problems that physicians, osteopaths, acupuncturists, and physical, occupational, and massage therapists encounter in their patients. In Trigger Point Therapy for Myofascial Pain Donna and Steven Finando have organized vast amounts of information on treating myofascial pain into an accessible "user's manual" for healthcare practitioners. They examine a wide range of pain patterns and present evaluation and palpation techniques for reducing trigger points--and thereby alleviating pain--in the most clinically significant musculature of the body. This comprehensive yet easy-to-use reference guide to treatment of muscle pain begins with chapters on the concept of Qi and its relationship to myology, specific trigger point location and activation, and palpatory skill-building techniques. Subsequent sections provide detailed information on each muscle to teach clinicians to locate quickly and accurately individual points of pain and compensation. A visual index allows easy identification of the muscles that may be involved. Trigger Point Therapy for Myofascial Pain provides necessary and invaluable information for sufferers and any professional involved with myofascial disorders.

Myofascial Trigger Points

Myofascial Trigger Points
  • Author : Dominik Irnich
  • Publisher :Unknown
  • Release Date :2013
  • Total pages :568
  • ISBN : 0702043125
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Summary : Edited by Dominik Irnich, MD, this clearly written and fully illustrated multi-contributor volume offers practical, comprehensive coverage of the subject area ranging from the latest scientific research findings to practical usage of current manual therapy techniques. Including the latest information from centres of excellence throughout the world, this new book is suitable for osteopathic physicians, osteopaths, chiropractors, manual therapists, physiotherapists, acupuncturists and massage therapists as well as general physicians working in primary care, physical medicine, rehabilitation, pain management and internal medicine. Offers practical and clinically relevant information to all practitioners and therapists working in the field Edited by an international expert in pain management and trigger point therapy Abundant use of pull-out boxes, line artwork, photographs and tables facilitates ease of understanding Carefully prepared by a worldwide team of clinically active and research oriented contributors to provide helpful and clinically relevant information Presents the latest research findings for many aspects of trigger point therapy Provides a holistic view of patient care including the importance of patient communication and psychological aspects of pain control Provides a handy reference for rapid and effective diagnosis and treatment of trigger points Highlights the 65 most important muscles in a comprehensive practical style which includes anatomy, symptoms, pain patterns, physical examination and strategies for effective treatment Offers an ideal resource for training courses in trigger point injection, osteopathy, manual therapy and acupuncture Suitable for osteopathic physicians, osteopaths, chiropractors, manual therapists, acupuncturists and massage therapists as well as general physicians working in primary care, physical medicine, rehabilitation, pain management and internal medicine

Healing Through Trigger Point Therapy

Healing Through Trigger Point Therapy
  • Author : Devin J. Starlanyl,John Sharkey
  • Publisher :Unknown
  • Release Date :2013
  • Total pages :263
  • ISBN : 9781583946091
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Summary : "This guide to trigger points is comprehensive resource for the diagnostics, care, treatment and prevention of symptoms related to fibromyalgia, myofascial pain, and other commonly misdiagnosed chronic pain conditions"--Provided by publisher.

Trigger Point Therapy for Myofascial Pain

Trigger Point Therapy for Myofascial Pain
  • Author : Donna Finando,Steven Finando
  • Publisher :Unknown
  • Release Date :2005-08-22
  • Total pages :256
  • ISBN : 1594770549
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Summary : A clinical reference manual for the evaluation and treatment of muscle pain • Contains detailed illustrations of pain patterns and trigger-point locations Myofascial pain syndromes are among the fastest growing problems that physicians, osteopaths, acupuncturists, and physical, occupational, and massage therapists encounter in their patients. In Trigger Point Therapy for Myofascial Pain Donna and Steven Finando have organized vast amounts of information on treating myofascial pain into an accessible "user's manual" for healthcare practitioners. They examine a wide range of pain patterns and present evaluation and palpation techniques for reducing trigger points--and thereby alleviating pain--in the most clinically significant musculature of the body. This comprehensive yet easy-to-use reference guide to treatment of muscle pain begins with chapters on the concept of Qi and its relationship to myology, specific trigger point location and activation, and palpatory skill-building techniques. Subsequent sections provide detailed information on each muscle to teach clinicians to locate quickly and accurately individual points of pain and compensation. A visual index allows easy identification of the muscles that may be involved. Trigger Point Therapy for Myofascial Pain provides necessary and invaluable information for sufferers and any professional involved with myofascial disorders.

