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[post_content] => A patient last week told me a story I’ve heard many times in many forms. She started experiencing chest pain that radiated down her left arm. She went to the hospital. There was nothing wrong with her that any test could reveal. She wasn’t having panic attacks and her heart was fine. She went from practitioner to practitioner before someone finally figured it out: it was muscular. In other forms of this story the symptom is abdominal pain, or diarrhea, or sinus congestion, or painful intercourse, or ear ringing, or acid reflux, but the common thread is that multiple doctors failed to consider that the origin was structural.
Often, these mystery symptoms – along with most cases of muscle pain – are caused by a phenomenon known as “myofascial trigger points,” and I believe everyone should know what they are and how they work. I’ve written about trigger points in the past, but I feel moved to explain some of the basics again because this concept remains largely unknown to both practitioners and laypeople. It’s not exactly a fringe idea either – it was developed primarily by President Kennedy’s personal doctor, Janet Travell (the first female White House physician, by the way), whom he credited with saving his political career after she cured his back pain. Her first journal article on the subject was published over 60 years ago.
What exactly is a “myofascial trigger point” anyway? Basically, a trigger point is a small, irritable region in a muscle (or the surrounding connective tissue – “fascia”) that stays stuck in a contracted state and can produce pain, other sensory changes, tightness, and dysfunction. A unique property of trigger points is that they’re able to produce symptoms in other parts of the body – from a few inches to a couple feet away. One of the most valuable contributions of Travell’s work was to map out hundreds common locations of trigger points and their referral patterns – i.e., where they produce symptoms.
If you know where to look for trigger points that could be implicated in an issue, it’s usually pretty quick and straightforward to determine if this is the cause. And if so, you can often fix them yourself.
How do trigger points form?
There are a handful of mechanisms that can promote trigger point formation, such as irritation of nerves, chronic organ problems, nutritional deficiencies, and autoimmune disorders. More often, though, the cause is trauma to our connective tissue. When a muscle is strained by being worked too hard, too fast, or beyond its natural range, there is frequently a sort of “recoil” that occurs as segments of the muscle fibers bunch up and remain that way. This is common in people who work out without warming up, or who suddenly do a very ambitious workout after having not exercised for a year. Even more commonly, the trauma is a form of “postural stress” that’s demanding on muscles in a way that’s difficult to perceive at the time – such as doing the same relatively motionless activity (like sitting at a desk or driving) for hours, days, months, or years.
A muscle contracts through the action of nerve impulses – electrical signals that deliver the command to shorten. These impulses stream into the muscle for as long as we wish to hold this contraction. The impulses aren’t distributed throughout the muscle in an even way, though, and the muscle “belly” (the bulky contractile part) becomes slightly twisted during each contraction.
This isn’t usually a problem if we’re doing repeated isotonic contractions. Isotonic contractions are where the muscle causes movement and it alternately shortens and lengthens, working and relaxing. The issue lies more in prolonged isometric contraction or “static” contraction. That’s where a muscle stays contracted without movement – like the way you hold your arms up for hours while typing or driving. The muscle is under constant pressure and the continuous stream of nerve impulses produces a sustained deformation of the muscle belly.
I need a little more science to explain what happens next, so get ready. Over time, the ongoing tension and twisting of the muscle fibers causes an elevation in the resting muscle tone – that is, eventually, the muscle never completely relaxes. It’s always a bit contracted, meaning a bit shortened, and therefore a bit taut. This tightness causes local vasoconstriction – the blood vessels are constricted – and this translates to local ischemia – inadequate blood supply to the tissue (the same thing that happens to heart muscle in a heart attack). The arteries can’t bring in enough fresh blood and oxygen, the veins and lymphatic vessels can’t adequately drain waste and deoxygenated blood. The tissue pH changes, local metabolism is impaired, and fluid and waste products build up in the area.
