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 www.ncbi.nlm.nih.gov/pmc/articles/PMC3201653/ Dry needling - peripheral and central considerations Jan dommerholt "Dry needling is a common treatment technique in orthopedic manual physical therapy. Although various dry needling approaches exist, the more common and best supported approach targets MYOFASCIAL TRIGGER POINTS. From a pain science perspective, trigger points are constant sources of peripheral nociceptive input leading to peripheral and central sensitization." ua-cam.com/video/xrFF7n29XOU/v-deo.html
After a year long treatment, I have finally met a physiotherapist who understood that I had a myofascial muscle knot on my back and helped me relieve it. This video explains it beautifully. Thank you.
@@sadiai3144 release knot with lacrose ball, strengthen that area using resistance band excercises and stretching the particular muscle. Do this for a few days and there is a vast reduction in pain. Release - Strengthen - Strech
Interesting. I had it on my left side shoulder blade for two weeks very uncomfortable. I am more careful of Posture but the main thing I did was exercise my shoulders - arms with stretch many times a day. Pain has gone 3 days now & hopefully will never return. Slouching over Christmas Period add a little tension that's how I felt so bad 👎 Exercise & Positive Mind . Hope anyone suffering from this gets well soon its a horrible pain on the plus side I know do more daily arm stretching.
Mines been going on since 2012 and only recently did I find a Chinese acupuncturist who understands the problem and her treatment has been very effective so far.
@@ahzaab553 I have been suffering since 2000!?!?!?!? And finally understand... I bought myself some massage balls and also a golf ball...I lay on top of the balls and grind out the knots......the difference is night and day! I can finally live life somewhat normal..I jst gotta make sure i carry a gold balls around with me cuz unfortunately they come back.....but atlesst i can treat it..thank God!
Exact spot I have pain. The problem with self-massaging that spot is it tightens your muscles on the other shoulder, so you have to just go back and forth
This video came to me. One thing that was not noted. Trigger point of this nature can also be referred pain coming from the cervical region. To many subjected opinions.
If you poke it but it does NOT causes pain somewhere else, is it a trigger? I have tender spots but they dont cause pain in other places. So im so confused
Hello, I'm studying massage therapy right now in school and we just started learning about this that's why I was searching yt for videos. Basically there different types of referred pain, I still don't know everything but my basic knowledge I learned if it's a TrP (trigger point) then when you press the painful spot it will have a "referral pattern" that is typical/specific to the muscle for example, the traps muscle it will feel painful from the spot, up the side of the head over the ear in a "question mark" pattern - if that specific pattern isn't felt it's not a TrP, it could instead be referral pain from an internal organ, example: Liver problems could refer feeling like a dull-aching shoulder or a heart attack you feel pain on your left pectoral region radiating down the medial part of the left arm. Here's a link that might help: www.physio-pedia.com/Trigger_Points
Davide Mazzotti you are absolutely right. Rather, these are some of the culprit as follows: hunching over, slouching over, repetitive/frequent use of a single muscle, sedentary lifestyle, lifting weights, obvioulsy physical stress, mentally and emotionally stress will lead to muscle tension.. definitely not INJURIES..
Chavassea Okeke , well I guess it depends on definition of injury. A trigger point is a damaged sarcoplasmic reticulum in the muscle cell. Just being in one position to long can cause a trigger point.
Finally....a simple video, that explains a lot! Thank you so muchhhhhhhhh!!!!
Exactly
Bro did you had mucsle spasms . Are you recovered .can you suggest me some tips. I AM SUFFERING ALOT FROM IT .
kkd Haneef how are you know? I’m going to a specialist to try to get my knots removed tomorrow.
Graphics are amazing!!! Computer voice...not so much... couldn’t someone just talk? Great simple video.
Wow that trigger point is exactly where my pain is!! After all these years, I believe I will finally be pain free, thank you!!
How are u fixing it any tips?
@@sadiai3144 massaging works for me. All the best..
I have lived with stroke for❤️ over 6 years ............ 💖but I am now free after using dread roots and herbs medication ..............
Message her on WhatsApp for help
@@sadiai3144 high pressure localized massages are very effective. Best done by a trained therapist
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
www.ncbi.nlm.nih.gov/pmc/articles/PMC3201653/
Dry needling - peripheral and central considerations
Jan dommerholt
"Dry needling is a common treatment technique in orthopedic manual physical therapy. Although various dry needling approaches exist, the more common and best supported approach targets MYOFASCIAL TRIGGER POINTS.
From a pain science perspective, trigger points are constant sources of peripheral nociceptive input leading to peripheral and central sensitization."
ua-cam.com/video/xrFF7n29XOU/v-deo.html
Thank you for this explanation. It describes perfectly what I've been suffering with for a extremely long time
How you treat your self ?
@@hayderfawzi6809 I´m gonna try to use a ball of tennis for massage. Search some videos on youtube.
4 years for me in my back. I'm basically a disabled.
@@Luke.Popodoo how is it now?
