Referred pain: IMPORTANT to know about trigger points

Trigerma point

 In 1942 Dr Janet Trevell introduced into the scientific lexicon the concept of "trigger points" (painful period), which is understood as the area of the damaged site of muscle or fascia. At this point, the muscle shortened and nonfunctional. Affect a muscle has a trigger point, a tensile force is useless, because when a tensile force, it will stretch only where it is not injured — those areas that are not subjected to spasm. In order to restore the functionality of trigger (damaged) parts of the muscles, you need to exert a mechanical action such as massage.

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One of the symptoms of trigger points is referred pain. Characterized in that the trigger point causing the pain may be located in very remote areas from the painful areas of the body.

The reality of referred pain can convincingly demonstrate just pushing strongly expressed starting point, which transmits pain... it is Easier to accept the theory of the origin of referred pain, if we assume that the signals are simply mixed in the neurological "wiring"... Externally it looks like a kind of imperfection of the system, but to offset pain occurs too systematically, that it can be considered a random phenomenon.

The defining symptom of TT is referred pain. This is usually a depressing feeling of deep and constant dull pain, although the movement could make it worse. Referred pain can be as intense and intolerable.

Typical example:

  • headache tension,
  • migraine,
  • pain in the lateral sinuses,
  • pain in the neck not being able to turn my head,
  • pain in jaw and ear,
  • intolerable colic in the side when sprinting,
  • swollen feet and ankles,
  • stiffness,
  • joint pain,
  • pain in the lower back can occur under the influence of trigger points in strange places, such as buttocks, stomach muscles or even a gastrocnemius region.
  • dull pain in back below shoulder blades worse when a deep breath can also be a sign of the presence of TT in the abdominal muscles.
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Unexplained pain in the pelvis and pain related to sexual function, can be reflected from the TT in the lower part of the thighs, the lower abdomen or in the pelvis. TT in these places also often cause pain in the ovaries, cervical canal, uterus, testes, penis, prostate, rectum and bladder. Janet trevel believed that even the majority of menstrual pain is due to the presence of TT in the abdomen and that it can largely be prevented by regular self-massage.

Travel and Simmons convince us that many of the symptoms, which seem to have an inner nature,in fact, arise under the influence of trigger points in external muscles.

Prolonged pain in the stomach, heartburn, pain, is perceived as an ulcer — can be a source of TT in the straight muscle of the abdomen, referred pain from this muscle may simulate acute appendicitis or colic in an infant. Other symptoms of abdominal TT take quite unusual forms of arrhythmia, diarrhea, loss of appetite, vomiting a fountain or urinary incontinence.
 

Compression of vessels and nerves

Reduced and increased muscle often compress nearby nerves. Nerve compression can distort passing through it signals, generating abnormal sensations — numbness, tingling, burning and hypersensitivity in the area served by that nerve... the Doctors tend to call this condition "peripheral neuropathy" that can lead to the wrong treatment until surgical intervention.
Muscle in which there is TT can interfere with blood flow in the artery, and then in a distant part of the body arises the sensation of cold. Being in the calf (soleus) muscle TT prevents venous outflow, hence, a swollen ankle or foot. Similar to TT in the anterior scalene muscle in the neck are manifested in the swelling of the wrist and hand.

 
Effect on the autonomic nervous systemWhat is known, is seen as almost incredible. Trevell and Simmons list such effects as the reddening of eyes, lacrimation, blurring of visual image, drooping of the eyelid, drooling, constant nasal discharge, and... "creepy". Trigger points in the pectoral muscle can cause hypersensitivity of the nipple. Point on the front of the chest becomes a cause of disruption in the heart.

 

The limitation

TT affect the range of motion as the muscles in which they are, become firmer and shorter. TT break the perception of weight, cause dizziness and loss of balance and coordination. You start to stumble, go uncertainly, and suddenly drop things from his hands. Doctors start talking about neurology.

If neck hurts, you try not to turn the head if the back — not to bend — it's called "enclosing behavior». This behavior makes other muscle-assistants to undertake non-core work, they experience stress and soon they formed the bouquet and TT may be affected a whole limb or even the side of the body. What was the reluctance to move, turns into the inability to move. Unnatural curvature of the neck or "widow's hump" in the close ties between the scalene and pectoral muscles. Scoliosis and other curvature of the spine suggest to forget about the TT. Chronically bad posture, especially pushed forward by the head or hips can not be corrected, if not to engage in TT. Cropped at first glance, the foot may be nothing more than just complex long existing TT that lifts this part of the body.

Bad mood

Untreated myofascial symptoms, ongoing months and years can really ruin the mood. Chronic pain is a known cause of depression, especially if you say that it's impossible to eliminate. The sense of hopelessness that discourages positive action for the fight TT, can form a vicious circle.Insomnia and chronic fatigue — other very common symptoms of TT.

If doctors had removed the TT from the beginning, that the vast majority of cases, the pain would just go away. In the remaining cases (about 10% losses) — would be significantly diminished the possibility of distortion diagnosis.

And more importantly, work with the TT has almost no contraindications, because its mechanics is very simple — turn a tangled muscle fibers in straightened!

 

P. S. And remember, just changing your mind — together we change the world! ©

Source: vk.com/wall-45869944_799