Trigger Points and Muscle Chains in Osteopathy

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This unique guide takes an in-depth look at trigger point therapy. Split into two sections, it combines detailed theory with practical techniques. You will find comprehensive information on a broad spectrum of topics such as myofascial chains, the craniosacral model, and the classification, diagnosis, and therapy of trigger points.


  • Different models of muscle chains
  • Detailed explanations of trigger points and their treatment
  • Over 260 instructive illustrations and high-quality photographs

Featuring input from various different specialties, this outstanding book is an essential tool for osteopaths, physiotherapists, chiropractors using trigger point therapy, and all others working in pain therapy. A clear layout and detailed anatomical drawings allow you to quickly improve your therapeutic skills. The result: accurate and effective pain therapy!

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Editorial Reviews

From the Publisher

[Four stars] The authors have done a fine job covering a large area...brief but to the point...packed with information that can immediately be put into action...a nice little book.--Doody's Review
Doody's Review Service
Reviewer: Dana J Lawrence, DC, MMedEd, MA (Palmer College of Chiropractic)
Description: This book presents several models of muscle chains along with a number of different osteopathic working models of the muscular system. Much of this is based on cranial osteopathy, in two motor patterns of function: flexion and extension. Using these chains, the authors link muscles to them, and then develop patterns of trigger point presentations related to them. This is based upon their years of observation in clinical settings. Thus, the book begins by discussing the muscle chains, moves to examining muscle physiology related to those chains, and then looks at craniosacral models and postural patterns. The second part of the book examines trigger points and their patterns and treatments.
Purpose: The purpose is to describe muscle chains, osteopathic models, and then relate them to the pattern and treatment of trigger points throughout the body. Such a book would add to those already being used, such as Travell and Simons' Myofascial Pain and Dysfunction: The Trigger Point Manual, 2nd edition (Lippincott Williams & Wilkins, 1998). The idea is intriguing, and the book does a good job of meeting its objectives. It is essentially more of an overview, at least in regard to the models, but it is a useful book for learning to treat active trigger points.
Audience: This will be of interest to both physicians and students in the osteopathic profession, and should find an audience in other CAM professions as well as in physical therapy.
Features: The book covers a number of past and current models of muscle chains in the human body as they have been modeled by influential researchers for the osteopathic profession. These models are tied into larger cranial models of human function as a means to explain the presence of muscle dysfunction and the development of trigger points. Once this is placed on a firm foundation, the book shifts to more clinical matters, looking at diagnosis and treatment of trigger points throughout the body. The book does a great job of demonstrating the location of trigger points related to specific muscles; the illustrations are of high quality and numerous. Material is logically organized. Several different therapeutic approaches are described, including muscle energy technique, myofascial release and neuromuscular technique.
Assessment: The authors have done a fine job covering a large area. The information is brief but to the point; there is little wasted space so that the book is packed with information that can immediately be put into action. This is a nice little book that will help explain how to manage trigger points.
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Product Details

  • ISBN-13: 9783131450517
  • Publisher: Thieme
  • Publication date: 10/27/2008
  • Pages: 240
  • Product dimensions: 7.70 (w) x 10.80 (h) x 0.70 (d)

Meet the Author

Private Osteopathy Practice, Knigswinter, Germany
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Table of Contents

Pt. A Muscle Chains Philipp Richter Richter, Philipp

1 Introduction 2

2 Models of Myofascial Chains 10

3 Physiology 27

4 The Craniosacral Model 45

5 The Biomechanical Model of John Martin Littlejohn - The Mechanics of the Spine 58

6 Postural Muscles, Phasic Muscles, and Crossed Syndrome (Vladimir Janda's Contribution to Myofascial Treatment Methods) 66

7 The Zink Patterns 71

8 Myofascial Chains - A Model 77

9 Posture 94

10 Diagnosis 101

11 Therapy 106

Pt. B Trigger Points and Their Treatment Eric Hebgen Hebgen, Eric

12 Definition 112

13 Classification of Trigger Points 113

14 Pathophysiology of Trigger Points 114

15 Diagnosis 118

16 Trigger Point Therapy 121

17 Trigger Point - Sustaining Factors 123

18 The Facilitated Segment 124

19 The Trigger Points 125

Bibliography 220

Index 224

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