Myofacial release
This was by far the best visual for my issues with this.
thanks for your advice
After a year long treatment, I have finally met a physiotherapist who understood that I had a myofascial muscle knot on my back and helped me relieve it. This video explains it beautifully. Thank you.
What did they do to help?
Which physiotherapist you met in india ?
@@sadiai3144 release knot with lacrose ball, strengthen that area using resistance band excercises and stretching the particular muscle. Do this for a few days and there is a vast reduction in pain.
Release - Strengthen - Strech
@@mansisaxena9775 Brio Fitness Studio, Chennai
@@gadineshkumar thanks for the info :)
Thank you for sharing.. 🙏
Exactly the spot. Even medication hasn't released the muscle tension.
So simple to understand
thank's a lot
Thank you
Thanks
Interesting. I had it on my left side shoulder blade for two weeks very uncomfortable. I am more careful of Posture but the main thing I did was exercise my shoulders - arms with stretch many times a day. Pain has gone 3 days now & hopefully will never return. Slouching over Christmas Period add a little tension that's how I felt so bad 👎 Exercise & Positive Mind . Hope anyone suffering from this gets well soon its a horrible pain on the plus side I know do more daily arm stretching.
I went to the doctors they couldn't help you tube what i was feeling an wow now i know what it is .i love UA-cam
Exactly where I have chronic pain..
Mines been going on since 2012 and only recently did I find a Chinese acupuncturist who understands the problem and her treatment has been very effective so far.
I have this problem now pls someone help me for tell good medicine from somalia
@@ahzaab553 stretching helped me a lot, and a good massage therapy with vacuum cups every day for 10-15 days
@@olgashybisty7967 thanx dude
@@ahzaab553 I have been suffering since 2000!?!?!?!? And finally understand... I bought myself some massage balls and also a golf ball...I lay on top of the balls and grind out the knots......the difference is night and day! I can finally live life somewhat normal..I jst gotta make sure i carry a gold balls around with me cuz unfortunately they come back.....but atlesst i can treat it..thank God!
It could the way you sleep too.that was my issue
Exact spot I have pain. The problem with self-massaging that spot is it tightens your muscles on the other shoulder, so you have to just go back and forth
What is the solution? How do I untie this muscle knot?
Nice vid
This video came to me. One thing that was not noted. Trigger point of this nature can also be referred pain coming from the cervical region. To many subjected opinions.
They were acupuncture points! Si12 ans Gb21.
How do I get rid of this?!?!
Hi, can i use this video somehow?
It’s so painful
If you poke it but it does NOT causes pain somewhere else, is it a trigger?
I have tender spots but they dont cause pain in other places. So im so confused
Hello, I'm studying massage therapy right now in school and we just started learning about this that's why I was searching yt for videos. Basically there different types of referred pain, I still don't know everything but my basic knowledge I learned if it's a TrP (trigger point) then when you press the painful spot it will have a "referral pattern" that is typical/specific to the muscle for example, the traps muscle it will feel painful from the spot, up the side of the head over the ear in a "question mark" pattern - if that specific pattern isn't felt it's not a TrP, it could instead be referral pain from an internal organ, example: Liver problems could refer feeling like a dull-aching shoulder or a heart attack you feel pain on your left pectoral region radiating down the medial part of the left arm.
Here's a link that might help: www.physio-pedia.com/Trigger_Points
Great... So how do i make it not happen?
Hello!
Risk factors should be avoided. More about this is written in our article: age2b.com/condition-myofascial-pain-syndrome/
Good video with explanation. Can Epsom salt spray on the affected part help ? Thanks
Hi, it's a good question!
You're welcome to put in in our forum: age2b.com/category/questions-and-answers/spine-care/
And it gives gas to stomach???
How to rilif
But I have that
THERA CANE has immensely helped me.
Whatsapp her for help
I am suffering from this from a very long time.... Plz tell me how to treat it ......... Please
I have lived with stroke for❤️ over 6 years ............ 💖but I am now free after using dread roots and herbs medication ..............
+ 2349069313955⬇️
Thank you for your request, here is more information regarding this subject: age2b.com/myofascial-pain-syndrome/
it is GB-21 poin excess = GB meridian excess
Honestly the chest muscles is the worst spot to catch this shit!!
Trigger point are NOT caused by injuries... not a nice start for a video that, otherwise, is quite accurate.
Davide Mazzotti you are absolutely right. Rather, these are some of the culprit as follows: hunching over, slouching over, repetitive/frequent use of a single muscle, sedentary lifestyle, lifting weights, obvioulsy physical stress, mentally and emotionally stress will lead to muscle tension.. definitely not INJURIES..
Davide Mazzotti , trigger points can and are caused by injuries. A blow to a muscle can cause cellular damage.
@@gordonwallis7275 well mine was no injury and I've had them in different places.
Chavassea Okeke , well I guess it depends on definition of injury. A trigger point is a damaged sarcoplasmic reticulum in the muscle cell. Just being in one position to long can cause a trigger point.
I've had trigger points for 2 years caused by injuries, so I don't know what you're on about.
where the f*ck I am