Trigger Point Therapy for Myofascial Pain: The Practice of Informed Touch

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Overview

BODYWORK

Myofascial pain syndromes are among the fastest growing problems that physicians, osteopaths, acupuncturists, and physical, occupational, and massage therapists encounter in their patients. In Trigger Point Therapy for Myofascial Pain Donna and Steven Finando have organized vast amounts of information on treating muscle pain into an accessible and comprehensive clinical reference manual for healthcare practitioners. They examine a wide range of pain patterns and present evaluation and palpation techniques for reducing trigger points--and thereby alleviating pain--in the most clinically significant musculature of the body.

This revised and fully ...

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More About This Book

Overview

BODYWORK

Myofascial pain syndromes are among the fastest growing problems that physicians, osteopaths, acupuncturists, and physical, occupational, and massage therapists encounter in their patients. In Trigger Point Therapy for Myofascial Pain Donna and Steven Finando have organized vast amounts of information on treating muscle pain into an accessible and comprehensive clinical reference manual for healthcare practitioners. They examine a wide range of pain patterns and present evaluation and palpation techniques for reducing trigger points--and thereby alleviating pain--in the most clinically significant musculature of the body.

This revised and fully expanded edition of Informed Touch begins with chapters on the concept of qi and its relationship to myology, the reasons for trigger point development, and palpatory skill-building techniques. Subsequent sections provide detailed information on individual muscles to teach clinicians to locate quickly and accurately specific points of pain and patterns of compensation. In addition to anatomical diagrams of trigger points and pain patterns, each muscle discussion includes illustrations showing self-help stretching techniques for home care. A visual index summarizes pain patterns and the muscles that may be involved. Trigger Point Therapy for Myofascial Pain is an invaluable resource for any professional involved with myofascial disorders.

DONNA FINANDO, L.Ac., L.M.T., has taught myology and myofascial meridian therapy throughout the country for more than twenty years. STEVEN FINANDO, Ph.D., L.Ac., is currently on the advisory board for the New York Chiropractic College School of Acupuncture and Oriental Medicine. Both studied extensively with Janet Travell, M.D., a pioneer in the field of pain management. Donna and Steven live on Long Island, New York, where they have been in continual practice for the past twenty-nine years.

Product Details

  • ISBN-13: 9781594770548
  • Publisher: Inner Traditions/Bear & Company
  • Publication date: 8/28/2005
  • Edition number: 2
  • Pages: 256
  • Sales rank: 115,054
  • Product dimensions: 8.34 (w) x 10.80 (h) x 0.67 (d)

Meet the Author

Donna Finando, L.Ac., L.M.T., is a practitioner of acupuncture and massage, specializing in myofascial meridian therapy and myofascial release techniques for the treatment of chronic and acute pain and dysfunction. She studied extensively with Janet Travell, M.D., a pioneer in the field of pain management. She lives on Long Island, New York, where she has been in continual practice since 1976. She is coauthor of Trigger Point Therapy for Myofascial Pain and the author of Trigger Point Self-Care Manual and Acupoint and Trigger Point Therapy for Babies and Children.

Steven Finando, Ph.D., L.Ac., is currently on the advisory board for the New York Chiropractic College School of Acupuncture and Oriental Medicine. He studied extensively with Janet Travell, M.D., a pioneer in the field of pain management. Steven lives on Long Island, New York, where he has been in continual practice for the past 29 years.

Read an Excerpt


Chapter 5

How to Use This Manual

This manual provides important information in a format that can be easily and quickly accessed by both the student and the working health care practitioner, making it readily useable in the clinic or office.

In the technical body of the book, an illustration of each muscle and the locations of its common trigger points is accompanied by the following information:

Proximal attachment: The cephalad (upper) attachment, that is, the attachment closest to the head
Distal attachment: The caudad (lower) attachment, that is, the attachment farthest away from the head
Action: What the muscle moves, the purpose of its action
Palpation: Specific instructions on how to locate and palpate the muscle, including anatomical landmarks for reference
Pain pattern: An illustration of that muscle’s essential pain pattern is accompanied by a written description that also details possible extended pain patterns. Symptoms produced by the presence of trigger points in the muscle are also described.
Causative or perpetuating factors: A description of common behaviors that either produce or perpetuate the pain
Satellite trigger points: Additional muscles and muscle groups that commonly develop trigger points when there are trigger points in the muscle
Affected organ systems: Each meridian exercises influence over a specific organ or system. This section may shed additional light on the interaction between skeletal muscle and viscera.
Associated zones, meridians, and points: A statement of other areas predisposed to muscular constriction when there are trigger points in a particular muscle, to guide treatment for those practicing from an Oriental medical perspective.
Stretch exercises: Illustrations and descriptions of stretching exercises useful for that particular muscle during the healing process.
Strengthening exercises: A description of useful strengthening exercises for the muscle and associated muscle groups.