The Concise Book of Dry Needling

The Concise Book of Dry Needling
  • Author : John Sharkey
  • Publisher :Unknown
  • Release Date :2017-03-28
  • Total pages :264
  • ISBN : 9781623170844
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Summary : A major development in the safe and effective treatment of myofascial trigger points and myofascial pain, this book is a concise, comprehensive, and well-illustrated reference on dry needling. John Sharkey—an international authority on myofascial trigger points, myofascial pain, myofascial trigger point dry needling, and neuromuscular therapy as well as an accredited clinical anatomist—draws on his thirty years of experience in bodywork and movement therapy to provide accurate and essential criteria for the identification and subsequent treatment of myofascial trigger points through the exclusive use of a fine, filiform needle. The ideal accompaniment to course notes and the perfect tableside reference guide, this book describes the origin, etiology, and pathophysiology of the myofascial trigger point as well as indications and contraindications for myofascial trigger point dry needling. Instructive illustrations support the text, along with standards and guidelines that ensure safe, effective, and appropriate application. Physical therapists including osteopaths, chiropractors, neuromuscular therapists, soft tissue therapists, physiotherapists, and sports massage therapists will find this guide indispensible. Because Sharkey explains why so many people have unresolved chronic pain and provides clear explanations of how pain is propagated, the book is also an invaluable source of information for patients with chronic pain and their care providers.

Pain and Disability

Pain and Disability
  • Author : Institute of Medicine,Committee on Pain, Disability, and Chronic Illness Behavior
  • Publisher :Unknown
  • Release Date :1987-01-01
  • Total pages :320
  • ISBN : 9780309037372
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Summary : Pain--it is the most common complaint presented to physicians. Yet pain is subjective--it cannot be measured directly and is difficult to validate. Evaluating claims based on pain poses major problems for the Social Security Administration (SSA) and other disability insurers. This volume covers the epidemiology and physiology of pain; psychosocial contributions to pain and illness behavior; promising ways of assessing and measuring chronic pain and dysfunction; clinical aspects of prevention, diagnosis, treatment, and rehabilitation; and how the SSA's benefit structure and administrative procedures may affect pain complaints.

Manual Trigger Point Therapy

Manual Trigger Point Therapy
  • Author : Roland Gautschi
  • Publisher :Unknown
  • Release Date :2019-04-12
  • Total pages :714
  • ISBN : 9783132203112
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Summary : Treating pain where it originates! Manual trigger point therapy combines mechanical, reflex, biochemical, energetic, functional, cognitive-emotional, and behaviorally effective phenomena. As such, it influences not only peripheral nociceptive pain, but also intervenes in the body's pain-processing and transmission mechanisms. Here you will learn: a systematic, manual-therapeutic approach to recognize and deactivate the potential of trigger points to cause pain and dysfunction; how to treat the accompanying fascial disorders; and how to prevent recurrences. Key Features: Clinical background of myofascial pain and dysfunction Muscles, trigger points, and pain patterns at a glance Neuromuscular entrapments shown in detail Screening tests und pain guides for all common clinical patterns Manual treatment of trigger points and fasciae Manual Trigger Point Therapy is your one-stop, comprehensive introduction to this fascinating, proven technique.

