Myofascial Pain Syndrome and Trigger Points Treatments, Animation.
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- Опубліковано 25 тра 2014
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Myofascial pain syndrome is a common chronic pain disorder that can affect various parts of the body. Myofascial pain syndrome is characterized by presence of hyperirritable spots located in skeletal muscle called trigger points. A trigger point can be felt as a band or a nodule of muscle with harder than normal consistency. Palpation of trigger points may elicit pain in a different area of the body. This is called referred pain. Referred pain makes diagnosis difficult as the pain mimics symptoms of more well-known common conditions. For example, trigger point related pain in the head and neck region may manifest as tension headache, temporomandibular joint pain, eye pain, or tinnitus.
Symptoms of myofascial pain syndrome include regional, persistent pain, commonly associated with limited range of motion of the affected muscle. The pain is most frequently found in the head, neck, shoulders, extremities, and lower back.
Trigger points are developed as a result of muscle injury. This can be acute trauma caused by sport injury, accident, or chronic muscle overuse brought by repetitive occupational activities, emotional stress or poor posture. A trigger point is composed of many contraction knots where individual muscle fibers contract and cannot relax. These fibers make the muscle shorter and constitute a taut band -- a group of tense muscle fibers extending from the trigger point to muscle attachment. The sustained contraction of muscle sarcomeres compresses local blood supply, resulting in energy shortage of the area. This metabolic crisis activates pain receptors, generating a regional pain pattern that follows a specific nerve passage. The pain patterns are therefore consistent and are well documented for various muscles.
Treatment of myofascial pain syndrome aims to release trigger points and return the affected muscle to original length and strength. Common treatment options include:
- Manual therapy, such as massage, involves application of certain amount of pressure to release trigger points. The outcome of manual therapy strongly depends on the skill level of the therapist.
- The Spray and Stretch technique makes use of a vapor coolant to quickly decrease skin temperature while passively stretching the target muscle. A sudden drop in skin temperature provides a pain relief effect, allowing the muscle to fully stretch, and thus releasing the trigger points.
- Trigger point injections with saline, local anesthetics or steroids are well accepted as effective treatments for myofascial trigger points.
- Dry needling -- insertion of a needle without injecting any solution - is reported to be as effective as injections.
I bought a book on Trigger points. Got sick of doctors saying nothing is wrong. Fixed the pain myself. Look for a good book on trigger points. I advise before you do to at least try once with a therapist to get rid of the knots in your body and that gives you an idea where the knots have been, as sometimes they'll appear again in the same place, especially if you go to gym like I do, and using heavy weights. Since I did that, I am always able to get rid of the knots myself. Don't let anyone especially doctors say nothing is wrong. Your body is in pain, it's telling you and so you need a solution not some pep talk or motivation.
Bro can you give me your insta ID ? I want to ask you something related to this topic ..
can u give us recs on what books u read that helped u? would love to know bc doctors dont rly do shit they barely spend more than 3min w their patients most of the time
After spending lots of money on treatments and not getting any clear answers from medical and sports experts and feeling confused after treatments ,this video in under 4 minutes and no fees ,gave me a clear understanding of what I have had for years.Ffs the sports industry needs some urgent regulation and accountability!
I completely agree with you!
I've been a Reiki Master healer since 2000 and have helped so many people completely recover from something the Dr's had them scheduled for surgery to "repair". They are completely taking advantage of people as well as setting them up for post surgical pain, some for for the rest of their lives.
In 22 year's I've only seen a few people that couldn'tt recover because a rotator cuff was torn or a blown out knee or hip and suggested they consider surgery with a great Dr. because there's no coming back it's so bad. Even the Physical therapist haven't been trained properly because they're trying to help people who shouldn't have had their bodies cut to begin with.
You'd think before going that extreme route they might suggest trying someone skilled in massage if they truly cared about human wellness.
I use both massage/Reiki energy to work on people with fantastic success. I also understand we sometimes need the skill of a very good Dr or surgeon, but much more often it's an unnecessary way for Dr's to make money. Very good Dr's are getting harder to find these days unfortunately and rare treasures when we do! ✌❤ Blessings to you 🙏
It's because of excessive regulation, the medical industry is very poor.
Alot of them unfortunately fall into the trap of wanting repeat customers.. a healed client is one who dosnt pay anymore..
