The Forgotten Painkiller: Trigger Point Therapy Part I

[AnabolicAnimalX]

The Forgotten Painkiller: Trigger Point Therapy Part I

Trigger points were first introduced by Janet Travell into the medical field in 1942. Today, as in 1942, most people do not know what a trigger point is, let alone the havoc it can create if left untreated. So you are probably asking yourself why you should care about trigger points? In the opinion of Travell and Simons, her co-author of The Trigger Point Manual, it is their belief that trigger points are the main cause of pain that most of the general population suffers from. Unfortunately, doctors and health care providers today, just like in 1942, are still uninformed/misinformed about them. "For that reason, Travell and Simons believe that misdiagnosis of pain and ineffective treatments often characterize the practice of medicine, resulting in enormous unnecessary cost, both to the pocketbook and to quality of life", Clair Davies explains in his book, The Trigger Point Therapy Workbook. He then goes on to say: "In The Trigger Point Manual, they list twenty-four examples of mistaken diagnoses, from angina and appendicitis to tennis elbow and tension headache, that are likely to be made when the physician is unaware that myofascial trigger points may be to blame." So now are you starting to care about what a trigger point is? It just may be what is causing your myofascial pain that you and your doctor just cannot seem to figure out.

I am sure most of you are reading this and wondering who is this Janet Travell? Dr. Janet Travell graduated from Cornell University Medical College in New York City and years later began treating her most famous patient, John F. Kennedy. JFK's back issues started during his college ball days at Harvard, but after he was wounded in war and on crutches, his back issues soon defined his life. To relieve the sciatica pain he had a lumbar disc operation, but the surgery was not successful. After seeing many different specialists and being diagnosed incorrectly for many years, he decided to have another operation, a lumbar fusion. Much like the first surgery, there was no relief from the pain he was in. He later concluded in the book, A Thousand Days, that not only did the surgeries not help, but they were unnecessary as well. In 1955, JFK with his skepticism went to see a doctor in New York who treated painful muscular conditions, Dr. Janet Travell.

Dr. Travell came to the conclusion that neither the spine nor the discs were the problem, but that his weak back muscles with trigger points that were leading to chronic spasms. She treated the muscles that were spasming with trigger point injections and therapy which brought instant relief. He was soon off his crutches when she discovered a very important factor that had been not been discovered to this point. JFK had a leg length difference of almost three quarters of an inch. She compensated this with inserting a lift in his shoe. She also recommended that he sleep with a one inch board under his bed to keep traction on this discs and suggested he use a rocking chair to exercise his low back muscles. JFK soon became so attached to his rocking chair that after he won the presidency he brought it with him to the White House and had one everywhere he went including on Air Force One. It is safe to say that if it wasn't for the successful treatment from Dr. Travell, he might have never had a chance to become president if he ran for office while on crutches. As we all know JFK eventually became president and because of her success in alleviating JFK's muscular skeletal pain, Travell was the first lady to be named Personal Physician to the President.

Now that you have a little background on Dr. Travell, let's look at what a trigger point is. As defined by Dr. Travell, a trigger point is a hyper-irritable tender spot in an abused muscle that refers pain ("triggers pain") to other muscles. Hyper-irritable means that when pressure is applied to the trigger point, it hurts and can refer pain elsewhere in the body. At this hyper-irritable spot, you will find a small nodule in the muscle's taut band; this is the location of the trigger point. Most of us already know that we have nodules, we just refer to them as "knots". Little did we know that these "knots" could snowball into chronic unrelenting myofascial pain.

