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Doctor insights on: Arm Trigger Points

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Abdominal trigger point injection locations.?

Abdominal trigger point injection locations.?

Many points: I usually feel the areas pf the abdomenal wall to find the tirgger points my self. ...Read more

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Can trigger points in levator scapulae cause burning pain between shoulder blades and lower neck ?

Can trigger points in levator scapulae cause burning pain between shoulder blades and lower neck ?

Yes: It is possible. If it does not resolve with your doctor;'s advice, stretching, massage and trigger point injections, consider further evaluation of the neck and mid back regions. ...Read more

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Will a trigger point massage cure shoulder bursitis?

Will a trigger point massage cure shoulder bursitis?

May or may not: The correct trigger point may help the pain at that site, but not necessarily if it is bursitis which can improve with exercise, heat, ice or even an injection. ...Read more

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Any value from myofascial trigger point release for musculoskeletal pain?

Any value from myofascial trigger point release for musculoskeletal pain?

In some cases: In some cases this can be helpful . In my experience these trigger points are often the result of dysfunction of the deeper tissues in the joints and ligaments and i get better results if i address these problems rather than deal with the problems at the surface such as trigger points. Often the trigger points will go away if the deeper structures are treated properly. ...Read more

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What is myofascial trigger point release for musculoskeletal pain?

See below: A myofascial trigger point is thought to be an area of irritable muscle. Pressure on this area will often cause local pain as well as a referral of pain to other sites. The exact nature and cause of these trigger points is unknown but they do exist. Trigger point release is a manual therapy technique to desensitize this spot. It usually consists of deep pressure as well as stretch of the muscle. ...Read more

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Could arm muscle strain cause finger twitching and forearm fasciculations? Arm & Neck pain?

Fasiculations: Fasiculations may be a benign finding but when localized to only one part of your body it might be a sign of nerve damage; you say that you are having arm and neck pain which raises the possibility that you might have irritation of one of cervical (neck) nerve roots. If present, it would also explain why you see Fasiculations. If your signs/symptoms worsen/ persists consider a visit to your MD ...Read more

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My question is what causes muscle knots or trigger points?

My question is what causes muscle knots or trigger points?

Trigger points: Fascia surrounding muscle can become inflamed and lead to nodules or tight roapy bands. ...Read more

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Could too much physical therapy cause trigger points after shoulder surgery?

Could too much physical therapy cause trigger points after shoulder surgery?

Try not to overdo: At times after surgery patients can tend to get too eager or impatient and try to push too hard. One can cause inflammation in related muscles. Scapular muscles are commonly inflamed. Talk to your therapist, modify or back off of some exercises for a few days and likely will see improvement so progress can resume. ...Read more

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Extensor Carpi Radialis longus (inside forearm arm) muscle small knot? Longish-lump, tension? Pain when flexing wrist shoots to upper arm

Extensor Carpi Radialis longus (inside forearm arm) muscle small knot? Longish-lump, tension? Pain when flexing wrist shoots to upper arm

Lump in muscle : should be evaluated certainly could be any number of benign condition are benign tumor or muscle strain or injury but there's also the possibility that it something more like a sarcoma which is rAre. But not unheard of It's more notable if it's a lump in a muscle if it's truly within the muscle than which muscle one thinks it is. it is in the forearm. ...Read more

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What causes painful muscle knots in the neck/shoulder region? Will massage help? Will trigger point injections helps?

What causes painful muscle knots in the neck/shoulder region? Will massage help? Will trigger point injections helps?

Myofascial pain: You're not alone--This is a very common but poorly understood disorder. We weren't evolved to be spending all day with our shoulders crunched up, typing on computers! Ergonomic changes help some people, and massage and trigger point injections also help some people, as you mention. Discuss ergonomics with your PT, she/he may be a good resource for you. ...Read more

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Can muscle relaxants get rid of trigger points?

Can muscle relaxants get rid of trigger points?

