@@markgrant100 I find it fascinating the video you used at the 45:05 mark. The creator of that video, Jay Shah of the NIH in Bethesda made that video Here is another video of that same circuit. Basics of musculoskeletal pain czcams.com/video/9k-2xFuoNS8/video.htmlsi=T7UdmwiTcNNPv-WH Myofascial pain syndrome is the MOST COMMON manifestation of chronic or persistent pain. ALL peoples with chronic pain present with myofascial trigger points. Dry needling is the most effective treatment for myofascial trigger points. Dry needling is not a stand alone cure but it will facilitate the recovery of the patient do address the underlying cause of their pain Here are a couple of excerpts from an Australian pain scientist and others. Moseley, himself wrote the excellent chapter on pain in the equally excellent 4th edition of the text Clinical Sport Medicine(2012). Here are some Moseley excerpts: “Trigger points are present in all patients with chronic pain and are thought to reflect sensitization of nociceptive processing in the central nervous system… Patients with active trigger points present with persistent regional pain… These patterns clearly reflect central convergence of peripheral inputs, which further implicates the central nervous system in their generation and contribution to a pain state.” Moseley GL. Pain: why and how does it hurt? Brukner & Kahn’s Clinical Sports Medicine. North Ryde, NSW: McGraw-Hill Australia Pty Ltd; 2012 "elimination of myofascial trigger points is an important component of the management of chronic musculoskeletal pain” and “we have found ischemic compression and dry needling to be the most effective" pubmed.ncbi.nlm.nih.gov/7850884/ Myofascial pain J R Fricton. Baillieres Clin Rheumatol. 1994 Nov. MFP is a regional muscle pain disorder characterized by localized muscle tenderness and pain and is the most common cause of persistent regional pain. The affected muscles may also display an increased fatiguability, stiffness, subjective weakness, pain on movement and slightly restricted range of motion that is unrelated to joint restriction. MFP is frequently overlooked as a diagnosis because it is often accompanied by signs and symptoms in addition to pain, coincidental pathological conditions, and behavioural and psychosocial problems The difficulty in managing MFP lies in the critical need to match the level of complexity of the management programme with the complexity of the patient's situation. Failure to address the entire problem, through a team approach if needed, may lead to failure to resolve the pain and perpetuation of a chronic pain syndrome. pubmed.ncbi.nlm.nih.gov/16259310/ A review of myofascial pain and fibromyalgia--factors that promote their persistence Robert D Gerwin. Acupunct Med. 2005 Sep Chronic muscle pain (myalgia) is a common problem throughout the world. Seemingly simple, it is actually a difficult problem for the clinician interested in determining the aetiology of the pain, as well as in managing the pain. The two common muscle pain conditions are fibromyalgia and myofascial pain syndrome. The problem these syndromes pose lies not in making the diagnosis of muscle pain. Rather, it is the need to identify the underlying cause(s) of persistent or chronic muscle pain in order to develop a specific treatment plan. Chronic in myalgia may not improve until the underlying precipitating or perpetuating factor(s) are themselves managed. Precipitating or perpetuating causes of chronic myalgia include structural or mechanical causes like scoliosis, localised joint hypomobility, or generalised or local joint laxity; and metabolic factors like depleted tissue iron stores, hypothyroidism or Vitamin D deficiency. Sometimes, correction of an underlying cause of myalgia is all that is needed to resolve the condition. www.sciencedirect.com/topics/nursing-and-health-professions/myofascial-painMyofascial Pain Syndrome Andrea L. Nicol MD, MSc, ... F. Michael Ferrante MD, in Essentials of Pain Medicine (Fourth Edition), 2018 Myofascia l pain or regional musculoskeletal pain is one of the most common pain syndromes encountered in clinical practice. Myofascial pain represents the most common cause of chronic pain, including neck and shoulder pain, tension headaches, and lower back pain
Incredible work, Mark Grant! Thank you for sharing!
💕⚘️🥰⚘️💕
Great stuff❣ Thank you so nuch for sharing your knowledge. 🥰
This was an extremely informative and detailed video. Thank you for your knowledge!