Over 20 years of suffering from pain and headache I tried treatment and consultation from experts without finding solution. I friend of mine treated me with simple massage after he realized that I had trigger point pain.
The video described what I had been suffering from and how to treat it.
Hello sir did you get ride of it paine ???
I suffer as well from this I believe. I have middle back and shoulder blade pain from overuse of my arms. Also a screwed up neck from numerous car accidents and a horseback riding incident. The pain just recently started shooting up the side of my neck into my jaw. No fun. I am praying for everyone(including myself🙏🏻) for healing. God sees our pain. Praying we all get the help we need, a miracle or for that blessed hope to arrive and take us out of this world so full of pain. God be with us all.
I suffer from the same problem with shortness of breath. Can you tell your experience and how to treat it?
@@marcomarco3487 I would suggest going to a good chiropractor and getting an X-ray to see if you have some ribs dislocated. He said this can happen with severe coughing. (I had Covid pneumonia pretty bad) The one I go to told me I had quite a few out and that can cause a lot of issues with breathing and many people go to the ER when they could have just gotten a good adjustment. Hope you find relief. God bless.
Same here with shortness of breath
@@marcomarco3487I had the same things with a bit of pain in the pectoralis major and I have a very bad body posture , I went to the ER many times for heart condition and none of them were able to diagnose this , I went for physiotherapy and they said it's normal muscle pain and use heat or cold ice pack or take muscle relaxants. But none worked and now this video gave me a glimmer of hope and gave me the chance to treat my pain solely or by going to the physio and telling them about MPS for further diagnosis
Things that help me: acupuncture, dry needling, cupping, massage, rest, counseling/therapy, stretch/PT, vigorous physical exercise like running. sauna, heat pads. Avoiding computer work which exacerbates the issues. I also bought a massage gun. Hot yoga saved my life.
What is PT?
@@marijadejanova549 I'm guessing Physio therapy
Physical Therapy
“Avoid computer work” easy to say when your career doesn’t include working on a computer 🤣
What yoga do you suggest for starting for myofascial issues?
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Alila Medical Media will do. thank u.
GOD ISMYSAVER
I have experienced some major emotional traumas in life in my early twenties. I am suffering from severe pain, rigidity, muscular stiffness in my upper back, pelvic region and now it's approaching my knee joint. Thank you for this content becuse now i am very well aware of the fact that i am not alone in this. Every doctor that i visited was not able to understand my symptoms finally i have some content to show them..
@ Muhammad asim Have u heard about tms? Yours looks like TMS. Read Healing back pain book by Dr John sarno. You will be amazed how your traumas and anxiety can cause many serious chronic diseases.
muhammad asim go to a chiropractor. not a doctor, this is spine health lol
this is my brothers account from which im commenting....im a girl in my twenties and am going through this living hell from past 2 years....(coz of experiencing traumas n abuse from a long time)
Same here
@@varunsingh9742 plz give me details
After 15 years I finally understand what is causing my "tension headaches"!
Did you manage to recover?
Which course of treatment have you tried?
What exactly
After 5 year i found i have same problem since 5 year
The power of UA-cam
I haven't been diagnosed, but this is exactly what has been happening for nearly 20 years in my neck and head. Only downside is that cold actually triggers everything to cramp. So i use heat pads and hot showers instead. Thank you for this video. It explains why the neck mri hasn't shown anything.
I can relate. I am suffering from the same problem for about 25 years . I left no stone unturned. This video gave me a relief. Now I will definitely be able to resolve the issue. I also have tinnitus and now feel like my brain is floating.
Oh I can so relate to this.
Same here! Have had this for 3 years now. Going to get evaluated for Ultrasound Guided Trigger Point injections soon. No clue why physicians can't rule out everything to get the treatment the patient actually requires for their condition.
I have this issue ringing in 1 ear stiffness and sensation of something moving on head, keeps changing on face but when I sleep all fine only when I m standing n sitting no pain , I went chiropractor got relief for 3 weeks now back , pls let me know did had or anyone with facial nervr sensation which changes on head or neck , any good medicine, pls advice, thanks
@@nrp5791 no money made by doing that ime having myofacial release soon
massage & acupuncture , heat therapy , cold therapy meditation
I need a sponsor 🥲
I was diagnosed with the same condition after several years and tests. It was caused by standing for 12 hrs shifts because of my work. What helped me the most is acupuncture with muscle stimulation. I still can't stand for a long time, but I can do everything else.
great explanation and video
Everything that he said explains everything envilving pain that I have omg IMA tell me tricking mom to watch this sou can for
Fix my 3 years of pain
Excellent video. Thank you.