In order to have the kind of success that Dr. Travell had with treating JFK's myofascial pain, it all comes down to locating and then treating the central trigger points of the muscles that need treatment. These are the trigger points located in the center of the muscle belly, where the motor nerve innervates the muscle sending it the electrical signal to either contract or relax. Looking even deeper on to what is going on at the cellular level, this is the location where the real problems start, and the location is in the sarcomeres. In a muscle that is trigger point free, the sarcomeres act like tiny pumps, contracting and releasing in order to circulate blood supply to meet the muscle's metabolic demands. In a muscle that has trigger points present, the sarcomeres are unable to act as a pump because they do not have the ability to release the contraction. Clair Davies describes in detail just what happens on the cellular level in The Trigger Point Therapy Workbook: "When sarcomeres in a trigger point hold their contraction, blood flow eventually stops in the immediate area. The resulting oxygen starvation and accumulation of the waste products of metabolism irritate the trigger point. The trigger point responds to this emergency by sending out pain signals until the brain institutes a policy of rest for the muscle. You stop using the muscle, which then begins to shorten and tighten up."

So treat the central trigger point and we are free of myofascial pain right? Well if was only that easy. One of the main problems with trigger points is the referred pain in which they cause. In JFK's case he had trigger points in his low back as well in his glutes which was giving him the sensation of sciatica as well as low back spasms. This is also the reason for the unsuccessful surgery's and chronic misdiagnosis by numerous doctors. The surgeons were under the assumption that bulging or herniated discs in his lumbar vertebra were the cause of the problem, but once they were removed, the sciatica and back spasms were still every bit as unrelenting. After all this is the 1950's we are talking about so we can take it easy on these doctors and surgeons, who chances are at the time never even heard of a trigger point, let alone how to successfully treat it. However fast forwarding it seventy plus years to today, there is little to no excuse for doctors and surgeons not to be aware that a trigger point could possibly be the problem of their patients myofascial pain. Furthermore, surgery should always be the last resort generally speaking, and the patient should be checked for trigger points prior to surgery. It is much more cost friendly as well as time saving.

Back on to the topic of referral pain caused by trigger points. We can easily demonstrate this pain it by just pressing on a trigger point with enough pressure to reproduce its referred pain pattern. Now as far as explain why it happens, that is not so simple. Research on referred pain is difficult because of not only the real lack of studies but also it involves our complicated nervous system's. So the explanation of referred pain is not only complicated but confusing, even for me. For our purposes here, it not essential that we understand why trigger points reefer pain elsewhere in the body, just know that they do, and they do it very effectively. So effective that satellite trigger points can now be formed in these pain referral zones.

Yes, you read that right. In the referral pain zone caused by the central trigger point, other trigger points, know as satellite trigger points, can be formed in whichever muscle the referral zone happens to be located at. Clair Davies describes these well in The Trigger Point Therapy Workbook: "Long-term chronic pain is often a compound effect from a chain of satellite trigger points, cascading from muscle to muscle. It's not unusual for one entire side of the body to be involved in this way. Satellite trigger points can sometimes resolve on their own without treatment of the central trigger point. By the same token satellite trigger points can be difficult to deactivate if the central trigger point is overlooked." So know you can see how just one central trigger point can snowball into widespread myofascial pain.

Now I know your thinking and more importantly hoping that we are done with trigger points after all this depressing information, I wish I could say we were but I would be lying. We cannot forget to discus attachment trigger points, which are located just as the are described, where the muscles attaches to bones. These are extremely painful areas that you can find in the area right where the muscle is attaching to the bone. Travell and Simons believe that these trigger points are created secondary to central trigger points in the muscle belly. However, they also could just be abused or highly sensitive connect tissue at the joint because of the stress of continuous muscle tension. The good thing is that treatment, generally speaking, is simple. Treat the central trigger point and the continuous stress of the muscle tension will ease up on the connective tissue.

Now for the good news, that is it for trigger points! You will have to check back for part II of this series in which we will go into some of the other problems caused by trigger points as well the prevalence of trigger points and finally the treatment of trigger points. Until then, thanks for reading and take care!