Trigger Point Dry Needling,An Evidence and Clinical-Based Approach,1

Trigger Point Dry Needling,An Evidence and Clinical-Based Approach,1
  • Author : Jan Dommerholt,C?sar Fern?ndez-De-Las-Pe?as
  • Publisher :Unknown
  • Release Date :2013
  • Total pages :258
  • ISBN : 9780702046018
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Summary : This exciting new publication is the first authoritative resource on the market with an exclusive focus on Trigger Point ((TrP) dry needling. It provides a detailed and up-to-date scientific perspective against which TrP dry needling can be best understood. The first section of the book covers important topics such as the current understanding and neurophysiology of the TrP phenomena, safety and hygiene, the effect of needling on fascia and connective tissue, and an account on professional issues surrounding TrP dry needling. The second section includes a detailed and well-illustrated review of deep dry needling techniques of the most common muscles throughout the body. The third section of the book describes several other needling approaches, such as superficial dry needling, dry needling from a Western Acupuncture perspective, intramuscular stimulation, and Fu's subcutaneous needling. Trigger Point Dry Needling brings together authors who are internationally recognized specialists in the field of myofascial pain and dry needling. First book of its kind to include different needling approaches (in the context of evidence) for the management of neuromuscular pain conditions Highlights both current scientific evidence and clinicians' expertise and experience Multi-contributed by a team of top international experts Over 200 illustrations supporting the detailed description of needling techniques

Myofascial Trigger Points - E-Book

Myofascial Trigger Points - E-Book
  • Author : Dominik Irnich
  • Publisher :Unknown
  • Release Date :2013-04-16
  • Total pages :480
  • ISBN : 9780702052873
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Summary : Pain and limited function of the locomotor system are the most common reasons for visiting a doctor or therapist. Muscles play a key part in these presentations as a result of their function and anatomy with current research suggesting that muscle imbalance, muscle tension and painful functional disorders are at the forefront when it comes to acute or chronic symptoms. The clinical correlate with all such symptoms is the myofascial trigger point. Myofascial Trigger Points: Comprehensive Diagnosis and Treatment examines all aspects of muscle physiology and the pathogenesis of myofascial pain. The book provides valuable advice on diagnosis and differential diagnosis and contains detailed, practice-oriented information and numerous illustrations of the various therapeutic procedures for the treatment of myofascial trigger points. Prepared by experts from throughout the world, Myofascial Trigger Points: Comprehensive Diagnosis and Treatment will be ideal for all manual therapists, physiotherapists, osteopathic physicians, osteopaths, chiropractors, acupuncturists, massage therapists and naturopaths. Offers practical and clinically relevant information to all practitioners and therapists working in the field Edited by an international expert in pain management and trigger point therapy Abundant use of pull-out boxes, line artwork, photographs and tables facilitates ease of understanding Carefully prepared by a worldwide team of clinically active and research oriented contributors to provide helpful and clinically relevant information Presents the latest research findings for many aspects of trigger point therapy Provides a holistic view of patient care including the importance of patient communication and psychological aspects of pain control Provides a handy reference for rapid and effective diagnosis and treatment of trigger points Highlights the 65 most important muscles in a comprehensive practical style which includes anatomy, symptoms, pain patterns, physical examination and strategies for effective treatment Offers an ideal resource for training courses in trigger point injection, osteopathy, manual therapy and acupuncture Suitable for osteopathic physicians, osteopaths, chiropractors, manual therapists, acupuncturists and massage therapists as well as general physicians working in primary care, physical medicine, rehabilitation, pain management and internal medicine

The Manual of Trigger Point and Myofascial Therapy

The Manual of Trigger Point and Myofascial Therapy
  • Author : Dimitrios Kostopoulos,Konstantine Rizopoulos
  • Publisher :Unknown
  • Release Date :2001
  • Total pages :240
  • ISBN : 1556425422
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Summary : This book "offers the reader a comprehensive therapeutic approach for the valuation and treatment of myofascial pain and musculoskeletal dysfunction." "The first section covers the theory and current research regarding myofascial trigger point syndrome. The second section includes the muscles that tend to have a higher incidence of myofascial involvement. Each muscle is supplemented by two pages of text, photographs and illustrations to better aid the student or clinician in an institutional or practice setting." - back cover.