This combination of factors ultimately activates pain receptors – it starts to hurt – and when this happens you use the affected muscle less. Instead, you overload “synergists” – nearby helper muscles. The body makes the surrounding musculature tense as a protective mechanism. Meanwhile, there’s a disruption of the balance between the affected muscles and their “antagonists” – those muscles that lengthen when the primary muscles shorten and vice-versa (for example, the triceps is an antagonist of the biceps). Altogether, this restricts natural movement of the original muscle, which just perpetuates the imbalance.
Over time, this situation results in the development of trigger points. A muscle is composed of numerous parallel fibers and each fiber consists of many end-to-end contractile segments called sarcomeres. When they’re working correctly, they all shorten together when you contract the muscle and then return to their resting length when you relax. But trigger points involve a collection of sarcomeres that remain in a shortened, irritable state, which makes them bulge (often causing a palpable “knot”) and causing their muscle fibers to feel taut and stringy. Finally, with longstanding trigger points, the body deposits gooey lubricant compounds called glycosaminoglycans (GAGs) between these triggered muscle fibers, resulting in a gummy lump called a “myogelosis.”
Ok, enough with the big words.
The point is, there are tons of resources in print and online to help you locate trigger points and show you the kinds of problems they can cause. As for getting rid of them, the most basic method is to simply press and hold an active trigger point when you find one. After about 30 seconds, you’ll usually feel it soften. You can also press down the trigger point (with a thumb, fingers, or a tool) and then move the tissue, as if deliberately intending to re-lengthen this shortened part of the muscle.
Acupuncture is really excellent at releasing trigger points. Dr. Travell injected various agents into trigger points to cause them to deactivate, but later in her career, she began to realize that the most effective part of this process was simply jabbing the trigger point with the end of a needle. There wasn’t a need to inject any liquid; thus, this method became known as “dry needling.” She worked with an osteopath acupuncturist named Dr. Mark Seem who developed an acupuncture-based methodology for releasing trigger points in a holistic way – that is, while supporting the body as a whole to restore balance. (If you’re interested in trying dry needling, I strongly recommend you receive it from an acupuncturist rather than a physical therapist, since acupuncturists have an exponentially greater amount of needle training and a more sophisticated understanding of how to treat the big picture.)
If all of this sounds interesting and relevant to you, I encourage you to do a little research. It might well be the end of a problem you thought had no solution. And if you need more guidance, check out my online course, Live Pain Free, where I go deeper into trigger points and much, much more to help people get out of pain of all kinds.
Be well,
Dr. Peter Borten
[post_title] => The Science Behind Wonky Body Things that Suck
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About 25 years ago I worked for a company that made high end sports goggles. Though the front of the building was covered with posters of pro swimmers and skiers and often felt like a party, my days were spent in a back office, sorting and filing paperwork. It was disappointing, but I met a nice guy there and our conversations helped break up the monotony.
Then he started missing work. A day here and a day there. Then a few days at a time. Then he was absent more than he showed up. I knew something was wrong, but I didn’t want to pry. Finally, on one of his rare appearances at work he told me he had been having severe migraine headaches. They were so crippling he was considering quitting his job.
This was just before I started grad school in Chinese Medicine and I didn’t have anything useful to say. I just remember feeling bad for him and being surprised that migraines could be that debilitating. I wish I knew then what I know now. I believe most cases are completely treatable with natural medicine. Here are some of the key treatments that can make a huge difference:
-
- Acupuncture. I’d estimate I can control 80% of migraine cases with acupuncture alone. Other acupuncturists may fare better or worse than that. (You might ask if this is an area of focus for an acupuncturist you’re considering.) Migraines can result from several underlying patterns, but there is always a condition of stagnation in the head (and sometimes neck and upper torso) – which acupuncture is excellent at releasing.