John Quint
AA667

[kronik85]

trigger points are a great topic, and everyone should be aware of them. but you basically just wrote a scare article about what trig points are and how they can manifest..... but gave no treatment for them, lol.


to release trigger points you must first locate them, apply a dynamic pressure to them (simple neading with the fingers, rolling on a tennis ball, rolling on a foam roller, etc) for approximately 10 seconds until you feel the "exquisite pain" lessen, and repeat 2 or 3 times. some trigger points are extremely superficial in terms of their treatment, others that have been in place for weeks, months, years can take a week or more to treat. when looking for trig points that are causing pain, touching and massaging them should duplicate the pain in their local area, or refered areas. bite down, wait for the pain to lessen and repeat treatment until removed. also try to analyze your movement/lifting patterns that might be contributing to trig point development. do you have glute amnesia and get trig points in your hamstrings because they're being overworked? do you have poor scap mobility and have trig points due to misuse or lack of use? did you fall recently and have had persistent pain in an area that should have healed by now? there are many things that can cause a trig point to form, and once you're free of them, you'll develop more in the future and should know how to take care of them before they become crippling.

a trigger point is simply a knot of muscle tissue, within the muscle (not a calf cramp or quad cramp.... but a small "lump" of contracted tissue within the belly of the muscle) that needs to be relieved. there are hundreds of potential trig point locations, google search for "shoulder pain trigger point map" or wherever your pain is and you should come up with some good locations to look for your trig point(s).


massage tools i use : tennis ball in a sock that i can roll against a wall with, a "peanut" made out of two tennis balls that you can roll along your spine to either side of it, lacross balls, theracane (awesome tool), tennis balls, foam rollers, pvc pipe (3" and 6" diameter), fingers, knobble II, a super bounce ball that is pretty dense and about grapefruit size.

[kronik85]

http://www.megaupload.com/?d=9Z5T9750

Clair Davies' book, Trigger Point Therapy Workbook...

it's an awesome resource, not overly verbose and academic, it's very user friendly and written for the average joe who doesn't know their biceps femoris from their biceps brachii.

[AnabolicAnimalX]

[QUOTE=kronik85;691341661]trigger points are a great topic, and everyone should be aware of them. but you basically just wrote a scare article about what trig points are and how they can manifest..... but gave no treatment for them, lol.

Did you read the last line, check back for part two on how to release trigger points...not how you are describing, effectively releasing them. May I ask what is your education on neuromuscular therapy, trigger point and myofascial release, and what are your certifications?

[AnabolicAnimalX]

Clair Davies' book, Trigger Point Therapy Workbook...

it's an awesome resource, not overly verbose and academic, it's very user friendly and written for the average joe who doesn't know their biceps femoris from their biceps brachii.[/QUOTE]

Haha you are too much, you come in here and reference one of the resources that I used to write the article...dont you think the reader is smart enough to see it referenced in there?

[kronik85]

trigger points are a great topic, and everyone should be aware of them. but you basically just wrote a scare article about what trig points are and how they can manifest..... but gave no treatment for them, lol.

Did you read the last line, check back for part two on how to release trigger points...not how you are describing, effectively releasing them. May I ask what is your education on neuromuscular therapy, trigger point and myofascial release, and what are your certifications?

none.

Clair Davies' book, Trigger Point Therapy Workbook...

it's an awesome resource, not overly verbose and academic, it's very user friendly and written for the average joe who doesn't know their biceps femoris from their biceps brachii.

Haha you are too much, you come in here and reference one of the resources that I used to write the article...dont you think the reader is smart enough to see it referenced in there?

how about you spend more time finishing your article and less time being a twat?

[AnabolicAnimalX]

how about you spend more time finishing your article and less time being a twat?

Thank you for answering my questions I posed towards you, your reply tells me everything I had already assumed about your intelligence level...or lack there of.

[kronik85]

i answered it, too bad you don't know how to quote properly and it got embedded in your quote.

i posted the book so that instead of waiting weeks at a time for the rest of your multi-part saga on trigger points... they can learn how to locate and treat them, instead of all this BS fluff you just wrote... they can go to a great resource and not have to worry about how poor JFK got rid of his trigger points so that he could someday become president.

[AnabolicAnimalX]

i answered it, too bad you don't know how to quote properly and it got embedded in your quote.

i posted the book so that instead of waiting weeks at a time for the rest of your multi-part saga on trigger points... they can learn how to locate and treat them, instead of all this BS fluff you just wrote... they can go to a great resource and not have to worry about how poor JFK got rid of his trigger points so that he could someday become president.

