The Effectiveness of Trigger Point Therapy on the Frozen Shoulder
Travell and Simons portrayed trigger points without exaggeration as the scourge of mankind (Davies “The frozen shoulder workbook” 41). Trigger points are so painful that they can reduce the quality of someone’s life. They can take away the ability for someone to do simple things like open a car door, wash their hair, or even worse perform their job. Trigger points are very common and most people will experience a trigger point in their muscles at any given time. This paper will examine the effectiveness of trigger point therapy on the frozen shoulder.
One of the most common areas to get a trigger point is in the shoulder. When a person has severe reduction in range of motion, strength and pain with movement in the shoulder it is usually labeled a frozen shoulder. The term frozen shoulder is a very broad term in the medical community and not really considered a diagnosis. A frozen shoulder can have many causes a person can have tendonitis or adhesive capsulitis and they will all be labeled as a frozen shoulder.
Travell and Simons who are considered pioneers in trigger point therapy strongly disagree with that thought process. They feel that their research proves that trigger points are the leading cause of frozen shoulder. When trigger point therapy is used on the frozen shoulder they state the frozen shoulder will resolve. They conducted many studies that proved trigger points could not only be located that they could be treated effectively.
Travell and Simons define “a trigger point as a highly irritable localized spot of exquisite tenderness in a nodule in a palpable taut band of muscle tissue.”(Davies, “The frozen shoulder ...
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...gger point. One of the explanations as to why trigger point therapy is not so widely known is that many physicians do not get any training on myofascial pain. As Clair Davies states about physicians in “The Frozen Shoulder Workbook” “The vast majority cling to antiquated beliefs regarding the treatment of pain” (40).
The research and patient positive outcomes supports the effectiveness of trigger point therapy. Trigger point therapy is an effective therapy treatment for a patient with a frozen shoulder. If a patient with a frozen shoulder gets a skilled therapist and a doctor with knowledge of trigger points they will have a faster recovery and be pain free. The real question is not the effectiveness of trigger point therapy but why it is not more widely used.
On History- The patient was a 49-year-old Caucasian male with a chief complaint of pain and weakness in R shoulder abduction and external rotation (dominant shoulder). He was a retired baseball player. He has been a baseball pitcher for 12 years before he retired 5 years
Shoulder and neck pain are the most common musculoskeletal disorders one can get. Right sided neck and shoulder pain is one that the assistant is highly prone to developing, and is difficult to avoid. Reason being is frequent reaching across the assistant’s mid-line with the right arm. Neck pain can also be caused by leaning forward with your head bent down for a long period of time.
These days muscle pain and spasms have become the most common complaint of many working men and women. To avoid this pain most of them rely upon spa’s to lessen their pain. One of the main techniques used in the spa’s to reduce muscle pain is heat therapy. This nonpharmacological technique helps in reducing the muscle pain as it vasodilates the muscle causing the blood flow to increase at the site of inflammation or injury (Mohammadpour et al. 2014). Due to an increase in the blood supply, the oxygen levels also rise which reduces the amount of inflammatory facilitators and triggers heat shock proteins. With the latest rehabilitation benefits, heat therapy is being used for curing many problems because of its positive feedback.
A hypothesis that can be made from the patient’s report is that she is suffering from cervical radiculopathy, or a nerve root lesion. Symptoms that describe cervical radiculopathy include: arm pain in a dermatome distribution, pain increased by extension, rotation, and/or side flexion, possible relief of pain from arm positioned overhead, affected sensation, altered hand function, no spasticity, and no change to gait or bowel and bladder function (Magee, 2008, p. 142). These symptoms correlate to what the patient reported as a result of her injury. She stated that her pain is in the posterolateral upper and lower arm with aching and paresthesia in the thumb and index finger, which is in the dermatome pattern of cervical root 5 and 6 (C5, C6) (Magee, 2008, p. 25). She also reports lancinating pain with extension or rotation to the right of her head.
