User:Srodrigu/sandbox

Taking all this data into consideration one can conceptualize how a stainless steel wire or probe can effectively treat trigger points and thus myofascial and neuropathic syndromes; 1. Inserting the thin flexible solid stainless steel needle into the skin and muscle caused microscopic tissue injury. That injury ignites the healing cascade of repair which repaired the tissue injury and any local secondary injury. Muscle progenitor cells (myoblast or stem cells) proliferate to restore or regenerate muscle health and power. 2. The stainless steel needle, once it entered the muscle, triggered a muscular re-polarization creating a muscle twitch response. After the twitch, the muscle would relax. The relaxed muscle would be a little longer, less tense and tight. Better able to fit and correctly realign the flesh or a joint.

To understand Gunn-IMS as it relates to Acupuncture you have to consider the focus of the therapy which are trigger points.[|trigger points TPs]. TPs develop in stressed muscle fibers are key components to most chronic pain issues. TPs are discrete, focal, hyper-irritable spots located in skeletal muscle. Muscles are engines of movement and but when infected with TPs became shorter, tighter, stiffer, denser, weak and function erratically. Perceived weakness (or non-neuromuscular) describes a condition where a person feels more effort than normal is required to exert a given amount of force but actual muscle strength is normal, for example chronic fatigue syndrome.[?] These infected muscles altered the natural functioning of the muscles causing Myofascial Dysfunction which will affect all organ systems.

The technique to treat, relieve or release this stressed muscle tissues is now called myofascial release therapy (MRT) and is focused on these “trigger points” that develop in muscles. MRT is already in use today in regular physical therapy, massage therapy, sports medicine and in chiropractic medicine. Myofascial Release Therapy, when used correctly can begin the healing process for patients with complex muscle and skeletal and/or neuropathic pain issues. MFRT or MRT is as simple as a stretch to as complex as using a thick needles to breakup the muscle fibers.

So with the use of a fine-filament-solid stainless steel needles as used in Acupuncture, dry needling or Gunn-IMS one can begin the treatment process of a multitude of issues that are caused by Myofascial Pain Syndromes, or any ailments amenable to Myofascial Release Techniques.

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To understand Gunn-IMS as it relates to Acupuncture you have to consider the focus of the therapy which are trigger points.[|trigger points TPs]. TPs develop in stressed muscle fibers are key components to most chronic pain issues. TPs are discrete, focal, hyper-irritable spots located in skeletal muscle. Muscles are engines of movement and but when infected with TPs became shorter, tighter, stiffer, denser, weak and function erratically. Perceived weakness (or non-neuromuscular) describes a condition where a person feels more effort than normal is required to exert a given amount of force but actual muscle strength is normal, for example chronic fatigue syndrome.[?] These infected muscles altered the natural functioning of the muscles causing Myofascial Dysfunction which will affect all organ systems.

The technique to treat, relieve or release this stressed muscle tissues is now called myofascial release therapy (MRT) and is focused on these “trigger points” that develop in muscles. MRT is already in use today in regular physical therapy, massage therapy, sports medicine and in chiropractic medicine. Myofascial Release Therapy, when used correctly can begin the healing process for patients with complex muscle and skeletal and/or neuropathic pain issues. MFRT or MRT is as simple as a stretch to as complex as using a thick needles to breakup the muscle fibers.

So with the use of a fine-filament-solid stainless steel needles as used in Acupuncture, dry needling or Gunn-IMS one can begin the treatment process of a multitude of issues that are caused by Myofascial Pain Syndromes, or any ailments amenable to Myofascial Release Techniques. Myofascial Trigger Point Therapy is grouped in to Myofascial Release Therapy and thus an additional class or type.