Trigger point TrP: A myofascial TrP is defined as a localized deep tenderness in a taut band of skeletal muscle, tendon or ligament that has the ability to refer pain to another region known as a zone of reference. The common treatments for this condition are trigger points injections, dry needling or acupressure. ...Read more

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How can trigger point therapy release muscles?

How can trigger point therapy release muscles?

Not known exactly: There are theories ranging from changes in electrical potential within the muscle to release of endorphins. The exact mechanism isn't known and may well be a few mechanisms together during trigger point therapy. ...Read more

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Where are trigger points that can help jumper's knee symptoms?

Where are trigger points that can help jumper's knee symptoms?

Patellar tendinitis: This condition typically is treated with activity modification, nsaids, a chopat strap, and exercise program/physical therapy. Sometimes injections or , in very rare cases, surgery. ...Read more

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Arm stiffness/tight forearm muscle at work?

Many reasons: If your job requires lifting then one could develop pain and stiffness in their forearms/arms. There could be many reasons ranging from nerve, muscle, tendon or bone problems. Simple causes could include fatigue and inflammation in the muscles and tendons. See an orthopedic surgeon to clarify your diagnosis. ...Read more

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Could trigger points in the quadratus lumborum cause prickling pain in the groin/inner thigh ?

Could trigger points in the quadratus lumborum cause prickling pain in the groin/inner thigh ?

Quadratus lumbrorum : Typically quadratus lumbrorum painful trigger points will cause lower back pain due to its posterior location at the back, attaching the lower ribs to the iliac crest. However, if there is involvement of the gluteal muscles and hip region, due to anatomic instabilities produced in the kinetic chain, especially while walking it is possible to have referred pain to the groin or thigh as described. ...Read more

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Do trigger point injections help with fibromyalgia pain?

Yes: Query is whether trigger point injections can ameliorate fibromyalgia pain. Trigger points are able to be detected by sensitive touch, ultrasound, chemical and blood flow changes, and oxygen deficits. Trigger points seem to be effectively reversed by massage, trigger point injections, and acupuncture. ...Read more

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Can trigger points in teres major or minor cause arm to ache and maybe swell slightly? Pain feels like it's coming from teres area. Not sure if swolle

Rotator cuff: Your issue may be indicative of shoulder issues. For example, bicipital tendonitis (inflammation of biceps) is painful but it usually develops from an underlying shoulder injury. Same as in above situation. ...Read more

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Can trigger points in my arms make them feel weak and make my fingers tremor when moved in certain position?

Can trigger points in my arms make them feel weak and make my fingers tremor when moved in certain position?

Trigger points: Unlikely. Trigger points are associated with pain and referral patterns of pain, numbness or tingling. Weakness can cause trigger points, but trigger points don't cause weakness. I would advise that you find a pain and weakness specialist (pm&r doc) to find out what is causing all three symptoms (weakness, tremor and trigger points). ...Read more

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Back problems for years. It's now radiating down the arm. Doc wants to do trigger point injections, should I do it?

Back problems for years. It's now radiating down the arm. Doc wants to do trigger point injections, should I do it?

Back and arm pain: How far down the arm is the pain radiating? What is the quality of the pain? These answers would be helpful to evaluate causes and direct treatment. ...Read more

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Help me understand why physiatrist only wants to give trigger point injections in upper back? Have torn disc low back = spasms. Legs/arms spasm.

Help me understand why physiatrist only wants to give trigger point injections in upper back? Have torn disc low back = spasms. Legs/arms spasm.

Trigger Points Injec: Even at times i wonder about this as well. However keep in mind that physiatrists are experts in musculoskelal issues. Trigger point injections are used for muscle pain in which a trigger point is demonstrated. I suggest you discuss this with him. ...Read more

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'where is the trigger point under a person''s armpit?'

'where is the trigger point under a person''s armpit?'

See below: It could be in any number of places....a TP can develop in any muscle. ...Read more

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Anxiety/Stress - Can the symptoms be higher BP, arm pit pain, upper back pain? Can it also be triggered by not eating enough through a day?

Anxiety/Stress - Can the symptoms be higher BP, arm pit pain, upper back pain?  Can it also be triggered by not eating enough through a day?