Trigger Point Pain Patterns

Trigger Point Pain Patterns
  • Author : Janet G. Travell,David G. Simons
  • Publisher :Unknown
  • Release Date :1993
  • Total pages :229
  • ISBN : 0683083686
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Summary : Trigger Point Pain Patterns Wall Charts

Myofascial Pain and Fibromyalgia

Myofascial Pain and Fibromyalgia
  • Author : Edward S. Rachlin,Isabel S. Rachlin
  • Publisher :Unknown
  • Release Date :2002
  • Total pages :606
  • ISBN : UOM:39015054249837
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Summary : This concise, but thorough text covers both the theory and current practice of fibromyalgia and myofascial pain management. It provides practical, step-by-step descriptions of both traditional and state-of-the-art approaches to trigger point injections and nerve blocks, accompanied by clear diagrams that illustrate pain patterns, muscle anatomy, patient positioning, and more. An interdisciplinary approach draws on the knowledge and expertise of authorities in the fields of rheumatology, physiatry, orthopedic surgery, psychology, endocrinology, physical therapy, dentistry, ergonomic engineering, and anesthesiology. Diagnosis and treatment of fibromyalgia. The metabolic and endocrine causes of muscle pain. Treatment of neck and back pain and repetitive stress injuries. Alternative and complementary approaches to treating muscle pain and chronic pain. New diagnostic and injection techniques for myofascial pain, fibromyalgia, and trigger points. Nerve block therapy for myofascial pain. Diagnosis of musculoskeletal pain in children. Facial pain management. Five brand-new chapters (See the Table of Contents.) The role of physical therapy, including electrical modalities, massage techniques, manual therapy techniques, body mechanics, and ergonomics.

Essentials of Physical Medicine and Rehabilitation

Essentials of Physical Medicine and Rehabilitation
  • Author : Walter R. Frontera,Julie K. Silver,Thomas D. Rizzo
  • Publisher :Unknown
  • Release Date :2008
  • Total pages :935
  • ISBN : 9781416040071
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Summary : Practical and authoritative, this new edition delivers easy access to the latest advances in the diagnosis and management of musculoskeletal disorders and other common conditions requiring rehabilitation. Each topic is presented in a concise, focused, and well-illustrated two-color format featuring a description of the condition, discussion of symptoms, examination findings, functional limitations, and diagnostic testing. The treatment section is extensive and covers initial therapies, rehabilitation interventions, procedures, and surgery. From sore shoulders in cancer patients to spinal cord injuries, Essentials of Physical Medicine and Rehabilitation, 2nd Edition provides you with the knowledge you need to face every challenge you confront. Offers practical, clinically relevant material for the diagnosis and treatment of musculoskeletal conditions. Discusses physical agents and therapeutic exercise in the prevention, diagnosis, treatment and rehabilitation of disorders that produce pain, impairment, and disability. Presents a consistent chapter organization that delivers all the content you need in a logical, practical manner. Presents a new co-editor, Thomas D. Rizzo, Jr., MD, and a pool of talented contributors who bring you fresh approaches to physical medicine and rehabilitation. Offers current evidence and expert guidance to help you make more accurate diagnoses and chose the best treatment option for each patient. Features an entirely new section on pain management so you can help your patients reach their full recovery potential. Incorporates redrawn artwork that makes every concept and technique easier to grasp. Includes updated ICD-9 codes giving you complete information for each disorder.