Thanks for sharing this helpful video!!!!
The video mentioned posture, too. I recently discovered I have anterior pelvic tilt which can translate to really bad posture (emphasizes hip flexor and lower back muscles). If you have poor posture it can escalate to upper back pain and tension headaches. Posterior pelvic tilt engages your abs and glutes and,therefore, relieves the pain in your lower back and hip flexors.
Watching a video on anterior pelvic tilt (along with some THC 😉) can really alleviate the pain.
Pilates has been really helpful to me to yes i agree with you on the pelvic tilt exercises! Best of luck to you wishing you & everyone else here healing and strength
Pelvic tilt can be caused by tight psoas aswell, it's important
Thanks. After having a persistent mild yet very annoying headache in the exact same location for the better part of 5 months that my doctor can't figure out I've begun to believe that its muscle/nerve related. This video very much helps
Thanks. Great presentation
Thanks for this video!
Finally, a good videos on myofascial pain syndrome and trigger points treatment. Thank you
Watch vedio on conceptual corner channel also😊
This is a great vid and most importantly the breakdown was not boring
Thank You very much !!!
Also I would like everyone to know that I got help from a special type of physical therapist who does something that's called strain counterstrain. It's a relatively new field and they can go in and release the contracted fascia manually. It is not travell trigger point work. It is something completely different. It's absolutely amazing if you have any serious problem with fascia you should look up a specialist in the strain counterstrain field and see them.
Thx!
very educational thanks a lot
Thank you so much☺️☺️
Thank you so much 🎈
thanks. very useful.
So helpful!
Really amazing thanks & I got instantly relief 🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏
Thank you🙌
Very well demonstrated
BEST VIDEO EVER FILLED WITH TONS OF INFORMATION!! THANK YOU SOOO MUCH!!
Good video.... points explanation in animation👍
Thank you very much.
Thank you so much for this video now i understand my this type of back pain and it's cause 😊
Thank you* thank y, it s so so real.. Stress is not an option with this one!!!!!!!
thank you very interesting
Thank you
I exactly have the same problem shown in this video. Now by watching this video I came to know what exactly has happened to me. My this condition is due to overuse of these muscles. This video was very very helpful. Thank you 😊
@@marcomarco3487 try to search for a trigger point specialist in your area, or try acupuncture. You can also try the yoga bridge pose to see if that helps!
Hello, I'm having this problem, did your pain gone away? Or can you use again your muscles by doing force?
@@benjaavila9912 same feeling bro
thank you
It means alot!!
It's really good explanation
Thanks
God bless you
Thank you ❤️💓💓
Danke!
Great video
Thank u
Excellent 👍
i was diagnosed to have a subscapularis and supraspinatus tendon partial tears on both shoulders but my doctor and physiotherapist advised me to continue to work on modified duty. Now, i can feel some persistent but tolerable pain on my neck area, worse on the left side and pain on trigger points as described in this video. I was prescribed naproxen to be taken 2x a day for 3 weeks but it never helped. I was also on physiotherapy for 10 sessions (45 minutes/session) again, it never gave any improvement. I was on modified duty for 3 months, unluckily, my company didn't know how to handle workers with shoulder injury and i was given a modified duty(as they claim) that worsened my injury..
Thanks sir
Thank u for that I had to show my doctor ur video bc he didn't know why I was having pain in my back ...
Seriously my doc neither
Mine neither, I'm getting the tightness in between left shoulder blade like the chap described!
Yeah me too
My doctor too😡😡. I am suffering from 1 yrs but just before 10 days I have started my physiotherapy in aalayam rehab care. Feeling better medicine are stopped... all doctors are money minded bc.. They know everything but they don't want to say to their patients bcoz they need money for long time.