- Massage. Get regular deep tissue massages. Have them focus on your head overall (including your face, jaw, and the base of your skull), the sides and back of your neck, your upper back and chest, your hands, feet, lower back, and abdomen. Between massages do self-massage with a lacrosse ball. Lie on your back on a carpeted floor with bent knees, and place the ball under you, against the inside edge of your shoulder blade. Moving the ball inch by inch, find every single tender spot, and relax into the ball for a minute or two before moving onto the next one.
- Hydrate. Divide the number of pounds you weigh in half and drink that many ounces of water each day, evenly over the course of the day. (For instance, if you weigh 200 pounds, drink 100 ounces of water a day.)
- Avoid Caffeine. Even though caffeine is an ingredient in some headache medications (because it constricts the blood vessels in the head, making them smaller) it’s also a known trigger of migraines for some people. Many migraine cases improve when caffeine is cut out altogether.
- Figure Out What Foods You’re Sensitive to and Avoid Them. The most reliable way to figure out your food sensitivities is by doing an elimination diet (there are numerous books and websites that explain the process) and then systematically reintroducing foods, one at a time, to see what your reaction is. It’s a good idea to reintroduce foods at least 2 days apart, since the migraine may be delayed by a day. Figuring out your sensitivities and eliminating those foods is often a total cure for migraines. It’s worth the work.
- Clean Up Your Diet. Cut out processed foods and eat more live, fresh, healthy, chemical-free foods, prepared by you or someone with a good heart.
- Avoid Aspartame (Nutrasweet / Equal). Some migraines are triggered by this artificial sweetener. I recommend avoiding it even if it doesn’t give you headaches.
- Consider Avoiding MSG. Although it’s been demonized for decades, most people have no trouble at all with MSG. That said, some find they have fewer headaches when they avoid it. You might see it listed in the ingredients as monosodium glutamate, hydrolyzed vegetable protein or soy, or yeast extract. Analogs of MSG also occur naturally in many foods, including hard cheeses, tomatoes, soy sauce, and even breast milk.
- Avoid Getting Hypoglycemic. Many migraines are triggered by a drop in blood sugar. This is common a few hours after eating a meal with lots of simple carbs or sugar. In some folks, the blood sugar goes way up and then comes crashing down, in what is known as “reactive hypoglycemia.” Besides potentially triggering migraines, reactive hypoglycemia can be an early precursor to diabetes, so there are multiple reasons to get this under control. Eat protein with every meal, and eliminate juice and sweets.
- Reduce Your Stress Level. Exercise, breathe, meditate, do yoga, have fun, get counseling, take breaks, get acupuncture and massage . . . just do whatever you have to do to reduce the impact of your stress.
- Try Magnesium. Many migraine sufferers have low levels of magnesium. Try taking 600 mg (you can gradually go up to 1000 mg) in divided doses over the course of each day. The easiest form for most people to take is dissolvable powder such as Natural Calm brand and others. (Watch out for bowel loosening. If it gives you loose bowels, reduce the dose, spread it out more evenly over the course of the day, or try the form known as magnesium glycinate, which is easier on the digestion.)
- Try Direct Pressure on Your Head. One study had participants with migraines wrap an elastic band (with Velcro at the ends so that it could be secured tightly) around their head, covering the most tender spots. They would then place soft rubber discs under the head band at the places of greatest discomfort to apply extra pressure to these spots. 80% of the people reported a major improvement.
- Take a Good B Vitamin Complex. Several of the B vitamins have been shown to be useful for migraines. Just take all of them in one capsule, once or twice a day.
- Try a Chinese Herbal Formula. A practitioner who specializes in Chinese herbal medicine can write you a personalized formula (usually consisting of 8-12 herbs) to resolve the specific underlying pattern(s) implicated in your migraines. I’ve had many patients report great relief or total resolution of their migraines with a good, customized herbal formula.
- Take Frequent Breaks When Looking at Screens. Eyestrain and overexposure to bright light, especially in the blue range, is a common trigger of migraines. Sometimes blue-blocking glasses can help.