Only the educated man is free, and clearly you are not free...

I will keep you posted on part two, although I would assume that you will have no problem finding it on here as you probably spend most of your pathetic life on these boards, criticizing people for trying to educate others on various topics. Just because you lack respect for history of alternative medicine as well as education does not mean that others have the same opinion.

[kronik85]

i almost never post here. joined in 2005 and 1600 posts? not really that many at all. that's about 5 a week....

i was actually relieved and excited that someone posted a topic on trig point therapy... i was dissapointed when you didn't actually give people the information they need to locate or treat their ailments, and have taken two weeks, so far, to do so.

sorry, is it too much to write "trigger points can be located by palpating the muscle belly of a suspected trig point location until a knot of muscle, feeling like partialy cooked macaroni or a small pea is located. trig points can then be released through a variety of methods, the safest and most readily available to the general public is self massage. self massage can be performed like so... blah blah blah"

give me the science and the tools to treating my trigger points, not the history of janet travell and his work with JFK.

[AnabolicAnimalX]

i almost never post here. joined in 2005 and 1600 posts? not really that many at all. that's about 5 a week....

i was actually relieved and excited that someone posted a topic on trig point therapy... i was dissapointed when you didn't actually give people the information they need to locate or treat their ailments, and have taken two weeks, so far, to do so.

sorry, is it too much to write "trigger points can be located by palpating the muscle belly of a suspected trig point location until a knot of muscle, feeling like partialy cooked macaroni or a small pea is located. trig points can then be released through a variety of methods, the safest and most readily available to the general public is self massage. self massage can be performed like so... blah blah blah"

give me the science and the tools to treating my trigger points, not the history of janet travell and his work with JFK.

This is my last post in response to you, because really it is just a waste of productive time in my day. You are someone that read a super dumbed down version of the manuals that I use to relieve people of pain on a daily basis, but now your are a "expert" on this topic. You have zero education and more importantly no successful practical application on others in real life. If I used the book that you read to treat people, I would not have the business that I have b/c the success rate would be so poor. The school that I graduated from has a graduation rate of 11% and I would bet if you would attend you would not be apart of that 11%.

But I will stop with focusing on you, your lack of respect, ignorance and rudeness and actually the reason why I wrote the article. I wrote the article b/c most of people I treat are in such severe pain that I am their last resort and they come to me b/c they have lost hope. Like you people do not realize what is I do, and they ask me questions like why did my dr not refer me to you? why don't more ppl know about this? etc. Those questions I cannot answer but what I can do is let people know that the pain that they live with everyday they may not have to live with if they get NMT treatments. I cannot tell you how many times ppl tell me that the dr said that they will just have to live w/the pain and here are some painkillers I am sorry when it is something that I can treat successfully. My whole reason for writing this was to educate people on another form of medicine that can treat their pain. In order for me to make this case I used JFK, a person who we all know of through history.

The article was never meant to show people how to treat trigger points, but to educate them and make them aware if they have pain it could possibly be from a trigger point. I assumed if people already knew about trigger points they would not really be reading this b/c they already would have or be looking for a therapist to go to, to provide them with education and treatment.

[kronik85]

And yet not one reply in 2 weeks on a board frequented by thousands of people. Except by me. Someone who is not trying to prove that I know more than you, merely provide people with the information they need to locate and treat their trigger points.

I don't care about your 11% graduation rate at Otterbein U, I'm not interested in a dick measuring contest of credentials. Hell, I don't care about treating others. That's not my job. I care about diagnosing my own pains and treating them. I, like you, wanted to bring awareness to the general public. Your article was passed over by many, none responding, and maybe, just maybe, it was because you didn't provide any practical information for people.

Why you're so defensive is beyond me. Please, finish your article, I eagerly await your strategies in locating and treating trig points, that will differ so much from what I originally had to say about self massage.

[Acal83]

Stop fighting guys. Im interested in this and have been reading. We can all get along

[AnabolicAnimalX]

And yet not one reply in 2 weeks on a board frequented by thousands of people. Except by me. Someone who is not trying to prove that I know more than you, merely provide people with the information they need to locate and treat their trigger points.