This is so unbelievably stupid. Overlooking the bottom up approach is a guarantee failure for the patient
I think you will find that EMDR is described here as a bottom-up approach John but many quite smart people dont know about that hence the video!
@@markgrant100
I find it fascinating the video you used at the 45:05 mark. The creator of that video, Jay Shah of the NIH in Bethesda made that video
Here is another video of that same circuit.
Basics of musculoskeletal pain
czcams.com/video/9k-2xFuoNS8/video.htmlsi=T7UdmwiTcNNPv-WH
Myofascial pain syndrome is the MOST COMMON manifestation of chronic or persistent pain. ALL peoples with chronic pain present with myofascial trigger points. Dry needling is the most effective treatment for myofascial trigger points. Dry needling is not a stand alone cure but it will facilitate the recovery of the patient do address the underlying cause of their pain
Here are a couple of excerpts from an Australian pain scientist and others.
Moseley, himself wrote the excellent chapter on pain in the equally excellent 4th edition of the text Clinical Sport Medicine(2012). Here are some Moseley excerpts: “Trigger points are present in all patients with chronic pain and are thought to reflect sensitization of nociceptive processing in the central nervous system… Patients with active trigger points present with persistent regional pain… These patterns clearly reflect central convergence of peripheral inputs, which further implicates the central nervous system in their generation and contribution to a pain state.”
Moseley GL. Pain: why and how does it hurt? Brukner & Kahn’s Clinical Sports Medicine. North Ryde, NSW: McGraw-Hill Australia Pty Ltd; 2012
"elimination of myofascial trigger points is an important component of the management of chronic musculoskeletal pain” and “we have found ischemic compression and dry needling to be the most effective"
pubmed.ncbi.nlm.nih.gov/7850884/
Myofascial pain
J R Fricton. Baillieres Clin Rheumatol. 1994 Nov.
MFP is a regional muscle pain disorder characterized by localized muscle tenderness and pain and is the most common cause of persistent regional pain. The affected muscles may also display an increased fatiguability, stiffness, subjective weakness, pain on movement and slightly restricted range of motion that is unrelated to joint restriction. MFP is frequently overlooked as a diagnosis because it is often accompanied by signs and symptoms in addition to pain, coincidental pathological conditions, and behavioural and psychosocial problems
The difficulty in managing MFP lies in the critical need to match the level of complexity of the management programme with the complexity of the patient's situation. Failure to address the entire problem, through a team approach if needed, may lead to failure to resolve the pain and perpetuation of a chronic pain syndrome.
pubmed.ncbi.nlm.nih.gov/16259310/
A review of myofascial pain and fibromyalgia--factors that promote their persistence
Robert D Gerwin. Acupunct Med. 2005 Sep
Chronic muscle pain (myalgia) is a common problem throughout the world. Seemingly simple, it is actually a difficult problem for the clinician interested in determining the aetiology of the pain, as well as in managing the pain. The two common muscle pain conditions are fibromyalgia and myofascial pain syndrome.
The problem these syndromes pose lies not in making the diagnosis of muscle pain. Rather, it is the need to identify the underlying cause(s) of persistent or chronic muscle pain in order to develop a specific treatment plan. Chronic in myalgia may not improve until the underlying precipitating or perpetuating factor(s) are themselves managed. Precipitating or perpetuating causes of chronic myalgia include structural or mechanical causes like scoliosis, localised joint hypomobility, or generalised or local joint laxity; and metabolic factors like depleted tissue iron stores, hypothyroidism or Vitamin D deficiency. Sometimes, correction of an underlying cause of myalgia is all that is needed to resolve the condition.
www.sciencedirect.com/topics/nursing-and-health-professions/myofascial-painMyofascial Pain Syndrome
Andrea L. Nicol MD, MSc, ... F. Michael Ferrante MD, in Essentials of Pain Medicine (Fourth Edition), 2018
Myofascia l pain or regional musculoskeletal pain is one of the most common pain syndromes encountered in clinical practice. Myofascial pain represents the most common cause of chronic pain, including neck and shoulder pain, tension headaches, and lower back pain