- Improve Your Posture. The mechanical stress of poor posture can cause tension in the head and neck that contributes to migraines. This is especially common when looking down for hours at a phone, laptop, tablet, or book. Tuck your chin slightly, drop your shoulders and bring them back, relax your chest, and imagine you’re being lifted by a string from the very top of your head (in line with the tops of your ears).
If you get migraines, I hope these tips are helpful. They aren’t the only useful approaches, of course. I had a patient who used to stick Q-tips up her nose – the whole way up – and felt that made a huge difference. Others like essential oils, cold compresses, or decapitation. I encourage you to give my suggestions a try. Then let me know what happens, or share your own favorite remedies in the comments section below.
Be well,
Dr. Peter Borten
[post_title] => 16 Ways to Treat Migraines Naturally
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[post_content] => Almost everyone will experience at least one episode of back pain in their life, and many of us will have several bouts or even chronic back pain. While acupuncture, massage, and chiropractic can help, it’s worth having some tools you can use on your own, wherever and whenever the need arises.
I’ve been helping people get out of pain for the past 20+ years, and have discovered many useful strategies for back pain. Today I’ll share five of my favorites.
But first, a little theory. I’ve found that teaching my patients about the mechanisms behind pain often produces an instant reduction in their discomfort. A fundamental principle of Traditional Chinese Medicine (TCM) is that all pain involves some sort of stagnation. Whether it’s stagnant digestion, stagnant blood flow, stagnant lymph, or even stagnant thinking and emotions, stuckness is counter to wellness. Good health, on the other hand, always entails flow – a free-flowing adaptability to challenges, free movement of blood, other fluids, muscles, tendons, and joints, and freely feeling and moving through thoughts and emotions. So everything I recommend below entails opening up stagnation and restoring free movement again.
1. Keep Moving Your Body. After an injury, we’re often told to rest (which has some value), but total immobility usually slows down the recovery process. In nearly all pain, there is muscular tightness and restricted circulation. This stagnation is even more obvious in the case of swelling (e.g., a sprained ankle), where lymph has pooled in the area and gets stuck there. Safely moving the affected area promotes clearing of pooled lymph, elimination of cellular waste and debris, an influx of fresh blood – and a reduction of pain.
In biomedical terms, pain is an alarm that’s trying to warn us of danger or injury – like the pain that arises when you touch a hot pan. But it’s not an infallible system. It can be trained (or mis-trained) to give us a strong pain signal even when we’re not in danger. It can also get “stuck in the ON position” – not turning off the pain even though we’ve resolved whatever the issue was.
Experimenting with ways to safely move the painful part of your body without causing pain is a useful means of retraining the nervous system to deactivate the alarm and lower its sensitivity.
Also, it’s always a good idea to move around frequently throughout your day, since a sedentary lifestyle – and the postural stress it causes – is a major contributor to back pain.
2. Heat + Topical Herbs. Another way to promote circulation and alleviate pain – and especially useful when movement is restricted or not possible – is through the application of heat and circulation-enhancing herbs. Heat application promotes dilation (opening) of blood vessels. It doesn’t have the numbing effect that cold can, but in the long run it’s a more useful treatment.
It’s especially effective when applied in combination with external herbs or essential oils of plants that also enhance circulation. Many of these can be found in our
Muscle Melt products. Some of the most popular are peppermint (or its most active constituent, menthol), eucalyptus, cinnamon, fresh ginger, and capsaicin (chili pepper).
It’s always a good idea when using a heating device to check frequently to make sure you’re not burning yourself, since sensitivity to heat may be impaired due to the pain, pain medications, and/or the external herbs.