@@bhumikagajjar.5472 🤣🤣🤣
Thank you so much. Greeting from Holland
Good information...
best explain ..........................good .......any body understand
so good video
This was great, reading comments make me feel less alone. Chronic pain is awful 😖 drs don't explain or even know how to treat it
I agree, its nice to know im not alone in this… I feel the people around me think im boring or miserable because im constantly living in pain and can’t express myself without sounding dramatic… hang in there 😊
Chronic pain makes life a roller coaster of anxiety and depression.
This stupid disease or deformity or whatever it is ruined life....... I even became an addict to opiates becuz of this....I'm finally sober and free from the opiates after losing 10 years of my life to them but I'm back to square one....pain...which led me down that path in the first place......smh
If you live in Norther Michigan, the PT team in Kalkaska Michigan, in the basement of the hospitial, works very well in this area! I had been injured in a car accident and had been to many other doctors and pt places and nobody could help my pain, untill I started going there! Excellent place.
This is very clearly explained in a way that anyone can understand it very much appreciate that. But it doesn't speak to the fact that myofascial pain can be caused by an illness such as Lyme disease which you acquire from a Lyme tick also known as a deer mouse tick also known as a deer tick. It's actually the white foot a deer mouse that carries these diseases and these ticks can be as tiny as a pepper flake. And you may or may not get a bull's-eye rash. You could get around rash or a kidney-shaped rash without an outer ring and never have any clue what in the world caused it. Also if a person were to develop a serious internal infection in their kidneys or intestines someplace inside the body where it was becoming presepsis or sepsis. Some people's immune system will do its best to lock down and trap the infection all over the body in pockets. It's excruciatingly painful and it's very crippling.
a speech sound which is produced by comparatively open configuration of the vocal tract, with vibration of the vocal cords but without audible friction, and which is a unit of the sound system of a language that forms the nucleus of a syllable.
I also have same pain that shown in that video now I understand clear about it
Good i appreciate
I have been suffering from this all my life due to sports injuries in youth. I highly recommend cupping to help with trigger points. It has given me a lot of relief and helped me tremendously. Sending you all love and healing energy.
Please what does cupping entail?
I have these modular locations since 2018. I get referred pain if I eat gluten and sugar. So, very recently I’ve joined Bikram Yoga since 15 days and have only been 5 times. I can feel my muscle relaxing esp in my neck. My best posture is garudasan and bending the neck. I can feel the pain in a good way.
Thank you for your informatic knowledge.I m expecting video of whole body dry needling
They diagnosed me a month ago of this síndrome the only people who found what u have was an orthopedic and this video is everything what I feel
merci
Wow good tips dr thankyou very much for your kind information doctor God bless you Ameen
Took five years and finally today i got diagnosed with this
I have had this for like 10 years now and it sucks. It's a constant nagging pain all the time in my neck, shoulder, jaw, and head.
How do you get through it?
Dry needling is an effective, non-pharmacological treatment of MTrPs which has approached acceptance as the “standard of practice” for deactivating active MTrPs. It may be performed using either a superficial or deep dry needling technique. Elicitation of one or more local twitch responses (LTRs) is a goal of dry needling and often benefits those with pain secondary to MTrPs. Though the mechanism of an LTR is unknown, studies suggest a biochemical component. Five minutes after the induction of a single LTR, our group found a dramatic change in the biochemical milieu of the upper trapezius muscle. Within minutes of the LTR, the initially elevated levels of SP and CGRP within the active MTrP drastically decreased to levels approaching that of normal uninvolved muscle tissue. The reduction of these
biochemicals in the local muscle area may be due to a small, localized increase in blood flow and/or nociceptor and mechanistic changes associated with an augmented inflammatory
response[17, 18]. Though not designed as a treatment intervention, the results of these studies are provocative in that the substances analyzed are known to be associated with sensitization, persistent pain, and spinal facilitation. In an animal model, it appears that dry needling may, in fact, activate the descending inhibitory pain system and cause local deactivation of the MTrP[35].
