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Physiologically, trigger points are very small, microscopic encapsulations within specific muscle fibers that develop when a muscle has been placed under chronic or acute stress that overloads the muscle.
#Travell and simons trigger point therapy full
Many practitioners are poorly trained, incorporate "a little" trigger point therapy in their work, are ineffective, and never realize its full potential. The practitioner needs a solid basis in functional anatomy, be very familiar with locating muscles very specifically and must be able to palpate them for tenderness, know their referral patterns, change the length of the muscle, have effective treatment techniques and have access to a range of reference materials. Sadly, trigger point therapy is given short shrift in schools where it should be taught as an important core discipline - medical, dental, bodywork, massage, physical therapy schools may mention it briefly, but students are left with a feeling that it's just another minor modality.Īnd it's not a trivial matter to practice trigger point therapy competently. Recent advances, however have moved the science along dramatically.
#Travell and simons trigger point therapy manual
In spite of the landmark publication of the 2-volume Trigger Point Manual by two MDs, Janet Travell and David Simons in the 80s and 90s, the science of pain referral is only beginning to be understood with modern advancements in neuroscience, and some medical people are uncomfortable with the "soft science" of pain referral.
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There are multiple reasons for this lack of attention. Unfortunately, they are also responsible for the vast majority of pain complaints that people experience. Even though myofascial trigger points have been researched and documented by physicians since the 1940s, they still have not achieved wide acceptance or understanding in the health community. They are very common, cause a mysterious and extensive array of pain and other symptoms, and are a mystery to most practitioners. Trigger points are microscopic areas of stagnation in muscle fibers. About Trigger Points and Referred Pain It's Probably Not an Injury - But it Hurts Like One