In 2008 Charles Milgrom MD compared the medical histories, drug treatment, previous hospital as well as health management organization blood tests of 126 new consecutive frozen shoulder patients from a shoulder clinic to those of an age-matched control group of 98 consecutive patients from an orthopedic foot and ankle clinic and to the regional population disease prevalence registry. Frozen shoulder was classified as idiopathic only if there was no history of trauma and no evidence of a rotator cuff tear. Among the frozen shoulder patients 29.4% had diabetes and 13.5% had thyroid disorders. The risk ratio for diabetes in the frozen shoulder group was 5.9 for males (95% confidence interval 4.1–8.4, P < 0.001) and 5.0 for females (95% CI 3.3–7.5,
When acupuncture was created, some of the medical concepts it employed were relatively new; there were not many falsified stories for it to build off from. In fact, "acupuncture is said to have been theorized... by Shen Nung, the father of Chinese medicine, who also documented his theories on the heart, circulation, and pulse over 400 years before Europeans had any concept about them" (1). Since then, Europeans and Asians alike have encountered centuries of medical dilemmas and successes. Over time, hypotheses emerge and are either disproved or continue to live on as part of scientific discourse and medical practice. For this reason, most old-fashioned treatments no longer hold true when compared to methods cultivated within the great wealth of knowledge attributed to medicine today – not because we are smarter now or are more civilized, but because the field of medicine has accumulated so much more experience and has improved methods to be "less wrong" countless times. So, why has acup...
Patient returned the next day still complaining of pain. The PT applied heat, then initiated the exercise program, but the patient could not perform theem to same extent as previously, secondary to pain. Therefore, the PT told the patient to schedule an appointment with his physician. The patient was seen by the MD the next day and an arthrogram performed that revealed a reinjure to the repaired site. And a second surgery repaired the rotator cuff.
In each zone, impulses and reflexes travel until they reach nerve endings in the feet and the hands. These zones are believed to be meridians along which energy flows. Placing pressure on the nerve endings in the hands and the feet will affect the organs found in that particular zone (http://www.reflexology.org/aor/refinfo/healart.htm). As well as longitudinal zones throughout the body, there are also cross-reflex points. These cross-reflex points are corresponding points on the opposite side of the body which can be useful in administering reflexology treatment when pressure is not able to be placed on the reflex point....
There are many aspects on the study and meaning of kinesiology. Some of these ways are; applied kinesiology, kinesiology medicine research, and specialized and energy kinesiology. The study kinesiology and massage therapy is believed to go hand and hand. Many will say that without the proper knowledge of kinesiology and muscle movements, you can not provide a patent with all that is needed for a proper massage. As we approach new years, many individuals are increasing their concern in health. With the healing arts increasing in popularity, individuals don’t understand the need for well-rounded therapist. Who are trained in the science of kinesiology, which includes the technique of massage to enable them to be proficient in their field.
* Heat and Cold Therapy has been used for centuries to manage soft tissue and joint injuries while relieving pain.
through the Eyes of a Participant Observer." Chiropractic & Manual Therapies. Vol. 20, No. 1, 19 Jan. 2012, p. 1. EBSCOhost. 2017 October 25.
...amount of pain) is a great teaching tool for the patient who is able to self-report (Nevius & D’Arcy, 2008). This will put the patient and nurse on the same level of understanding regarding the patient’s pain. The patient should also be aware of the added information included with the pain scale: quality, duration, and location of the pain. During patient teaching, it should be noted that obtaining a zero out of ten on the pain scale is not always attainable after a painful procedure. A realistic pain management goal can be set by the patient for his pain level each day.
One tissue or structure can affect another structure biomechanically and it can also affect the other structure directly. Patient symptoms seem to be related to changes in their soft tissue that can be felt by hand. The practitioner will address this by identifying problems with motion, pressure or tension between adjacent tissues as well as observe how the muscles, fascia, tendons, ligaments and nerves respond to different types of work to ensure an effective outcome.
Rotator cuff tear – The muscles adjoining the shoulder joint are required for rotating the shoulder, amid other movements. The tendons of these muscles furthermore influence the structural strength of the shoulder joint. Harsh, rapid actions, for example in tennis and baseball, can result in tearing of one of these tendons. This then causes pain as well as a decline in range of motion. Surgery possibly will be necessary to repair a torn