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The trigger point model states that unexplained pain frequently radiates from these points of local tenderness to broader areas, sometimes distant from the trigger point itself. Practitioners claim to have identified reliable referred pain patterns which associate pain in one location with trigger points elsewhere.
Dry needling, also known as trigger point dry needling and intramuscular stimulation, [1] [2] is a treatment technique used by various healthcare practitioners, including physical therapists, physicians, and chiropractors, among others. [3]
Myofascial Pain and Dysfunction: The Trigger Point Manual; Office Hours: Day and Night, The Autobiography of Janet Travell, M.D. Dr. Janet G. Travell, M.D.: "The Mother of MYOFASCIAL - TRIGGER POINT Knowledge" Travell, Janet G. (2003). "A Daughter's Recollection by Virginia P. Wilson". Texas Heart Institute Journal. 30 (1): 8– 12.
Symptoms of a myofascial trigger point include: focal point tenderness, reproduction of pain upon trigger point palpation, hardening of the muscle upon trigger point palpation, pseudo-weakness of the involved muscle, referred pain, and limited range of motion following approximately 5 seconds of sustained trigger point pressure. [2]
CHART #4: SIDE-BY-SIDE COMPARISON OF REPUBLICAN CANDIDATESÕ HEALTH PLANS By Susan J. Blumenthal, M.D., Jessica B. Rubin, Michelle E. Treseler, Jefferson Lin, and David Mattos* Sam Brownback Jim Gilmore Duncan Hunter Ron Paul, M.D. Tom Tancredo Stated Goals ! Create a consumer-centered, not government-centered, quality health care model
Referred pain, also called reflective pain, [1] is pain perceived at a location other than the site of the painful stimulus.An example is the case of angina pectoris brought on by a myocardial infarction (heart attack), where pain is often felt in the left side of neck, left shoulder, and back rather than in the thorax (chest), the site of the injury.
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Irvin Korr, J. S. Denslow and colleagues did the original body of research on manual therapy. [2] Korr described it as the "Application of an accurately determined and specifically directed manual force to the body, in order to improve mobility in areas that are restricted; in joints, in connective tissues or in skeletal muscles."