New Frontiers in the Matrix of Neuro-musculoskeletal Pain: Integrating Pain Mechanisms with Objective Physical Findings and Needling Strategies
Jay P. Shah, MD
God bless ...you guys are life savers
i was diagnosed in the Air Force in 85 and told it was nothing have not been out of pain since the injury never let them laugh at you, call you names or ignore you
Acupuncture...dry needling is an acupuncture technique. It is within theoretical and technical approaches within acupuncture models. Over 90% of trigger points correspond to known acupuncture points. If you choose to have DN done, please make sure the practitioner is properly trained! Most PT's, DC's, DO's, and even MD's have minimal training. Seriously consider a board certified Acupuncturist who regularly utilizes this particular technique - it IS a specialized technique and not all Acupuncturists use it, BUT they DO have much more knowledge and experience in needling the body than most of the practitioners previously listed. And incorporating meridian theory along with DN will improve the outcome. PT's and LMTs are a great addition to the approach, as all have something unique to offer.
if it really if muscle pain, you can treat this your self with a firm rubber ball, and a wall. You can fix the knots yourself by rolling the ball into your sore area. I have the ball between my shoulders and back and the wall and just move side to side, to get rid of the pain. It has worked wonders
Yes and no, I do that often, and although I get relief for 2 or 3 days they just keep coming back with a raging fury, it's just not enough.
That put mine in a nutshell 30 years of constant pain, done it all from acupuncture to steroid injection still have the pain
I've heard eating high magnesium, and b12 diet and taking vitamin k2 mk7 with vitamin D3 is helpful with myofascial pain.
h s Thanks for the info. I hope that it will help my sister.
I have pain all over the body as it shows, I am still 17 and it hurts to see other running and enjoying there teenage while you sit at one corner ,its been 5 years .
try dry needling I haven’t till maybe next month but I’ve been in pain for 4-5 years it blows but keep trying to find solutions
Bless you. My prayers are with you. 🙏 🙏 ❤ ❤
I totally understand. I’m 20 and going through the same thing. Sucks to see young people like you having fun and living life while you’re in pain 24/7
🥺 I’m sorry you have to go through that. I couldn’t imagine having to deal with chronic pain at such a young age 🙏🏾
I need this done to me
Hello. Thank you very much for this video! How helpful! Do you consult anywhere or know anyone in the DC area who would be competent in manual therapy?
Hi, sorry we only make educational materials, we dont do consultation and do not have connection with physicians/therapists. Wish you good luck with your treatment!
Not sure if you have found anyone since you posted so long ago! I am an LMT and you can do some research through the AMTA or American Massage Therapist Association.
Fanny Long buy mini acuball
9 years with this pain, and it got worse taking all the muscle chains from the left side of my body. The side of my face hurts so much, and don't get me started with my shoulder. I'll speak about this explanation with my physioterapist, without loosing time anymore.
I have Fibromylgia and this is soooo painful. 24/7 pain.
I can relate . Avoid sugar / processed foods/ oils except olive oil or coconut oil. Green peppers , onions and cauliflower send me through the roof in pain . Research leaky gut , and the Vegus nerve
@@emt6238 Thanks you so much; I will🤗😊
Yes avoid all kinds too much sugar. Take Magnesium Citrate 500 mg and Vitamin D3 with K2. Its good for Fibromylgia.
Ive been dealing with this for years and i get the extreme jaw and kneck pain almost unbearable.
Oh my word I have been diagnosed with fibromyalgia and nerve damage. And this is what I really have are you kidding me I have been in so much pain since 2002 and no one told me this😳😳😳 WHAT! I could be working and being productive and not homeless. Good Lord I am pissed now! All the Drugs they gave me I was a frickin lab rat along with all the side effects. I just want to cuss but I won't. Thank you. God bless you!!!
استخدم لسع النحل تشفى تماما باذن الله تعالى
@Obada Halima
لسع النحل يعوض عن التدليك لانه يبقي المنطقة ساخنة لمدة 4 ساعات بالاضافة الى تنشيط الدورة الدموية في هذه المنطقة مع مركبات سم النحل ...
@Obada Halima
اذن البديل هو الحجامة ممتازة ...
@Obada Halima
ممكن التدليك لاكن يجب ان نستخدم الزيوت القوية بمنع التاكسد والزيوت الساخنة ... مثل زيت الحنظل ... زيت القريص ... زيت الخزامى ... زيت الزيتون ... زيت الحرمل ... زيت الغار ... زيت البردقوش ... زيت لبان ذكر ... هذه زيوت قوية بمنع التاكسد ... اما الزيوت الساخنة فهي .. زيت الزنجبيل ... زيت الفلفل ... زيت القرنفل ... زيت النيم .. زيت الكافور ... زيت الزعتر ... ندهن المنطقة كل يوم 3 مرات كل مرة لمدة 10 دقائق ... ندهن يوم بالزيوت مانعة التاكسد ... وندهن يوم بالزيوت الساخنة .....
i have this myofascial pain syndrome since year 2008.i was suffering from this kind of pain.does this also cause the end of my life?was this can be cure or not?
