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    Trigger Point Therapy Workbook for Shoulder Pain including Frozen Shoulder (2nd Ed)
    Trigger Point Therapy Workbook for Shoulder Pain including Frozen Shoulder (2nd Ed)
    Trigger Point Therapy Workbook for Shoulder Pain including Frozen Shoulder (2nd Ed)
    Ebook288 pages2 hours

    Trigger Point Therapy Workbook for Shoulder Pain including Frozen Shoulder (2nd Ed)

    By Valerie DeLaune

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    About this ebook

    75% of pain is caused by trigger points (areas of contracted cells in muscle tissue), but they are drastically under-diagnosed as the source of pain. Trigger points may refer pain and other symptoms both in the local area and/or to other areas of the body, but since over 74% of trigger points are not located in the area where you feel pain, treating the local area does not resolve the problem most of the time. The most common "referral patterns” have been well documented and diagrammed over decades of research.

    The introductory chapter of this e-book includes general guidelines for self-help techniques and muscle care. Chapter 2 contains a diagram of a body divided into zones, with a list of muscles that may contain trigger points which are referring pain and other symptoms to each zone, so that you will know which subsequent chapters you need to read. The second edition has an added extensive Appendix on perpetuating factors that will cause trigger points to form in any of the muscles of the body.

    By clicking on the pertinent muscle chapter links from the table of contents, your e-book reader takes you to each chapter that may harbor trigger points that are the source of your pain. You'll find illustrations of common pain referral patterns that you can compare with your symptoms, and this will help you figure out where the common trigger points causing your pain are likely located. Along with outlining the common symptoms and causes for trigger points for each muscle, there are lists of "helpful hints" for resolving trigger points. Self-help techniques are written out and accompanied by detailed photos to guide you through the techniques.

    In addition to shoulder pain and frozen shoulder, conditions such as rotator cuff injuries, thoracic outlet syndrome, and head forward posture are addressed.

    This e-book draws on the decades of research by Doctors Janet Travell and David G. Simons, combined with the 23 years of clinical experience of Acupuncturist, Neuromuscular Therapist, and author Valerie DeLaune, LAc.

    LanguageEnglish
    PublisherValerie DeLaune
    Release dateJun 2, 2013
    ISBN9780976124627
    Trigger Point Therapy Workbook for Shoulder Pain including Frozen Shoulder (2nd Ed)
    Author

    Valerie DeLaune

    Valerie DeLaune is a licensed acupuncturist and certified neuromuscular therapist, with a Masters Degree in Acupuncture from the Northwest Institute of Acupuncture and Oriental Medicine and certificates from Heartwood Institute and Brenneke School of Massage. She has been in practice since 1989, and has seen patients from all over the world. She has written eleven trigger point books: Pain Relief with Trigger Point Self Help (book-on-CD ROM, 2004), Trigger Point Therapy for Headaches and Migraines: Your Self-Treatment Workbook for Pain Relief (paperback, 2008), Trigger Point Therapy for Foot, Ankle, Knee, and Leg Pain (paperback and e-book, 2010), and Pain Relief with Trigger Point Self-Help (paperback, 2011), Trigger Point Therapy for Repetitive Strain Injuries (paperback, 2012), Trigger Point Therapy Workbook for Shoulder Pain including Frozen Shoulder (e-book, 2nd Ed. 2013), Trigger Point Therapy Workbook for Upper Back and Neck Pain (e-book, 2nd Ed. 2013), Trigger Point Therapy Workbook for Lower Back and Gluteal Pain (e-book, 2nd Ed. 2013), Trigger Point Therapy Workbook for Chest and Abdominal Pain (e-book, 2013), Trigger Point Therapy Workbook for Headaches and Migraines including TMJ Pain (e-book, 2013), and Trigger Point Therapy Workbook for Lower Arm Pain including Elbow, Wrist, Hand & Finger Pain (e-book, 2013). She has written articles for ADVANCE for Physical Therapists, Massage World magazine, Fibromyalgia Magazine, Yoga Magazine, and the International Journal of Therapy and Rehabilitation on trigger point topics, and has written several articles for the Juneau Empire on acupuncture topics. Valerie teaches trigger point continuing education workshops in the U.S., and currently resides in Alaska. www.triggerpointrelief.com

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      Book preview

      Trigger Point Therapy Workbook for Shoulder Pain including Frozen Shoulder (2nd Ed) - Valerie DeLaune

      Trigger Point Therapy

      e-Workbook

      for Shoulder Pain

      including Frozen Shoulder

      (Second Edition)

      Valerie DeLaune, LAc

      Copyright 2012-2013 by Valerie DeLaune

      Smashwords Edition

      All rights reserved. No portion of this book, except for brief review, may be reproduced, stored in a retrieval system, or transmitted in any form or by any means - electronic, mechanical, photocopying, recording or otherwise - with the exception of downloading and purchase as an e-book and the device for which it was intended, without the written permission of the publisher. For information, contact the Institute of Trigger Point Studies at http://triggerpointrelief.com/.

