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Myofacial Pain & Trigger point injection,

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How to identify a Trigger Point,

How to inject a Trigger Point

Trigger Points injection

Myofacial pain is the commnest pain disorder in the world. If you have neck or back pain 99% of te time its myofacial pain. If you slide your finger with slight preassure over the skin on the painful are you get a feeling like going over a speed bump. That is due to myofaical pain and if you feel little nodes or lumps that is also myofacial pain.

Trigger points are discrete, focal, hyperirritable spots located in a taut band of muscle. They produce pain locally and in a referred pattern and often accompany chronic musculoskeletal disorders. Acute trauma or repetitive injury may lead to the development of stress on muscle fibers and the formation of trigger points The trigger point usually is infected with Mycoplasma and antibiotics or electronic stimulation with tens unit helps this pain.

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  • FIGURE 3.

    Cross-sectional schematic drawing of flat palpation to localize and hold the trigger point (dark red spot) for injection. (A, B) Use of alternating pressure between two fingers to confirm the location of the palpable nodule of the trigger point. (C) Positioning of the trigger point halfway between the fingers to keep it from sliding to one side during the injection. Injection is away from fingers, which have pinned down the trigger point so that it cannot slide away from the needle. Dotted outline indicates additional probing to explore for additional adjacent trigger points. The fingers are pressing downward and apart to maintain pressure for hemostasis.

    About 23 million persons, or 10 percent of the U.S. population, have one or more chronic disorders of the musculoskeletal system.

    Trigger points are discrete, focal, hyperirritable spots located in a taut band of skeletal muscle. The spots are painful on compression and can produce referred pain, referred tenderness, motor dysfunction, and autonomic phenomena.

    At home if you want to get rid of this pain rub ice over the painful point and then stretch that area. If its the knee move the leg up and down, if its the neck stretch from side to side.

    See the electronic section for stimulation and getting rid of this problem forever you can purchase aTens unit for $15 .

    Massaging with any oil like olive oil, walnut oil ,sesame seed oil will also get rid of this pain.

    Turmeric powder mixed in a glass of water one eight of a tea spoon in a cup of milk will get rid of these pain if taken daily for a month.

    Continue to Myofascial trigger points.



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