Healing through Trigger Point Therapy

Healing through Trigger Point Therapy
  • Author : Devin J. Starlanyl,John Sharkey
  • Publisher :Unknown
  • Release Date :2013-10-22
  • Total pages :416
  • ISBN : 9781583946251
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Summary : This book is about empowerment for chronic pain patients and care providers alike. Every chronic pain condition has a treatable myofascial trigger point component, including fibromyalgia. Many of the localized symptoms now considered as fibromyalgia are actually due to trigger points. The central sensitization of fibromyalgia amplifies symptoms that trigger points cause, and this book teaches care providers and patients how to identify and treat those causes. Chronic myofascial pain due to trigger points can be body-wide, and can cause or maintain fibromyalgia central sensitization. Trigger points can cause and/or maintain or contribute to many types of pain and dysfunction, including numbness and tingling, fibromyalgia, irritable bowel syndrome, plantar fasciitis, osteoarthritis, cognitive dysfunctions and disorientation, impotence, incontinence, loss of voice, pelvic pain, muscle weakness, menstrual pain, TMJ dysfunction, shortness of breath, and many symptoms attributed to old age or "atypical" or psychological sources. Trigger point therapy has been around for decades, but only recently have trigger points been imaged at the Mayo Clinic and National Institutes of Health. Their ubiquity and importance is only now being recognized. Devin Starlanyl is a medically trained chronic myofascial pain and fibromyalgia researcher and educator, as well as a patient with both of these conditions. She has provided chronic pain education and support to thousands of patients and care providers around the world for decades. John Sharkey is a physiologist with more than twenty-seven years of anatomy experience, and the director of a myofascial pain facility. Together they have written a comprehensive reference to trigger point treatment to help patients with fibromyalgia, myofascial pain, and many other conditions. This guide will be useful for all types of doctors, nurses, therapists, bodyworkers, and lay people, facilitating communication between care providers and patients and empowering patients who now struggle with all kinds of misunderstood and unexplained symptoms. Part 1 explains what trigger points are and how they generate symptoms, refer pain and other symptoms to other parts of the body, and create a downward spiral of dysfunction. The authors look at the interconnection between fibromyalgia and myofascial trigger points and their possible causes and symptoms; identify stressors that perpetuate trigger points such as poor posture, poor breathing habits, nutritional inadequacies, lack of sleep, and environmental and psychological factors; and provide a list of over one hundred pain symptoms and their most common corresponding trigger point sources. Part 2 describes the sites of trigger points and their referral patterns within each region of the body, and provides pain relief solutions for fibromyalgia and trigger point patients and others with debilitating symptoms. Pain treatment plans include both self-help remedies for the patient—stretching or postural exercises, self-massage techniques and prevention strategies—as well as diagnostic and treatment hints for care providers. Part 3 offers guidance for both patients and care providers in history taking, examination, and palpation skills, as well as treatment options. It offers a vision for the future that includes early assessment, adequate medical training, prevention of fibromyalgia and osteoarthritis, changes to chronic pain management and possible solutions to the health care crisis, and a healthier version of our middle age and golden years, asserting that patients have a vital role to play in the management of their own health. From the Trade Paperback edition.

Trigger Points

Trigger Points
  • Author : Anatomical Chart Company
  • Publisher :Unknown
  • Release Date :2007
  • Total pages :9
  • ISBN : 1587799596
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Summary : This easy-to-use flip chart book has a built-in easel, heavy-duty laminated and markable pages, and is a perfect visual aid for explaining the role of trigger points in causing pain and discomfort. The book includes 33 detailed anatomical illustrations of trigger points and affected pain sensitive areas, as well as 22 diagrams of pain relief exercises. Improvements in this Second Edition include: Enhanced introduction that gives an overview of the musculoskeletal system, the development of trigger points, and the treatment and prevention of myofascial pain Updated images Improved page organization, including repeating the trigger point and pain zone legend on each page for easier use Chapters: Torso and Shoulder: Anterior Torso and Shoulder: Posterior Superficial Torso and Shoulder: Posterior Deep Anterior-Posterior Pain Referral Guide Head and Neck Upper Extremity Lower Extremity Made in USA

Acupuncture, Trigger Points and Musculoskeletal Pain

Acupuncture, Trigger Points and Musculoskeletal Pain
  • Author : Peter Baldry
  • Publisher :Unknown
  • Release Date :2005
  • Total pages :367
  • ISBN : UOM:39015060780932
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Summary : Peter Baldry explains how musculoskeletal pain can be simply & effectively treated by acupuncture. This new edition has been updated with new material on fibromyalgia, the neurophysiology of myofascial trigger points, whiplash injuries & complex regionalpain syndromes.