3. Stretches + Hydration. Dehydration often plays a role in pain. The suppleness of our tissues and the free flow of – well, everything in the body – depends on water. Especially if you combine dried out muscles with a sedentary lifestyle or exertion without first warming up, you’ve got a recipe for pain. I like to have patients combine hydration with stretching, to help get the water into the affected tissues. There are lots of stretches that can help, depending on the particular nature of your back pain. These are six that tend to be the most helpful.
a. Cat-Cow. On your hands and knees, slowing alternate back and forth between a fully rounded spine and a fully arched spine. Taking a five seconds to move from one position to the other. Repeat ten times.
b. Cobra. Lying face down on the floor, place your hands palm-down under your shoulders and slowly arch your back. Hold, then slowly release back to the floor. Repeat ten times. You’re primarily using your back muscles to lift yourself, with the hands just there for stability. You don’t need to strive for a big stretch here – just enough muscle engagement to warm up the lower back without causing any pain.
c. Child’s Pose. Kneel on the floor, touch your big toes together, sit on your heels, spread your knees as wide as your hips, then lay your torso down between your thighs. Rest your arms at your sides, palms up. You can lie in this position for as long as it feels good. Breathe slowly and deeply.
d. Lying Side Twists. Lie on your back with legs extended. Bring one knee up toward your chest, then take it across your body, aiming past the opposite hip. Your knee may or may not rest on the floor. Hold for ten seconds, then come back to center and repeat. You can also try placing the knee higher and lower to direct the stretch to different parts of your back. Generally, with a high knee (even with the opposite hip, for instance) you’ll target the lowest part of the lumbar spine. With a lower knee (even with the opposite knee, for instance), you’ll target more of the upper lumbar region and lower midback.
e. Lying Glute Stretch. Lying on your back with your knees bent and your feet flat on the floor, cross your left ankle over your right knee. Then interlace your fingers to grasp your right knee (either inside the bend of the knee, holding onto the hamstrings, or – even better – grasping over the front of the knee) and pull the knee toward you. You may need to use your left elbow to press against your left knee to push it away and intensify the stretch. Make sure your left foot is extended (dorsiflexed) toward the left knee. Hold for 30 to 60 seconds, then switch sides.
f. Hamstring Wall Stretch. Lie on the floor near a flat wall. Scoot your butt as close to the wall as you can get it. Gently raise your legs and place them with unbent knees flat against the wall (scoot your butt a little bit more forward if you need to). Tight hamstrings often contribute to a tight lower back and this hamstring stretch tends to be easy on the lower back. Rest in this position for 30 to 60 seconds.
4. Breathe Through It. In TCM, our vital energy – Qi – is considered to be circulated by the breath. That is, breathing moves energy. It’s part of why we sigh when we’re stressed – or relieved. Intentionally breathing “through” a painful area can often quickly reduce pain. Imagine that you’re drawing your inhale through your back, and then exhaling the pain out through your back.
Meanwhile, practice non-resistance. Don’t fight the pain. Just for this moment, allow it to be here, stop struggling against it, and stop telling yourself something is “wrong.” In fact, see if you can even invite the pain to just be here. And breathe.
5. Visualize Movement. There are many useful visualization practices for alleviating pain. A basic place to start is to imagine movement happening in the painful part of your back. Visualize blood coursing through the area, see energy or light moving in and out of your back, “watch” your cells shutting down the inflammation, making repairs, and soothing irritated tissues. Inhale white, healing light, and exhale dark, stagnant pain out of the area. Find a visualization that works for you. I sincerely hope these techniques work for you and that very soon you’re pain free and getting back to what you love.
Be well,
Dr. Peter Borten
P.S. If you’re looking for more support for living pain free, we invite you to join us for an online mini-course my wife, Briana, and I are leading on how to give a relaxing, pain-relieving massage. Briana and I have over 40 years of combined professional experience giving massage and training teams of massage therapists. Massage has so many benefits: It relieves tight and painful muscles and joints. It measurably decreases stress. It strengthens immune function. It improves sleep quality. It promotes better circulation. It reduces fatigue and improves mood. And it facilitates faster recovery from injury and surgery. We should all be taking advantage of it! Since that's not possible due to the pandemic, why not learn how to give each other massages at home?