Most patients present with symptoms that are usually described as a particular pattern of pain. Some patients will also present with other symptoms, such as impaired range of motion, usually described as an inability to perform particular tasks. Other symptoms might seem less related, such as dizziness or menstrual problems. Two indexes are provided in an effort to help the practitioner quickly focus his or her attention on muscle groups that commonly relate to the pain pattern or symptoms presented by the patient: The Pain Pattern Index and the Symptom Index.

The Pain Pattern Index is a graphic index in which the pain patterns for each muscle are illustrated. The pain patterns are grouped in terms of the area affected: pain patterns that affect the neck are shown together, pain patterns that affect the anterior legs are shown together, and so on. With this information ready comparisons of patterns can be made, and specific information about the muscle groups quickly located.

Some patients may be vague about their pain, but clear on other symptoms. The Symptom Index provides common symptoms of myofascial syndromes and the page numbers of related muscles. Using the indexes to help narrow the focus to particular muscles involved, then turning to the summary information for each muscle, should help guide examination, treatment, and follow-up with the patient. This manual does not outline every muscle in the body. The muscles that have been included are those that we have found to be the most clinically significant in our years of practice.

Table of Contents


Acknowledgments

Introduction: A Gathering of Forces: Toward an Era of Interdisciplinary Cooperation in the Treatment of Pain

Chapter 1 The Nature of Muscles and Trigger Points

Chapter 2 Qi, Movement, and Health

Chapter 3 Informed Touch

Chapter 4 Diagnosis and Treatment

Chapter 5 How to Use This Manual

Muscles of the Head, Neck, and Face
Sternocleidomastoid • Scalenes • Splenius Capitis • Splenius Cervicis • Posterior Cervicals • Temporalis • Masseter • Pterygoids

Muscles of the Shoulder Girdle
Trapezius • Levator Scapulae • Rhomboids • Serratus Anterior • Pectoralis Minor

Muscles of the Upper Limb
Pectoralis Major • Deltoid • Latissimus Dorsi • Teres Major • Supraspinatus • Infraspinatus • Teres Minor • Subscapularis • Biceps Brachii • Triceps Brachii • Brachialis • Brachioradialis • Hand and Finger Extensors • Hand and Finger Flexors

Muscles of the Torso
Erector Spinae • Quadratus Lumborum • Iliopsoas • Rectus Abdominis • Abdominals

Muscles of the Lower Limb
Gluteus Maximus • Gluteus Medius • Gluteus Minimus • Tensor Fasciae Latae • Piriformis • Hamstrings • Quadriceps • Adductors • Pectineus • Gracilis • Sartorius • Popliteus • Gastrocnemius • Soleus • Tibialis Posterior • Tibialis Anterior • Peroneal Muscles • Long Extensors of the Toes • Long Flexors of the Toes

Appendix 1: Meridian Pathways

Appendix 2: On Cutaneous Zones

Appendix 3: Commonly Used Acupoints

Pain Pattern Index

Symptom Index

Bibliography

Customer Reviews

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Sort by: Showing all of 4 Customer Reviews

  • Anonymous

    Posted February 3, 2008

    A Trigger Point Book That's on Target!

    What a great book. Know first of all that it's written more for clinicians, such as massage therapists. If you have no medical background, you may get confused with some of the medical terms such as abduction..... Having said that, for practitioners who treat musculoskeletal pain, this book is the best trigger point therapy book I've come across. After spending a few chapters covering some of the basics on topics such as the nature of trigger points, Qi, informed touch, etc, the book gets right to the reason why you probably bought the book- the trigger points..... The book does an excellent job of covering all the muscles of the body and their associated trigger points. But that's not where it ends. Besides having some of the best muscle pictures you could ask for, each section on a particular muscle ALSO covers pain patterns a specific trigger point could produce, as well as stretching and strengthening exercises- nice!! While the stretches are clearly depicted, the strengthening exercises are only described- but they are certainly clear enough to follow..... A couple of appendices on meridian pathways, cutaneous zones, and acupoints are also included..... Lastly, the book ends with two indexes. The first is a pain pattern index, which is really a picture reference guide on trigger point referral patterns for the various muscles. The second is a symptoms index. Using this index is as easy as looking up a particular area of the body (such as the shoulder) where you'll then find various symptoms and their potential cause (trouble with reaching up....problem with latissimus dorsi)..... All-in-all, it's a great resource for anyone who deals with clients that might have muscular pain and the book could also double as a patient education tool with its great pictures of all the muscles and their trigger points.

    1 out of 1 people found this review helpful.

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    Posted September 18, 2009

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    Posted May 18, 2010

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    Posted July 18, 2009

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