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Trigger Point Therapy for Myofascial Pain: The Practice of Informed Touch [Format Kindle]

Donna Finando L.Ac. L.M.T. , L.Ac. Finando Steven Ph.D.

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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.

Revue de presse

"Knowing how to touch the human body when it is in distress is the skill that links bodyworkers with physical--and oriental--medicine practitioners.  Nowhere is this knowledge more developed than in the seminal work on trigger-point release of Drs. Janet Travell and David Simons.  Their magnum opus now becomes eminently accessible in this clinically pragmatic manual. Informed Touch belongs in the office of every professional practicing a physical medicine of any kind." (Mark D. Seem, Ph.D., L.Ac., President, Tri-State College of Acupuncture, author of Bodymind Energeti)

"Never before have the disciplines of myofascial pain release and meridian therapy been so beautifully and practically connected. Simply put, this book is a must for all practitioners of hands-on medicine." (Roberta F. Shapiro, D.O., Albert Einstein College of Medicine)

"Donna and Steven Finando have married some of the finest techniques that eastern and western physical medicine have to offer. Incredibly, they have done this in a single text, with excellent graphics, charts, and guidelines to specific soft-tissue work. This essential guide takes the place of many large volumes, especially when information is needed immediately. I highly recommend Informed Touch for not only the experienced practitioner, but for students as well." (Marilyn Freedman, P.T., certified childbirth educator)

"This insightful book points out a new direction in medical therapeutics. It clearly delineates where the energetic field of the body intersects and animates the physical structure. By acting at this intersection, true healing can take place." (Steven L. Rosenblatt, M.D., Ph.D., L.Ac., founder and past president of the California Acupuncture C)

". . . in addition to those professional healing touch practitioners wanting to stretch their skills or needing a good myofascial pain reference book, that I also suggest this book to those who suffer from chronic pain and those that do any sort of physical activity that could result in muscular pain and fatigue." (Tami Brady, TCM Reviews)

". . . written carefully and thoughtfully, as if gently guiding the reader into an intimate understanding of what's happening in the body when a trigger point is present." (Charlotte Michael Versagi, Massage Magazine, Nov-Dec 2005)

"Any who suffer from muscle pain will find her methods specific and useful, based on her acupuncture and massage background and studies with Janet Travell, MD, a pioneer in pain management." (Diane Donovan, Bookwatch, April 2006)

"This is a classic that will be around for a long time . . . " (Irene Watson, Reader Views, September 2010)

“The most valuable aspect of the book comes from its highly detailed illustrations, where the illustrator highlighted each body part discussed in red. This book is an excellent way to look for a stretch to relieve that specific ache or pain, and to understand that part of your body in relation to the muscular structure surrounding the area. Recommended.” (Diana Rajchel, FacingNorth.net, September 2011)

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Amazon.com: 4.4 étoiles sur 5  120 commentaires
214 internautes sur 216 ont trouvé ce commentaire utile 
5.0 étoiles sur 5 A Trigger Point Book That Hits The Spot! 4 février 2008
Par Karen - Publié sur Amazon.com
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, etc, the book gets to the reason you probably bought the book- the trigger points. Here it does an excellent job of covering all the muscles of the body and their associated trigger points. 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. While the stretches are clearly depicted, the strengthening exercises are only described- but are 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. Also recommend Bulletproof Your Shoulder for practitioners who deal with a lot of shoulder patients.
76 internautes sur 79 ont trouvé ce commentaire utile 
5.0 étoiles sur 5 Perfect book for patient use 19 janvier 2007
Par Paula Downs - Publié sur Amazon.com
Format:Broché|Achat vérifié
This is by far the best manual I have ever used for my fibromyalgia/myofascial pain. It gives instructions for the physical therapist as well as helping the patient with identifying the location of the problem. Excellent diagrams help you to locate the areas to massage or use accupressure on for relief of pain. The book then gives stretching and strengthening moves for each specific area. For the last ten years I had an area of severe pain that neither I nor my therapist could figure out how to relieve. The first time through this manual, I was able to identify the exact spots to manipulate and I had immediate relief. It is worth 10 times what I paid for that one thing alone. I am VERY happy with this book!
58 internautes sur 60 ont trouvé ce commentaire utile 
4.0 étoiles sur 5 Trigger Point Therapy for Myofascial Pain 30 juillet 2006
Par P. Jackson - Publié sur Amazon.com
This manual is concise and easy to use. I bought it to use as a ready-reference in my practice and am very happy with the presentation. It can be flicked through quickly to find the relevant muscle or group you are evaluating and the text is easy to follow giving the main points under headings. The drawings are excellent.

I particularly liked the sections at the end of each muscle which gives a stretching and strenghthening exercise for that particular muscle and a drawing. It will be very easy to demonstrate this to patients using the guide. Very simple and easy to follow.

The only downside to the book for me was the non-inclusion of the intrinsic muscles of the foot and their trigger points. I can't quite work out why these would not be included and as a podiatrist is quite an ommission. It does mention in the introduction that it doesn't include all muscles of the body, just the one's that they have found to be clinically significant and it then refers the reader to Travell and Simons.

Overall, a good clinical reference.
59 internautes sur 64 ont trouvé ce commentaire utile 
4.0 étoiles sur 5 As a working massage therapist this book is an excellent reference 14 juin 2009
Par Coyote - Publié sur Amazon.com
Format:Broché|Achat vérifié
So I now own 3 books on trigger point therapy. This one (TPTMP), Donna's "Triggerpoint Self-Care Manual: for pain-free movement" and "The Trigger Point Therapy Workbook: Your Self-Treatment Guide for Pain Relief" (TPTW) by Claire Davies.
If you are looking for a self-care book to work with then definately go with Claire's.
If you are a therapist or if you really want to learn the specific and targeted stretching excercises that complement your trigger point work then consider getting TPTMT as well as TPTW.
Donna's "Trigger Point Therapy for Myofascial Pain" (TPTMP) provides more detailed info than Claire's book including: Stretches to release trigger points, relationship to chinese meridians, several excellent introductory chapters that describe pain, trigger points and treatment thereof very well. However Claire's book is organized so much better that I would say that I prefer it to Donna's TPTMP...though I do use TPTMP to study the stretches because that is i feel an essential aspect of releasing pain. Claire's book begins each section with a list of possible symptoms in the body region in question coupled with the corresponding potential trigger points. Whereas donna's book just plods thru muscle by muscle ... though there is a symptom index at the back of the book. However, given that by definition, if you are opening one of these books it is because you (or a client) is experiencing a specific symptom, why would you not want a reference book organized by symptom? Seems like a no brainer to me. Not sure what Donna was thinking? And for that matter not sure why Claire did not include stretches in her book?
Hope this helps
63 internautes sur 70 ont trouvé ce commentaire utile 
3.0 étoiles sur 5 A little disappointed 2 juin 2008
Par BuikD - Publié sur Amazon.com
Format:Broché|Achat vérifié
This book is a wealth of information on pain referral patterns for any particular muscle, so in that regard I find it very valuable. However it does not give exact information on how to massage trigger points but focuses almost exclusively on how to stretch to relieve targetted muscular pain as well as strengthening exercises but nothing on how to massage these particular trigger points to help break up the spasm. The pictures are grouped regionally so as to find the affected muscle quickly but since the title said Trigger Point Therapy for Myofascial Pain: The Practice of Informed Touch I kinda expected more of the informed touch aspect.
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