Unlike massage trainings for people starting a new career, this course is geared toward non-professionals who want to learn the fundamentals of good massage - even if you don't have a massage table or other special equipment. We'll teach you the most effective ways to release tight muscles and promote stress relief. We'll share ways to use your body so that you can work deeper and for longer without getting tired or sore. And we'll explain some things we wish were taught in massage schools that make for a better overall experience for both the giver and receiver.
Learning massage skills is a gift that will provide a lifetime of connection, relaxation, and effective pain relief. If you’ve ever thought, “I’d love to massage my partner, but my hands hurt and I can’t do it for more than a few minutes,” or, “I want to give a good massage but I just don't know what I'm doing”, this is exactly the course you need to gain confidence in your ability to provide a great therapeutic massage. Join us live to have your specific massage questions addressed.
And if you’d like to learn a bunch more about managing your own pain – including both Eastern and Western approaches, psychological tools, special acupressure points, guided meditations, pain relieving herbs, and altogether the most comprehensive course in the world for getting out of pain (I made that up but it’s probably true!), check out Live Pain Free. We’ve gotten only rave reviews from users.
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[post_content] => A patient last week told me a story I’ve heard many times in many forms. She started experiencing chest pain that radiated down her left arm. She went to the hospital. There was nothing wrong with her that any test could reveal. She wasn’t having panic attacks and her heart was fine. She went from practitioner to practitioner before someone finally figured it out: it was muscular. In other forms of this story the symptom is abdominal pain, or diarrhea, or sinus congestion, or painful intercourse, or ear ringing, or acid reflux, but the common thread is that multiple doctors failed to consider that the origin was structural.
Often, these mystery symptoms – along with most cases of muscle pain – are caused by a phenomenon known as “myofascial trigger points,” and I believe everyone should know what they are and how they work. I’ve written about trigger points in the past, but I feel moved to explain some of the basics again because this concept remains largely unknown to both practitioners and laypeople. It’s not exactly a fringe idea either – it was developed primarily by President Kennedy’s personal doctor, Janet Travell (the first female White House physician, by the way), whom he credited with saving his political career after she cured his back pain. Her first journal article on the subject was published over 60 years ago.
What exactly is a “myofascial trigger point” anyway? Basically, a trigger point is a small, irritable region in a muscle (or the surrounding connective tissue – “fascia”) that stays stuck in a contracted state and can produce pain, other sensory changes, tightness, and dysfunction. A unique property of trigger points is that they’re able to produce symptoms in other parts of the body – from a few inches to a couple feet away. One of the most valuable contributions of Travell’s work was to map out hundreds common locations of trigger points and their referral patterns – i.e., where they produce symptoms.
If you know where to look for trigger points that could be implicated in an issue, it’s usually pretty quick and straightforward to determine if this is the cause. And if so, you can often fix them yourself.
How do trigger points form?
There are a handful of mechanisms that can promote trigger point formation, such as irritation of nerves, chronic organ problems, nutritional deficiencies, and autoimmune disorders. More often, though, the cause is trauma to our connective tissue. When a muscle is strained by being worked too hard, too fast, or beyond its natural range, there is frequently a sort of “recoil” that occurs as segments of the muscle fibers bunch up and remain that way. This is common in people who work out without warming up, or who suddenly do a very ambitious workout after having not exercised for a year. Even more commonly, the trauma is a form of “postural stress” that’s demanding on muscles in a way that’s difficult to perceive at the time – such as doing the same relatively motionless activity (like sitting at a desk or driving) for hours, days, months, or years.
A muscle contracts through the action of nerve impulses – electrical signals that deliver the command to shorten. These impulses stream into the muscle for as long as we wish to hold this contraction. The impulses aren’t distributed throughout the muscle in an even way, though, and the muscle “belly” (the bulky contractile part) becomes slightly twisted during each contraction.