      ISBN 10: 0-9761246-2-9

      ISBN 13: 978-0-9761246-2-7

      First Edition, 2012

      Second Edition, 2013

      Disclaimer:

      The following information is intended for general information purposes only. Individuals should always see their health care provider before administering any suggestions made in this book. Any application of the material set forth in the following pages is at the reader's discretion and is his or her sole responsibility.

      This e-book is intended as a quick-reference only for the major muscles that may harbor trigger points that refer pain to the shoulder area. It is not intended as a comprehensive therapy guide for other areas of the body. If you are unable to relieve all of your pain with the techniques found in this e-book, you may wish to consult one of the resources found at the end of this e-book in order to treat other pertinent muscles.

      Table of Contents

      Acknowledgements / About the Author

      Chapter 1: Locating and Treating Trigger Points: General Guidelines

      Chapter 2: Trigger Point Location Guide

      Chapter 3: Trapezius

      Chapter 4: Paraspinals

      Chapter 5: Rhomboid

      Chapter 6: Levator Scapula

      Chapter 7: Scalenes

      Chapter 8: Pectoralis Major / Subclavius

      Chapter 9: Pectoralis Minor

      Chapter 10: Serratus Posterior Superior

      Chapter 11: Supraspinatus

      Chapter 12: Infraspinatus

      Chapter 13: Latissimus Dorsi

      Chapter 14: Subscapularis

      Chapter 15: Teres Major

      Chapter 16: Teres Minor

      Chapter 17: Deltoid

      Chapter 18: Triceps / Anconeus

      Chapter 19: Biceps

      Chapter 20: Coracobrachialis

      Appendix A: Perpetuating Factors

      Other Books by The Author

      Acknowledgements

      This book would not have been possible without the lifeworks of Dr. Janet Travell and Dr. David G. Simons, who worked endlessly to research trigger points, document referral patterns and other symptoms, and bring all of that information to medical practitioners and the general public. Together Doctors Travell and Simons produced a comprehensive two-volume text on the causes and treatment of trigger points, written for physicians. This text is a condensation of those volumes, written for the general public, and for practitioners who don't need the in-depth knowledge to perform trigger point injections.

      Dr. Janet Travell and Dr. David G. Simons

      Dr. Travell pioneered and researched new pain treatments, including trigger point injections. In her private practice, she began treating Senator John F. Kennedy, who at the time was using crutches due to crippling back pain and was almost unable to walk down just a few stairs. It had become important for presidential candidates to appear physically fit, because of television. Being on crutches probably would have cost President Kennedy the election. Dr. Travell became the first female White House physician, and after President Kennedy died, she stayed on to treat President Johnson. She resigned a year and a half later to return to her passions: teaching, lecturing, and writing about chronic myofascial pain. She continued to work into her nineties and died at the age of ninety-five on August 1, 1997.

      Dr. Simons met Dr. Travell when she lectured at the School of Aerospace Medicine at Brooks Air Force Base in Texas in the 1960s. He soon teamed up with Dr. Travell and began researching the international literature for any references to the treatment of pain. There were a few others out there who were also discovering trigger points but using different terminology. He studied and documented the physiology of trigger points in both laboratory and clinical settings and tried to find scientific explanations for trigger points. He continued to research the physiology of trigger points, update the trigger point volumes he coauthored with Dr. Travell, and review trigger point research articles until his death at the age of 88 on April 5, 2010.

      I am also profoundly grateful to my neuromuscular therapy instructor, Jeanne Aland, who taught me basics about trigger points, and introduced me to the books written by Doctors Travell and Simons. I was told Jeanne passed on a few years ago.

      All three are well-missed. Those familiar with trigger points are extremely grateful for their hard work and dedication. Their work lives on through the hundreds of thousands of patients who have gotten relief because of their research and willingness to train others.