Possibly : You need to be seen by a doctor to ensure there is no organic cause for your symptoms . Even though it is possible for anxiety to cause an array of symptoms it is not safe to make that assumption . Evaluation by health care provider needs to be made ...Read more

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5ER visits in10 days.Repeated hot dry flushing face, neck, arms;unknown trigger, today a banana. Lasts less than an hour, makes my BP raise,160/89. Y?

5ER visits in10 days.Repeated hot dry flushing face, neck, arms;unknown trigger, today a banana. Lasts less than an hour, makes my BP raise,160/89. Y?

Flushing/high BP: Go see an internal medicine doctor to evaluate you and put all the pieces together. The ER is great for making sure you don't have anything serious in that moment, but something like this may need the care of a specialist, such as an endocrinologist or a cardiologist. You may need some specialised lab testing or imaging that doesn't usually get done at an ER. Eat right & sleep enough. Good luck! ...Read more

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Momentary pain in center breastbone area 5-7 times a day, triggered by lifting or arm exertion. Feels like pressing on a bruise on mid-center sternum.

Momentary pain in center breastbone area 5-7 times a day, triggered by lifting or arm exertion. Feels like pressing on a bruise on mid-center sternum.

Chest Wall Pain: From your description it seems your pain is musculoskeletal limited to chest wall.You can try Ibuprofen or Naprosyn (naproxen) etc if you are not allergic or have stomach ulcer If no better consult your Doctor ...Read more

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Left chest pain, triggered when drinking (or not). Last only about a few secs, but occur a few times a day. No pain when moving left arm or breathing.

Unlikely Heart: Chest pain from Heart not Heart pain fibers, heart has none! Pain is sympathetic nervous system telling U something is wrong. Could be spasm of your esophagus. Hard to say. Chest pain heart related takes minutes to wind up, assoc w SOB, diffuse sweating, & feeling of impending doom. It then takes at least minutes to go away. See your internist to w/u your Upper GI tract. ...Read more

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Earlier today I started choking, trying to cough it up triggered an asthma attack now, hours later coughing causes terrible pain to shoot down my arms?

Earlier today I started choking, trying to cough it up triggered an asthma attack now, hours later coughing causes terrible pain to shoot down my arms?

Needs an evaluation : It is common for asthma to be triggered by aspiration into the airway. A coughing spell may induce chest pain. However, if the pain is shooting down the left arm, more serious underlying causes such as the pain from heart needs to be ruled out. ...Read more

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My left arm went numb, then seized back on itself--hospital thinks it's migraine triggered seizure. Is there medication for this?

My left arm went numb, then seized back on itself--hospital thinks it's migraine triggered seizure.  Is there medication for this?

There's more going : on than you're describing and needs to be worked up by your PCP and a neurology referral. This can't be done by yourself. Difficult to answer without knowing the clinical details. Seizures have to be taken seriously. Good luck and best regards on working with the medical care team you'll have supporting you. This will lighten your load. :D ...Read more

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Have lymphedema in right arm and hand. Also trigger finger on that side. Will surgery for the trigger finger make the lymphedema worse?

Have lymphedema in right arm and hand.  Also trigger finger on that side.  Will surgery for the trigger finger make the lymphedema worse?

No: No, surgery for trigger finger should not make the lymphedema worse. The cause of a trigger finger has nothing to do with the lack of draining of the lymph nodes which causes the lymphedema. ...Read more

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Keep randomly breaking out in hives for months now. No known triggers. Yesterday was in the sun and woke up with hives on hands arms and legs.

Keep randomly breaking out in hives for months now. No known triggers. Yesterday was in the sun and woke up with hives on hands arms and legs.

Chronic uticaria: or hives can be difficult to diagnose or treat. In my practice hives are usually caused by a summation and or mix of triggers. Example- eating a Strawberry after a day at the park by a person with known Grass Pollen allergy may cause hives while doing just ONE or the OTHER will not in the same person. It has been theorized there may exist an "Allergy Index" that determines symptoms or no symptoms. ...Read more

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