This isn’t usually a problem if we’re doing repeated isotonic contractions. Isotonic contractions are where the muscle causes movement and it alternately shortens and lengthens, working and relaxing. The issue lies more in prolonged isometric contraction or “static” contraction. That’s where a muscle stays contracted without movement – like the way you hold your arms up for hours while typing or driving. The muscle is under constant pressure and the continuous stream of nerve impulses produces a sustained deformation of the muscle belly.
I need a little more science to explain what happens next, so get ready. Over time, the ongoing tension and twisting of the muscle fibers causes an elevation in the resting muscle tone – that is, eventually, the muscle never completely relaxes. It’s always a bit contracted, meaning a bit shortened, and therefore a bit taut. This tightness causes local vasoconstriction – the blood vessels are constricted – and this translates to local ischemia – inadequate blood supply to the tissue (the same thing that happens to heart muscle in a heart attack). The arteries can’t bring in enough fresh blood and oxygen, the veins and lymphatic vessels can’t adequately drain waste and deoxygenated blood. The tissue pH changes, local metabolism is impaired, and fluid and waste products build up in the area.
This combination of factors ultimately activates pain receptors – it starts to hurt – and when this happens you use the affected muscle less. Instead, you overload “synergists” – nearby helper muscles. The body makes the surrounding musculature tense as a protective mechanism. Meanwhile, there’s a disruption of the balance between the affected muscles and their “antagonists” – those muscles that lengthen when the primary muscles shorten and vice-versa (for example, the triceps is an antagonist of the biceps). Altogether, this restricts natural movement of the original muscle, which just perpetuates the imbalance.
Over time, this situation results in the development of trigger points. A muscle is composed of numerous parallel fibers and each fiber consists of many end-to-end contractile segments called sarcomeres. When they’re working correctly, they all shorten together when you contract the muscle and then return to their resting length when you relax. But trigger points involve a collection of sarcomeres that remain in a shortened, irritable state, which makes them bulge (often causing a palpable “knot”) and causing their muscle fibers to feel taut and stringy. Finally, with longstanding trigger points, the body deposits gooey lubricant compounds called glycosaminoglycans (GAGs) between these triggered muscle fibers, resulting in a gummy lump called a “myogelosis.”
Ok, enough with the big words.
The point is, there are tons of resources in print and online to help you locate trigger points and show you the kinds of problems they can cause. As for getting rid of them, the most basic method is to simply press and hold an active trigger point when you find one. After about 30 seconds, you’ll usually feel it soften. You can also press down the trigger point (with a thumb, fingers, or a tool) and then move the tissue, as if deliberately intending to re-lengthen this shortened part of the muscle.
Acupuncture is really excellent at releasing trigger points. Dr. Travell injected various agents into trigger points to cause them to deactivate, but later in her career, she began to realize that the most effective part of this process was simply jabbing the trigger point with the end of a needle. There wasn’t a need to inject any liquid; thus, this method became known as “dry needling.” She worked with an osteopath acupuncturist named Dr. Mark Seem who developed an acupuncture-based methodology for releasing trigger points in a holistic way – that is, while supporting the body as a whole to restore balance. (If you’re interested in trying dry needling, I strongly recommend you receive it from an acupuncturist rather than a physical therapist, since acupuncturists have an exponentially greater amount of needle training and a more sophisticated understanding of how to treat the big picture.)
If all of this sounds interesting and relevant to you, I encourage you to do a little research. It might well be the end of a problem you thought had no solution. And if you need more guidance, check out my online course, Live Pain Free, where I go deeper into trigger points and much, much more to help people get out of pain of all kinds.
Be well,
Dr. Peter Borten
[post_title] => The Science Behind Wonky Body Things that Suck
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[post_modified] => 2020-07-28 21:24:38
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