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MYOFASCIAL TRIGGER POINT THERAPY
AND 
MYOFASCIAL PAIN DYSFUNCTIONS

 

The Myofascial Trigger Point (TrP) Syndrome is commonly encountered in the practice of physical medicine and rehabilitation.  The management of these common musculoskeletal aches and pains remain a major frustration to physicians and patients alike.  These Myofascial Trigger point mechanisms may be initiated by:

 

  1.  a specific incident of direct trauma to muscle or joint, or
  2.  a cumulative process of chronic muscular strain/fatigue.

 

When injured, most tissues heal, but muscle and fascia, 

(also called skeletal muscles) "learn", readily developing habits of guarding that limit movement and impair circulation.  The symptoms long outlast the precipitating events, owing to perseverating reflex patterns and continuing mechanical stresses on the affected somatic structures.  Chronic pain, dysfunction of muscles and restriction of movement result.

 

Myofascial pain syndromes generally respond more readily, and with fewer treatments, when they are recognized promptly.  Myofascial structures, like viscera, refer pain in predictable patterns which do not follow a simple segmental distribution but which are specific for a given site of origin.  This constancy of myofascial pain distribution thus enables the trained Myofascial Trigger Point therapist to use these patterns of referred pain to locate trigger points responsible for the pain.

 

THE GOAL OF MYOFASCIAL TRIGGER POINT THERAPY  IS TO:

  1. RESTORE full range of motion by
  2. INACTIVATING active myofascial trigger points and
  3. RESTORING normal resting muscle length and function 
  4. FACILITATE  muscular retraining through Patient education and his/her incorporation of passive self- stretches at home and at work to reduce biomechanical, environmental and postural stressors.

 


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