I went to physical therapy for a shoulder issue. I sleep on my side and was having trouble sleeping and night. I also had difficulty raising my right arm to adjust the rear view mirror.
The PT exercises were making me stronger, but were not helping much with the pain. The therapist finally used a technique called
ASTYM which, I gather, is similar to the Graston Technique. It made a night & day difference in the pain I was experiencing. After being treated with the ASTYM therapy, my shoulder felt better than it had in many years.
I continued doing the exercises that the physical therapist prescribed for well over a year. (I still do them from time to time.) I had some residual pain in the anterior and lateral deltoid area. Once I learned about
trigger point therapy, I discovered that I had trigger points in the infraspinatus. Massaging those trigger points out got rid of the pain in the front of my shoulder, but I was still experiencing pain in the lateral deltoid. Further investigation suggested that I should look for trigger points in the supraspinatus. Massage of the supraspinatus took care of the pain in the lateral deltoid area.
I've had wrist issues on and off too; massage of the forearm extensors or flexors (depending upon where the pain is - for me, it's usually the extensors that give me trouble) has been effective at eliminating wrist pain that comes up from time to time.
The first occasion upon which I tried trigger point therapy for my wrist had some dramatic results. I had been experiencing wrist pain for perhaps two months, probably from doing farmer's carries. I stopped doing farmer's carries and concentrated on kettlebell training. My wrist pain had been getting steadily worse to the point where it hurt a lot just to lift a 20kg kettlebell. There was no way I could've done swings or even held on with that level of pain. I consulted
The Trigger Point Therapy Workbook and learned that trigger points in the extensors can cause pain in the part of the wrist where I was feeling it. I placed a LaCrosse ball on a low table and rolled the outer part of my forearm up and down against the LaCrosse ball. Within perhaps twenty seconds, I found an area which was very sore when the LaCrosse ball rolled across it. I stopped and focused on this area, doing smaller rolling motions, working as deeply as I could stand into the area. When I was finished, the pain in my wrist was gone! I could pick up the kettlebell without pain and was able to do my planned workout. In between sets, I performed more massage with the LaCrosse ball on my forearm. I continued that massage for perhaps a week until I could no longer find the trigger point when I rolled the ball back and forth along my forearm.
I think it's likely that ASTYM, Graston, and others help to release trigger points that may be referring pain elsewhere. The different techniques may have other benefits too; I don't know enough about it to say.
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