Have had most luck with dry needling highly recommend, as alot of other remedies aren't as effective in my opinion.
applying hot water bag on shoulder works for me,, you may try this evry morning and night,, I hope this soothe your pain
Sir can you help me ! my all body muscle pain
I have all the symptomes plus tinitus for long time and if i get massage it comes agine
Can this cause a pinch never in the back of the skull? As soon as I have that i have to pay down for the rest of the day
Anterior pelvic tilt and rounded shoulders contribute to most of my pain. I was very tense around the shoulders and back that I got some bruising from using a foam roller.
Same bro ..did u try any of these or did u find some kind of solution?!
It’s called ‘double crossed syndrome’.
Same plus scoliosis
I've had the dry needling. Needles are inserted all over and an electric charge is applied to them, causing the muscle to contract/relax. Much like in biology class when they did it with a dead frog, causing the frog muscles to contract/relax. The insertion of the acupuncture needles does not hurt at all and actually feels good. Only inserted at the tips. Dry needling is highly effective but rarely offered anywhere. The only drawback to it is that it is no more lasting 'cure' than anything else is. And it is required to be done in a hospital room, so you get charged for the hospital room cost by the greedy.
I had a chiropractor do it in his office. It helped.
Hi, i want to ask for you. Are with dry needling this condition can be get well / better than before?
@@faradiba4626 It is not a cure, it just gets you out of a crisis of spasm/locked up muscles so you can move again. Until the next time. Sorry it took so long to rsspond, i never received notification of your question and only just happened to end up back here. Hope you find some relief. ; )
@B. L. I'm so sorry. Yes, i've heard many such stories of people being much worse after surgery. I always tell people to go to a chiropractor first, and not just one, since some are just as lousy as any doctor. A sports chiro is best. Also exercise trainers often know a great deal about how a body works and how one part of thekinetic chain affects another. You must be so exhausted, asa i'm guessing you don't sleep much. Just know that you are not alone.
WindWipper how have you been feeling with the pain??? after these few years
From where can I get spray.
A lot of it is due to Magnesium deficiency… I had over ten years of extreme pain started magnesium with lysin and housing in it and I am now pain free and doing wonderful ! Magnesium is a miracle mineral look it up!!!!!
You’re correct, try bananas.
This is so interesting! I never thought that there would be a syndrome for what I have been experiencing ever since being 16 years old. I found few years ago a physiotherapist that did myofascial treatment and trigger points and so far it has been the only thing that has helped the headaches, back issues in several places. My therapist always wonders what I have done to my back after 4-6 weeks I have visited him and myofascia is always very glued to mt muscles. I do exercises but unfortunately it doesn't fix the problem.
Are you hypermobile? Weak connective tissue forces the muscles to work harder than they otherwise would. I had no idea that hypermobility was even a thing until a few years ago. Reading the description was like a revelation.
Physicians and therapists trained in Active Release Technique are also beneficial.
My # therapist specializes with Nerves she knows all about them all the miles of them and has studied all over the world! It took me five years to find her, and they were trying to tell me my first opinion that I had to tendinitis then it was an impingement on the nerves. She has a special way of pulling back the layers of the onion to then there for a get in there and manipulate these triggerpoints with a tool after I have done my stretches! And first you need to heat your body and then you have to cool it down when you’re all done with ice packs I do this every day without fail now that I am in therapy, and it may take me over a year to figure or to get this all calmed down because there’s too many nerves involved!
what kind of spray do you use to reduce the pain ?
Biofreeze jell to help with pain while massages.
I have problems with shoulder and left chest pain and sudden chest pain. Also lower back pain that goes into right leg. Getting massage soon,hope it helps
Chest and shoulder sounder like your scalenes
the picture to the right at 0:54 is the levator scapulae i think
I use to be able to get Ethyl/Chloride Spray 20 years ago and it really did give me a lot of relief . Ya can’t get a prescription for it anymore . I had 2 tmj surgeries to help alleviate the pain .