I don't care about your 11% graduation rate at Otterbein U, I'm not interested in a dick measuring contest of credentials. Hell, I don't care about treating others. That's not my job. I care about diagnosing my own pains and treating them. I, like you, wanted to bring awareness to the general public. Your article was passed over by many, none responding, and maybe, just maybe, it was because you didn't provide any practical information for people.

Why you're so defensive is beyond me. Please, finish your article, I eagerly await your strategies in locating and treating trig points, that will differ so much from what I originally had to say about self massage.

Haha ok really you looked me up online, wow if you have enough time for that, you really live a pointless life...and the sad but not surprising part is that you did not even do it. I did attended Otterbein, and that would be one of my degrees which is exercise science, not neuromuscular therapy. It appears any information you write on here is right in some aspects but in the big picture just misinformation. You want to inform the public but yet you are completely uninformed.

As to why I am defensive, anytime you call someone a "twat" (which I think the last time I heard that word as the 6th grade, probably the last grade you were able to complete) it kinda dims the mood on the conversation. You are living proof of the quote that common sense is not so common.

Also the book you referenced was last updated in 2004. Technology is outdated every 6 months, how fast do you think that (medical information) was outdated? The article was written for a pay only site, which I was compensated for. B/c of you part II will not be posted on here which also includes video of self treatment. However if you would like to know the more up to date treatments that are going on in the field, then my hourly rate is $85 and I am booked out 2 wks in advance. Just look up on the internet more information about me and you will find out who to make the check payable to, if you can afford it. At least I am able to post w/my real name on the article, you are just a no one who is looking for a reaction out of ppl.

[AnabolicAnimalX]

give me the science and the tools to treating my trigger points, not the history of janet travell and his work with JFK.

Janet Travell was a woman, you did not even read my article.

[Hazcat]

The article was written for a pay only site, which I was compensated for. B/c of you part II will not be posted on here which also includes video of self treatment. However if you would like to know the more up to date treatments that are going on in the field, then my hourly rate is $85 and I am booked out 2 wks in advance. Just look up on the internet more information about me and you will find out who to make the check payable to, if you can afford it.

I was following the thread and looking forward to part II. You are correct, I can't afford the second part due to chronic pain and losing my job because of it. I am truly interested in the remainder of the information but I can't pay. I normally just read here and don't post but I wanted you to know just because I don't post doesn't mean I'm not interested in what is being shared and thank you for the information you provided on this subject. I didn't know about it.

[kronik85]

Haha ok really you looked me up online, wow if you have enough time for that, you really live a pointless life...and the sad but not surprising part is that you did not even do it. I did attended Otterbein, and that would be one of my degrees which is exercise science, not neuromuscular therapy. It appears any information you write on here is right in some aspects but in the big picture just misinformation. You want to inform the public but yet you are completely uninformed.

As to why I am defensive, anytime you call someone a "twat" (which I think the last time I heard that word as the 6th grade, probably the last grade you were able to complete) it kinda dims the mood on the conversation. You are living proof of the quote that common sense is not so common.

Also the book you referenced was last updated in 2004. Technology is outdated every 6 months, how fast do you think that (medical information) was outdated? The article was written for a pay only site, which I was compensated for. B/c of you part II will not be posted on here which also includes video of self treatment. However if you would like to know the more up to date treatments that are going on in the field, then my hourly rate is $85 and I am booked out 2 wks in advance. Just look up on the internet more information about me and you will find out who to make the check payable to, if you can afford it. At least I am able to post w/my real name on the article, you are just a no one who is looking for a reaction out of ppl.

lol, considering all your self promotion online and the fact that you put your real name at the end of the article... it wasn't exactly a difficult challenge to google "john quint"... did you think i spent the last 24 hours, sleepless, chugging coffee, poring over mountains of research trying to uncover your secret identity? http://tinyurl.com/3mwkaqt real tough. btw, I spent the evening drinking, eating, shopping and entertaining German coworkers on my company's dime. man my life sucks.

twat's a great word, fun to say, and perfectly describes your demeanor thus far. just say it out loud, twat, sounds great.

