Doctor insights on:
Indications Contraindications Of Trigger Point Therapy
Scoliosis & pain: Scoliosis often causes pain in the muscles of the back due to the asymmetric stress of the curvature. This may be in the form of myofascial pain with trigger points that may respond to injection of local anesthetic followed by stretching. Scoliosis may also produce spasm that may respond to the application of ice, medications such as cyclobenzaprine or injection of Botulinum toxin. ...Read more
Urethra pain from CPPS tends to resolve on its own? Or need internal therapy for trigger point release and stretch? 3months+
Would trigger point injections help my son? He has tried pt, accupuncture and aqui therapy w/o relief. Recommend a physiatrist in the li, ny area.
GUA SHA?: If he has trigger (ashi) points, korean scraping can be very beneficial. ...Read more
Possible: It is possible to do self trigger point therapy with a variety of devices that put pressure on the trigger point. You can use a tennis ball and roll back and forth on it. Also there is a device called a back knobber that can work on trigger points. Having said all that it is my belief (bias) that muscle trigger points are usually secondary to something else and are rarely the primary problem. ...Read more
My scm muscle is very tight. PT says it's a dangerous area because arteries/nerves and trigger point therapy shouldn't be done there. Is this true?
I have a herniated disc in my neck c4-5. The ortho dr is urging me to have an epidural or at the least trigger point shots. The chiro is saying no. Is physical therapy good for this or adjustments?
Diagnosis first: The injections are to confirm clinically what the pain generator is he is trying to figure out what pain is coming from where, the disc causes refered pain but usually not tenderness confirming the working diagnosis for pain is alwys a good idea. ...Read more
It should not: Be a problem.Get a more detailed answer ›
Please advise what are the advantages, disadvantages, indication & contraindication of cpitn dental index?
CPITN Index: Used with commonsense and an understanding of periodontal disease, the cpitn procedure provides the epidemiologist and the practitioner with a practical means of assessing periodontal treatment needs. It is merely an aid in quantifying and comparing different individuals periodontal health or lack of it for screening and monitoring purposes. ...Read more
What is the indication and contraindication of acth stimulation test? What is the management for acth stimulation test?
Acth stimulation allows a doctor to distinguish primary adrenal disease from pituitary disease. This is not an issue for self testing or management. See this site for more information and discuss the matter with your doctor.
http://www. Nlm. Nih. Gov/medlineplus/ency/article/003696.htm. ...Read more
Pain in Right Leg Hamstring Area for about 1 yr and 7 mnths. Need help with treatments. Do I need trigger point injection? Cannot afford medical care.
Nerve /disc: Unlikely a pulled muscle would Hurt after 19 months. What triggered this? You may have a bulging disc in your back affecting the nerve going to your hamstring.. Try over-the-counter anti-inflammatories. Find a clinic that can see you. Trigger pt injections treat symptoms. You need to know the cause of your problem to effectively treat it. ...Read more
Yes: Bowen therapy is a very safe and effective form of bodywork that has been proven to reduce pain in many studies. I don't know if it has been proven to align the body but that is a difficult thing to study- but there are many studies showing it to benefit many conditions http://www. Bowen. Asn. Au/bowen-therapy/what-is-bowen-therapy/ and click on Bowen Therapy Studies. ...Read more
I have had active trigger points for over 1 year. I found a therapy that ended the pain for 2 weeks, but some points never released. I matched the latent points on the other side wit lot of pain. Is it tme to try dry needling? Will this help long term?
No Guarantee: The only way to find out is to try it. Always make sure your practitioner is licensed and only uses sterile and approved techniques. ...Read more
Can starting acyclovir as a suppressive therapy trigger an outbreak? Haven't had an outbreak in months, but a dr suggested it.
Not usually: As an anti-viral, it is supposed to decrease viral load and decrease the chances of outbreaks. ...Read more
Steroid Injection: Trigger finger can be very painful especially in the morning. The finger stiffens up overnight. If splinting is not helpful, then a cortisone injection into the finger can provide great relief. Have her see a hand surgeon to get it checked out. ...Read more
Are there any alternatives to valtrex (valacyclovir) suppressive therapy for hsv 2 outbreaks? What are the physical triggers of outbreaks? Weightlifting?
Recurrent herpes: Acyclovir (Zovirax (acyclovir) and generics) and famciclovir (Famvir) also are available, but valayclovir (Valtrex®) usually is best. Oral HSV1 outbreaks are often triggered by local injury (e.g. sunburn) or other infections (hence the names "cold sore" and "fever blister"). But there are no well documented triggers of genital HSV2 outbreaks, either physical or psychological; outbreaks are random. ...Read more
Local heat: Always helps, but it might not be enough. ...Read more
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
I think I did physical therapy too aggressively after shoulder surgery. Could this have led to trigger points?
Need to be rechecked: I would go back to the operating surgeon and him/her reexamine your shoulder. ...Read more
I have a phobia of what happens when you die so this has made my anxiety worse and triggered panic attacks therefore is behavioral therapy accurate?
Have severe trigger points from neck to legs. Anxiety can make the pain go from a 4 to 10 quickly. Tried numerous meds and therapy. Any suggestions?
Trigger points: Ask your physician about seeing an acupuncturist for treatment with needles and Gua Sha (scraping). This can be very helpful. Take care ...Read more
Massage: Always heat for tightness, and always cool for acute injury. ...Read more
I have trigger finger of the middle finger of my right hand. this is my dominant hand. Is physical therapy a worthy treatment option & if yes, how?
Sometimes: Hand therapy can sometimes be helpful although personally I have found that a cortisone shot works better and faster. Sometimes when these keep coming back they need to be operated on. Trigger fingers are caused by thickened nodules in tendons that flex the fingers. The nodule gets caught under a structure in the hand called a pulley and this is what cause the triggering. ...Read more
Trigger points: Trigger points are specific areas in muscles which cause pain as they fail to relax properly and knot up. They can be treated with proper stretching but if stretching is painful, doctors inject those specific points using a very thin needle with local anesthetic and a small amount of steroid. Proper physical therapy is the recommended treatment. Good luck. ...Read more
Yes: Trigger point injections are usually painful, but when performed correctly can be very helpful in relieving pain. ...Read more
See below: I do quite a bit of TP injections and I've seen them not help at all up to completely getting rid of the pain prior to leaving the office and never coming back. ...Read more
That is the limit: For which they should be done.Get a more detailed answer ›