Informed Touch

Informed Touch
  • Author : Donna Finando,Steven Finando
  • Publisher :Unknown
  • Release Date :1999-10-28
  • Total pages :224
  • ISBN : 0892817402
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Summary : A clinical reference manual for the evaluation and treatment of muscle pain. • Detailed color illustrations of pain patterns and trigger-point locations. • First accessible reference manual for acupuncturists, chiropractors, osteopaths, and physical, occupational, and massage therapists. In this easy-to-use guide to the treatment of muscle pain, medical educators Steven and Donna Finando present evaluation and palpation techniques for reducing trigger points--and thereby alleviating pain--in the most clinically significant musculature of the body. A "user's manual" for health care practitioners, Informed Touch examines a wide range of pain patterns and their treatment. Introductory chapters include discussion of the oriental medicine concept of Qi and its relationship to myology, information on trigger point location and activation, and palpatory skill-building techniques. Detailed information on each muscle, including pain-pattern and trigger-point illustrations and specific palpation instructions, allows clinicians to locate specific areas quickly and accurately. A visual index, showing reduced versions of the pain-pattern illustrations, makes it easy for clinicians to identify the muscles that may be involved in a patient's complaint. Informed Touch answers the reference needs of the growing community of physical and occupational therapists, acupuncturists, chiropractors, osteopaths, and massage therapists.

Trigger Point Therapy with the Foam Roller

Trigger Point Therapy with the Foam Roller
  • Author : Karl Knopf,Chris Knopf
  • Publisher :Unknown
  • Release Date :2014-10-07
  • Total pages :144
  • ISBN : 9781612433547
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Summary : UNLOCK THE HEALING POWERS OF THE TRIGGER POINT FOAM ROLLER WITH STEP-BY-STEP EXERCISES ANYONE CAN DO AT HOME Deceptively simple and incredibly versatile, the trigger point foam roller is a highly effective self-therapy tool. By following the step-by-step movements in this book, you can maximize its healing potential to: •Alleviate Pain •Speed Recovery •Release Tension •Break Up Knots •Rehabilitate Injuries •Increase Flexibility A complete guide to using this amazing piece of equipment for self-treatment, Trigger Point Therapy with the Foam Roller shows how to soothe, relieve and heal the tight muscles caused by everything from hours sitting at a desk to overdoing it at the gym. It also details the best methods to release painful trigger points and break up soft-tissue adhesions that contribute to chronic pain.

Trigger Point Therapy for Headaches & Migraines

Trigger Point Therapy for Headaches & Migraines
  • Author : Valerie DeLaune
  • Publisher :Unknown
  • Release Date :2008
  • Total pages :165
  • ISBN : 9781572245259
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Summary : I have such a bad headache! For many of us, this is an oft repeated cry of anguish. Statistics about headaches and migraines are downright astonishing: One in six people have frequent headaches, and of those, one in ten suffers from migraines. You are not alone. Headaches and migraines result in more than 10 million doctor visits each year. If you struggle frequently with headache pain, this book offers a welcome solution. Trigger point therapy is an effective self-care approach you can use to get relief from headache pain. Trigger points form in a portion of the muscle cell where blood flow is reduced and metabolic wastes are not being exchanged for oxygen and nutrients. When enough trigger points are located together, they can form palpable knots in the tissue. Trigger points can cause pain, either in the area of the trigger point, or by referral to other areas of the body. Trigger points can be treated by applying pressure to affected areas, often providing instant relief. This book explains trigger point physiology and then offers a complete program for self-care that includes detailed illustrations of all pressure and stretching techniques. In addition, it provides an in-depth look at the factors that cause and perpetuate trigger points, such as body mechanics, injuries, diet and nutritional deficiencies, hormonal imbalances, and emotional factors, and provides solutions to address each perpetuating factor.