"technology" is not out of date every 6 months. don't say stupid things. there are fields of technology where substantial improvements are made every 6 months, but "technology", especially that in trigger point and massage therapy, doesn't not become out of date every 6 months. Check out Moore's Law though, you might be interested in it. It's a little more accurate than vague statements like "technology is out of date every 6 months".

so, you never intended on actually finishing your article, or helping people, but you'll charge $85 for your "super secret, up to date, cure all for trigger points so they never come back"... interesting. so you were paid by "a pay site" to write some articles, you posted one for free here, and couldn't copy and paste the other in a timely manner?

Percent of In-State Undergrads 100.0%
Full Time Retention Rate 100.0%
Part Time Retention Rates 75.0%
Overall Graduation Rate 91.0%

Your 2 year "college" must have been a real grind. Me, with my paltry 4 year engineering degree from an accredited university, could likely never compete at an 87% admittance and 91% graduation rate type of school.

Funny thing, accounting at work contacted me to remind me I hadn't deposited a thousand dollar reimbursement for my business trip to Germany last winter. Seeing as how I'm living pay check to pay check on minimum wage, it was amazing that I didn't notice that. I'm just so strapped for cash in my poor pathetic life :-(

I think I'd rather have your $15/session "functional strength training"... seems like better bang for my buck.

Janet Travell was a woman, you did not even read my article.

him, her, details that don't matter.




I think I'll finish your part two and help people, rather than simply self promoting and charging for "super secret up to date techniques". Or you could just copy and paste it already.

[kronik85]

I was following the thread and looking forward to part II. You are correct, I can't afford the second part due to chronic pain and losing my job because of it. I am truly interested in the remainder of the information but I can't pay. I normally just read here and don't post but I wanted you to know just because I don't post doesn't mean I'm not interested in what is being shared and thank you for the information you provided on this subject. I didn't know about it.

check your private messages.

[AnabolicAnimalX]

I was following the thread and looking forward to part II. You are correct, I can't afford the second part due to chronic pain and losing my job because of it. I am truly interested in the remainder of the information but I can't pay. I normally just read here and don't post but I wanted you to know just because I don't post doesn't mean I'm not interested in what is being shared and thank you for the information you provided on this subject. I didn't know about it.

Send me a PM on here and will help you w/whatever questions you may have.

[AnabolicAnimalX]

lol, considering all your self promotion online and the fact that you put your real name at the end of the article... it wasn't exactly a difficult challenge to google "john quint"... did you think i spent the last 24 hours, sleepless, chugging coffee, poring over mountains of research trying to uncover your secret identity? real tough. btw, I spent the evening drinking, eating, shopping and entertaining German coworkers on my company's dime. man my life sucks.

What is your identity? Mine is out there, go ahead put yours out there.

[AnabolicAnimalX]

twat's a great word, fun to say, and perfectly describes your demeanor thus far. just say it out loud, twat, sounds great.

You are immature.

[AnabolicAnimalX]

"technology" is not out of date every 6 months. don't say stupid things. there are fields of technology where substantial improvements are made every 6 months, but "technology", especially that in trigger point and massage therapy, doesn't not become out of date every 6 months. Check out Moore's Law though, you might be interested in it. It's a little more accurate than vague statements like "technology is out of date every 6 months".

Would never take advice from a non credible sources like yourself.

[AnabolicAnimalX]

so, you never intended on actually finishing your article, or helping people, but you'll charge $85 for your "super secret, up to date, cure all for trigger points so they never come back"... interesting. so you were paid by "a pay site" to write some articles, you posted one for free here, and couldn't copy and paste the other in a timely manner?

Yes will charge you my hourly rate. Other on here I will do the best I can to answer any questions they have on this topic. You don not seem to understand the point of writing/posting article, was to make ppl aware of what they are.

[AnabolicAnimalX]

Your 2 year "college" must have been a real grind. Me, with my paltry 4 year engineering degree from an accredited university, could likely never compete at an 87% admittance and 91% graduation rate type of school.

