Trigger point therapy - I need hope and advice!

[mulberry]

trigger points are the result of inflammatory processes within a fascial compartment that causes protective muscle spasm of the muscle fibres. to fix this the nervous system has to be assessed and cleared neural provocation tension testing will demonstrate contributing factors to the condition. arthrogenic assessment should be performed to identify contributing levels of the backbone and then the myofascial slings of the affected limb should be investigated and cleared see the great work from italian physiotherapist luigo and carla stecco for further information.finally a movement assessment should be performed to identify changes in movement patterns and treatmetn direction tests to identify positions/directions of ease and positions/.directions of pain. finally emotional responses to movement should be assessed to identify protective or provocative patterns and anxiety/fear issues with movement the patient may have.
once all the above has been treatment will consist of mobilisation and MWM techniques to release arthrogenic contribution and neural mobilisation to improve the function of the nervous system. myofascial release of the fascial planes see tom myers myofascial meridians for futher detail and muscle release with movement see the ridgeway method for furhter detail. finally training the body to move better and maintain good form and function see shirley sahrmann's work for further information.

[gcoe]

trigger points are the result of inflammatory processes within a fascial compartment

. Do we know that? Are there studies that have examined the pathophysiology of TPS that have establshed the presence of inflammatory markers or processes?

As solutions go what you say all makes sense but I just query this issue of inflammatory nature of the problem. There may be such as study/studies but do you know of them? I'd love to have some evidence for this.

I think we have a long way to go to really understand the TP phenomenon and it would be good to seem more research in the area - it seems to be the poor cousin of neuro-musculoskeletal pain.

[mulberry]

absolutely ! look up acupuncture of trigger points fine needle biopsies have been perfromed and reports were as i have explained above
the sports physio journal in australia about 2 to 3 months ago there was a neat article about this experiment go look it up

[gcoe]

Oh come on Mulberry

You have made the claim - you give me the reference. Don't give me some vague direction. I don't think there really is an Australian Sports physiotherapy journal unless you mean their newsletter. How about an actual reference for a peer reviewed journal? Who are the authors? What have you read a review or a lab experiment