      Other Thanks

      Many additional researchers have contributed to the study of trigger points, and many doctors and other practitioners have taken the time to learn about trigger points and give that information to their patients. I would like to acknowledge all of them for their role in alleviating pain by making this important information available. In particular I would like to thank Dr. Juhani Partanen, who kindly explained the Muscle Spindle hypothesis to me in lay terms, and also took the time to review the chapter Trigger Points — What Are They and What Causes Them? to make sure I had translated scientific language correctly into easier-to-understand terms (this chapter is found in Pain Relief with Trigger Point Self-Help).

      My Background

      I attended massage school in 1989 and learned Swedish massage. I learned to give a very good general massage, but I didn't feel equipped to treat chronic pain. I was very intrigued by a description of a continuing education certificate course; it was called neuromuscular therapy, which combines myofascial release (a type of deep tissue massage) with treating trigger points. I attended the class in 1991, taught by Jeanne Aland at Heartwood Institute, and it completely changed my approach to treating patients. Once I learned about referral patterns, I was able to consistently resolve chronic pain problems.

      Over my years of treating thousands of patients, I have added my own observations to those of Doctors Travell and Simons, and developed a variety of self-help techniques, which are included in my books.

      In 1999, I received my master's degree in acupuncture. Since then I've been writing trigger point books and articles, teaching trigger point continuing education classes to health care providers, and specializing in treating pain syndromes by combining dry-needling of trigger points with Traditional Chinese Medicine diagnosis and treatment.

      Valerie DeLaune, LAc

      Chapter 1: Locating and Treating Trigger Points: General Guidelines

      Where to Start?

      Chapter 2 contains the Trigger Point Location Guide; this will help you figure out which muscles in this e-book may harbor trigger points that might be causing your symptoms. Locate your pain or other symptoms for each area, and then refer to the chapters listed.

      Each muscle chapter has drawings that show the most common pain referral areas for each trigger point. The more solid black or white area indicates the primary area of referral, which is almost always present, and the lighter stippled area shows the most likely secondary areas of referral, which may or may not be present. Keep in mind that the referral patterns only show the most common referral patterns; your referral pattern may be somewhat different or even completely different. You may also have overlapping referral patterns from trigger points in multiple muscles. These areas may be more extensive than the patterns common for individual muscles, and pain may be more intense. For this reason, over time, be sure to search for trigger points in all the muscles that refer pain to that area.

      Each muscle chapter contains an anatomical drawing of the muscle or muscles covered in that chapter, with X's showing some of the most common locations of trigger points. There may be additional trigger points or they may be in different places, so search the entire muscle. Keep in mind that for some muscles, the X may just be an example of a trigger point location and its associated referral pattern, but they may occur at any level; for example, trigger points in the paraspinal muscles.

      Each muscle chapter also includes lists of common symptoms and factors that may cause or perpetuate trigger points. Again, these are only the most common; you may experience different symptoms, and your causes and perpetuating factors may be different. If you think you might have trigger points in a certain muscle but don't see any perpetuating factors that apply to you, try to imagine whether anything in your life is similar to something on the list that could be causing the same type of stress on the muscle.

      Once you've determined which two muscles most closely fit your pain referral pattern and symptoms, start doing the self-help pressure and stretching, and eliminate the applicable perpetuating factors. Over the next several weeks, search for trigger points in additional muscles, and add those into your treatment regime as needed. As you start to feel better, you'll develop a clearer picture of which trigger points are causing your pain, and which perpetuating factors are reactivating your trigger points.

      Other Things to Consider...

      When you apply pressure to the trigger point, you can often reproduce the referred pain or other symptoms, but being unable to reproduce the referred pain or other symptoms by applying pressure does not rule out involvement of that specific trigger point. Try treating the trigger points that could be causing the problem anyway, and if you improve, even temporarily, assume that one of the trigger points you worked on is indeed at least part of the problem. For this reason, don't work on all the possible trigger points in one session, since you won't know which trigger point treated actually gave you relief.

      Be aware that a primary, or key, trigger point can cause a satellite trigger point to develop in a different muscle. The satellite trigger point may have formed for one of these reasons: it lies within the referral zone of the primary trigger point, or it's in a muscle that is either substituting for, or is countering tension for the muscle that contains the primary trigger point. When doing self-treatments, be aware that if some of your trigger points are satellite trigger points, you won't get lasting relief until the primary trigger points have been treated. This is why it is important to work in the direction of referral (see Do's below).

      You also need to be aware that central sensitization (explained in Pain Relief with Trigger Point Self-Help) can cause the referral pattern to deviate from the most common pattern found in each muscle chapter. It may also cause trigger points in several muscles within a region to refer pain to the same area, making it more difficult to determine trigger point locations. This means you can't absolutely rule out

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