Myofascial trigger point pain is an extremely prevalent cause of persistent pain disorders in all parts of the body, not just the head, neck, and face. Features include deep aching pain in any structure, referred from focally tender points in taut bands of skeletal muscle (the trigger points). Diagnosis depends on accurate palpation with 2-4 kg/cm2 of pressure for 10 to 20 seconds over the susp...

Address all correspondence and request for reprints to: Jan Dommerholt Bethesda Physiocare, Inc. 7830 Old Georgetown Road, Suite C-15 Bethesda, MD 20814-2440 [email protected] Abstract: Trigger point dry needling is a treatment technique used by physical therapists around the world. In the United States, trigger point dry needling has been approved as within the scope of physica...

Simons' integrated hypothesis proposed a model of trigger point (TrP) activation to explain known TrP phenomena, particularly endplate noise. We propose an expansion of this hypothesis to account for new experimental data and established muscle pathophysiology.

BACKGROUND The use of verbal orders has been identified as a potential contributor to poor quality and less safe care. As a result, many organisations have encouraged changing the verbal orders process and/or reducing/eliminating verbal orders altogether (Joint Commission (2005), Institute of Medicine (2001), Leapfrog organisation, Institute of Safe Medication Practices). Ironically there is a ...

There is evidence for the efficacy of acupuncture treatment for chronic shoulder pain, but it remains unclear which acupuncture modes are most effective. We compared the effect of trigger point acupuncture (TrP), with that of sham (SH) acupuncture treatments, on pain and shoulder function in patients with chronic shoulder pain. The participants were 18 patients (15 women, 3 men; aged 42-65 year...

Purpose: The purpose of this study was to investigate the effect of kinesio-taping on the range of motion of cervical lateral flexion point in subjects with trigger point in upper trapezius muscle. Methods: A total of 32 subjects with myofascial trigger point in upper trapezius participated in this randomized controlled trial (RCT). The subjects were randomly assigned to two groups: Kinesio-...