Funny thing, accounting at work contacted me to remind me I hadn't deposited a thousand dollar reimbursement for my business trip to Germany last winter. Seeing as how I'm living pay check to pay check on minimum wage, it was amazing that I didn't notice that. I'm just so strapped for cash in my poor pathetic life :-(

I think I'd rather have your $15/session "functional strength training"... seems like better bang for my buck.
.

Good for you and your degree. I have a 4 yr degree as well, probably the only thing we have in common.

Do not work or co-own that facility any more with the functional strength training any more, since starting neuromuscular therapy. It was actually a great idea we can up with, have a class where personal training is affordable for everyone as a way to give back to community. Was extremely successful and rewarding for us as a business to be able to offer that.

[AnabolicAnimalX]

I think I'll finish your part two and help people, rather than simply self promoting and charging for "super secret up to date techniques". Or you could just copy and paste it already.

Cannot wait...have the balls and post your name at the end of the article as well.

[reubmic]

Quote:

...

[kronik85]

there's an option to multi-quote someone.. use it, instead of 15 replies. it's to the right of the reply"" button icon.

What is your identity? Mine is out there, go ahead put yours out there.

a super hero never reveals his identity.

You are immature.

sometimes, of course.

Would never take advice from a non credible sources like yourself.

your loss. i have many leather bound books and my apartment smells of rich mahogany.

Yes will charge you my hourly rate. Other on here I will do the best I can to answer any questions they have on this topic. You don not seem to understand the point of writing/posting article, was to make ppl aware of what they are.

i've already found the answer to and solved my pain issues, multiple times over. for free. why would i pay you $85 for a copy/paste? it should take no longer than a minute or two to go find your article, copy it, paste it, and send it to me. i will pay you 1/60th of your hourly rate as that is the time it would take to render services.

will you accept $1.42 via paypal? then i'll just post the article here and finish what you started.

or since you're providing therapy, maybe you can just charge my insurance. give me your fax number and i'll send all the pertinent documentation.

Good for you and your degree. I have a 4 yr degree as well, probably the only thing we have in common.

Do not work or co-own that facility any more with the functional strength training any more, since starting neuromuscular therapy. It was actually a great idea we can up with, have a class where personal training is affordable for everyone as a way to give back to community. Was extremely successful and rewarding for us as a business to be able to offer that.

Cool.

Cannot wait...have the balls and post your name at the end of the article as well.

My name is Gordon Freeman, look me up sometime. In my field I'm pretty famous, sadly, not so famous in the neuromuscular therapy sector of work.

[AnabolicAnimalX]

there's an option to multi-quote someone.. use it, instead of 15 replies. it's to the right of the reply"" button icon.

I will do as I please.

super hero never reveals his identity.

No comment.

already found the answer to and solved my pain issues, multiple times over. for free. why would i pay you $85 for a copy/paste? it should take no longer than a minute or two to go find your article, copy it, paste it, and send it to me. i will pay you 1/60th of your hourly rate as that is the time it would take to render services.

Good for you. I guess the saying is true that even a blind squirrel finds a nut. Will not post part II on here. Part I as I intended for it to do, was to bring attention/awareness to people that if they have pain it could be pain that is myofascial or related to trigger points. Please finish part II on treatment as you said you would, I eagerly await...

Like I had perviously stated most of the ppl I treat really have no idea what it is I am doing. They just know it is very effective and want to know more information about it. This is the reason I wrote the article. I tried to make the topic interesting for people to read while at the same time, making them aware that if they or someone they know has pain it could possibly be from trigger points. After all how is someone supposed to treat trigger points if they had never heard of them? Like the majority of the people I treat. Awareness was the goal of this article, not treatment, that is Part II (which will not be posted on here, if you have any questions on treatment and you are not kronik85, please do not hesitate to PM on here).

I will give you credit you know what a trigger point is, but you are not in the field like I am so you would be surprised how many people do not know what it is or have never even hear about it.

you accept $1.42 via paypal? then i'll just post the article here and finish what you started.

or since you're providing therapy, maybe you can just charge my insurance. give me your fax number and i'll send all the pertinent documentation.

