Fibromyalgia discussion with a few academics and clinic folks ... interesting.
@ Wolfe you expected a practitioner to perform magic … there is no magic in medicine.
The demonstration was of an unfortunate case the was beyond manual
therapy and thus would have require more intensive therapy which
included needles and addressing all the perpetuating factors like sleep,
mineral deficiency, medication adverse reaction. I see these cases
daily and they do respond miraculously. No magic needed.
@Wolfe you discount all the wealth of data Travell and Simons
compiled which is an insult to the authors. Most text are compiled and
written based on well vetted studies to make it easier to understand and
teach.
@Quintin, how many cases would it take for you to believe the word of
a patient. 20? 200? or 2000? Well I have a few thousand cases in my
files, most I have helped with these techniques. I just hope you are not
in a position to impose what you believe on others. That would be
immoral and a disgrace to the oath you took to do no harm.
Taut bands in muscles and the all diagnostic criteria are for a
“classic unit.” In clinical practice, all the academics, have to be put
on the back burner as per Edward Rachlin, MD. A muscle full of trigger
points will act very erratically so trying to elicit a twitch maybe a
futile task. And the muscle could be 2-6 inches into the flesh. These
infected muscle still requires therapy. Delay or neglect will subject
the patient to more pain and suffering. Clues that a muscle is affected
area density changes, tightness, loss of range of motion and surface
sensitivity changes.
The best diagnostic and therapeutic tool to determine if a muscle is
infected is a stainless steel needle wire. The thin filament type wire
needle once it touches the erratic muscles will elicit a response in the
patient. The only person who can tell you that information. The patient
is the soul detector of this therapy and has to be a part of the
diagnostic team. You have to trust their words! The other detector of MF
diseased flesh is the practitioner. What the provider feels in their
fingers are vital to a good outcome. Finally the post treatment exam
cannot be neglected or discounted. The patient and the examiner has to
note a better range of motion and less pain.
I know what you are thinking … I can’t use sophisticated equipment! I
have to believe what the patient is saying! I can’t figure out a way to
double blind this technique! The simple puny needle is the best
diagnostic tool and best therapeutic tool all in one!
In a discussion of open minded scholars the goal should be on how to
help the masses not disparaging the clinicians and practitioners. We and
the suffering patients need your help not your skepticism.
To gain more insight into these procedure, read these text books …
especially Gunn. He linked the myofascial therapy extremes from simple
stretching, yoga, spray and stretch, hands-on manipulations,
acupuncture, Gunn-IMS, dry needling to finally Travell trigger point
injections.
>Intramuscular Stimulation using the techniques of C. Chan Gunn, MD.
>Trigger Point Injections using the techniques of Janet G, Travell, MD, David Simmons, MD and Edward Rachlin, MD.
>Ligament and tendon relaxation techniques of George Stuart Hackett, MD.
>CraigPENS as per William F Craig, M.D.
>Myofascial Release by Gokavi, Cynthia N. Gokavi, MBBS.
>The Trigger Point Therapy Workbook: Your Self-Treatment Guide for
Pain Relief, Second Edition by Clair Davies, Amber Davies and David G.
Simons (Aug 1, 2004)
>Fibromyalgia and Chronic Myofascial Pain: A Survival Manual (2nd
Edition) by Devin J. Starlanyl and Mary Ellen Copeland (Jun 30, 2001)
>Advanced Soft Tissue Techniques as per Leon Chaitow, ND, DO
>Medical Acupuncture as per French Energetic protocols of Joseph Helms, MD.
The demonstration was of an unfortunate case the was beyond manual therapy and thus would have require more intensive therapy which included needles and addressing all the perpetuating factors like sleep, mineral deficiency, medication adverse reaction. I see these cases daily and they do respond miraculously. No magic needed.
@Wolfe you discount all the wealth of data Travell and Simons compiled which is an insult to the authors. Most text are compiled and written based on well vetted studies to make it easier to understand and teach.
@Quintin, how many cases would it take for you to believe the word of a patient. 20? 200? or 2000? Well I have a few thousand cases in my files, most I have helped with these techniques. I just hope you are not in a position to impose what you believe on others. That would be immoral and a disgrace to the oath you took to do no harm.
Taut bands in muscles and the all diagnostic criteria are for a “classic unit.” In clinical practice, all the academics, have to be put on the back burner as per Edward Rachlin, MD. A muscle full of trigger points will act very erratically so trying to elicit a twitch maybe a futile task. And the muscle could be 2-6 inches into the flesh. These infected muscle still requires therapy. Delay or neglect will subject the patient to more pain and suffering. Clues that a muscle is affected area density changes, tightness, loss of range of motion and surface sensitivity changes.
The best diagnostic and therapeutic tool to determine if a muscle is infected is a stainless steel needle wire. The thin filament type wire needle once it touches the erratic muscles will elicit a response in the patient. The only person who can tell you that information. The patient is the soul detector of this therapy and has to be a part of the diagnostic team. You have to trust their words! The other detector of MF diseased flesh is the practitioner. What the provider feels in their fingers are vital to a good outcome. Finally the post treatment exam cannot be neglected or discounted. The patient and the examiner has to note a better range of motion and less pain.
I know what you are thinking … I can’t use sophisticated equipment! I have to believe what the patient is saying! I can’t figure out a way to double blind this technique! The simple puny needle is the best diagnostic tool and best therapeutic tool all in one!
In a discussion of open minded scholars the goal should be on how to help the masses not disparaging the clinicians and practitioners. We and the suffering patients need your help not your skepticism.
To gain more insight into these procedure, read these text books … especially Gunn. He linked the myofascial therapy extremes from simple stretching, yoga, spray and stretch, hands-on manipulations, acupuncture, Gunn-IMS, dry needling to finally Travell trigger point injections.
>Intramuscular Stimulation using the techniques of C. Chan Gunn, MD.
>Trigger Point Injections using the techniques of Janet G, Travell, MD, David Simmons, MD and Edward Rachlin, MD.
>Ligament and tendon relaxation techniques of George Stuart Hackett, MD.
>CraigPENS as per William F Craig, M.D.
>Myofascial Release by Gokavi, Cynthia N. Gokavi, MBBS.
>The Trigger Point Therapy Workbook: Your Self-Treatment Guide for Pain Relief, Second Edition by Clair Davies, Amber Davies and David G. Simons (Aug 1, 2004)
>Fibromyalgia and Chronic Myofascial Pain: A Survival Manual (2nd Edition) by Devin J. Starlanyl and Mary Ellen Copeland (Jun 30, 2001)
>Advanced Soft Tissue Techniques as per Leon Chaitow, ND, DO
>Medical Acupuncture as per French Energetic protocols of Joseph Helms, MD.
http://www.fmperplex.com/2013/02/14/travell-simons-and-cargo-cult-science/#comment-3497
http://www.fmperplex.com/2013/02/14/travell-simons-and-cargo-cult-science/#comment-3497