No and No

name is Gordon Freeman, look me up sometime. In my field I'm pretty famous, sadly, not so famous in the neuromuscular therapy sector of work.

I am only able to waste so much time in my day on you, so looking you up is out of the question. This thread already tells me everything that I need to know about you.

[kronik85]

I will do as I please.



No comment.



Good for you. I guess the saying is true that even a blind squirrel finds a nut. Will not post part II on here. Part I as I intended for it to do, was to bring attention/awareness to people that if they have pain it could be pain that is myofascial or related to trigger points. Please finish part II on treatment as you said you would, I eagerly await...

Like I had perviously stated most of the ppl I treat really have no idea what it is I am doing. They just know it is very effective and want to know more information about it. This is the reason I wrote the article. I tried to make the topic interesting for people to read while at the same time, making them aware that if they or someone they know has pain it could possibly be from trigger points. After all how is someone supposed to treat trigger points if they had never heard of them? Like the majority of the people I treat. Awareness was the goal of this article, not treatment, that is Part II (which will not be posted on here, if you have any questions on treatment and you are not kronik85, please do not hesitate to PM on here).

I will give you credit you know what a trigger point is, but you are not in the field like I am so you would be surprised how many people do not know what it is or have never even hear about it.




No and No



I am only able to waste so much time in my day on you, so looking you up is out of the question. This thread already tells me everything that I need to know about you.

i'm not in the field therefore i don't know how many people don't know about trigger points..... lol. great logic.

i'm also not a welder, but i have a pretty good idea of how many people know what a TIG welding torch is.

i'm not a historian, but i have a pretty good idea of how many people know about the battle of salamis.

i'm not a neuromuscular therapist, but i have a pretty good idea of how many people know about trigger points.

i am not surprised that most people don't know what a trigger point is. are you surprised that people don't know what graston technique is? or gua sha? or ART? rolfing? iastm? or a TENS unit? or cold laser therapy? i hope not.


i'll write it when i have time to do it justice. i already gave an extremely simplistic explanation.

[AnabolicAnimalX]

i'm not in the field therefore i don't know how many people don't know about trigger points..... lol. great logic.

Yes logic, something you clearly do not have a grasp of.

i'm also not a welder, but i have a pretty good idea of how many people know what a TIG welding torch is.

Applause...

i'm not a historian, but i have a pretty good idea of how many people know about the battle of salamis.

Like you life and posts on here, pointless...

i'm not a neuromuscular therapist, but i have a pretty good idea of how many people know about trigger points.

Where do you base this assumption from?

I know this, so does everyone else. Please do us all a favor and stop i am not surprised that most people don't know what a trigger point is. are you surprised that people don't know what graston technique is? or gua sha? or ART? rolfing? iastm? or a TENS unit? or cold laser therapy? i hope not.

Do you favor and stop what? Do me a favor, go roll on PVC piping...What I am surprised about, but should not be is that after explaining to you 3-4 times, or idk too many times the reason/logic I wrote the article was not for treatment (part II) but for awareness and education of trigger points, you are still going on. I would like people can be aware of what they are treating, unlike you, so that they can be successful in actually releasing their trigger points, re-syncing the nervous system and skeletal muscle they have just treated, and making them aware of how they can manifest, so also prevention (something right now I wish your mother would have used, that just happened).

i'll write it when i have time to do it justice.

Can't wait. You definitely have the potential and resources (as well as maybe lack of resources, brain) to make it absolutely outdated and completely ineffective. Please do me a favor, take some of your own advice and use PVC piping to roll out your temporalis and frontails...

already gave an extremely simplistic explanation.

Simplistic? Um ok...would not use that word, would use wrong. I am sure you already know this being you read an outdated book but remember when you are rolling to to release the central TrP first or it is unlikely the other will release. Also you know this as well, but do not aggravated the TrP as well b/c then they will not release, but I am sure when you are rolling around on PVC piping you wont aggravate any of them.