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rds To understand another possible cause of RSD you have to understand Myofascial Syndromes.see, travell, Rachlin, Gunn, Hackett. Myofascial tissues under stress will collect [|trigger points TPs]. TPs develop in stressed muscle fibers are key components to most chronic pain issues. TPs are discrete, focal, hyper-irritable spots located in skeletal muscle. Muscles are engines of movement and but when infected with TPs became shorter, tighter, stiffer, denser, weak and function erratically. These infected muscles altered the natural functioning of the muscles. Myofascial tissues dysfunction applies unnatural forces will compress arteries to cause Peripheral Arterial Diseases. Compression of venous flow return to the heart will cause swelling of a particular extremity. Compression of lymphatic flow which will lead to thicken of the skin as in Complex Regional Pain Syndrome. A shortened muscle will also alter the alignment of a joint and cause premature wear and tear leading to premature degeneration joint disease.

The technique to treat, relieve or release this Myofascial tissues is now called myofascial release therapy (MRT) and is focused on these “trigger points” that develop in muscles. MRT is already in use today in regular physical therapy, massage therapy, sports medicine and in chiropractic medicine. Myofascial Release Therapy, when used correctly can begin the healing process for patients with complex muscle and skeletal and/or neuropathic pain issues. MFRT or MRT is as simple as a stretch to as complex as using a thin filament needles Acupuncture, dry needling. or [|trigger points TPs]. Both types of needles will breakup the muscle fibers to trigger the healing cascade and reboot-relax the muscles.

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This is where the term Myofascial Dysfunction Therapies can be treated with hands-on therapy, Vaso-Coolant Therapy and with stainless steel solid needle and stainless steel hypodermic needle therapy.

These short, stiff myofascial tissue irritate and compress associated nerve fibers, pain fibers, joints, lymphatic structures, arteries and veins. A shortened muscle will alter the alignment of a joint and cause premature wear and tear. If this alter alignment if left for decades, it can destroy the natural design of a joint and increase degeneration. The compressed nerve fibers will switch on pain alerts, alarms and alter normal sensations called neuropathy. The broken pain signals will be oppressive and unrelenting as would happen after Shingles. Alter sensory fibers will cause a slight innocent pressure to be interpreted as scalding hot or burning. Compressed arteries will choke off nourishment to limbs leading to cold fingers and toes and could lead to ulcers in that extremity. Compressed veins which bring blood back to the heart will cause swelling and another type of ulcer. Myofascial disease will lead to fear, anxiety, insomnia and worry. Even suicides.

Some providers think that myofascial tissue will masquerade as a number of maladies that will delay therapy for weeks, months and even years. The triggers will growing in numbers per muscle as in density and spreading to others areas of the body. Myofascial tissues infected with trigger points will have a local pain clinical finding and in a referred pain pattern that may be a joint segments away.

The technique to relieve this stressed muscle tissues is now called myofascial release therapy (MRT) and is focused on these “trigger points” that develop in muscles. MRT is already in use today in regular physical therapy, massage therapy, sports medicine and in chiropractic medicine. Myofascial Release Therapy, when used correctly can begin the healing process for patients with complex muscle and skeletal and/or neuropathic pain issues. MFRT or MRT is as simple as a stretch to as complex as using a thick needles to breakup the muscle fibers. Once can use leverage to unwind the muscles floor exercising, stretching and yoga. Hands-on therapies like deep tissue massage, a light touch release and chiropractic adjustments.

Some myofascial tissues can not be effectively released just with leverage and powerful hands. The muscles require an electrical depolarization by using a stainless steel or metal tool. A solid needle as an acupuncture needle or a sharp cutting tipped hypodermic needle. One can imagine myofascial tissue as different grades of beef from Filet Mignon to a tough leathery hunk of meat. Take a sewing needles and push it through the filet, easy. Now try to push a sewing needle through a belt, almost impossible with a sewing needle. But if you take a needle with a knife like tip and you can penetrate the belt. If you tried to bend or twist or pierce a leather belt with a sewing needles.

Janet G. Travell, MD,. who’s worked extensively on Myofascial Pain Therapy, was an orthopedic doctor in the 1950s-60s. She realized that focused therapy at the joints was less successful that focusing the therapy on the muscles. Many physicians saw musculoskeletal pain issues as originating in joints or static structures; she understood that many of these pain and disability issues originated in the muscles. She also discovered that treating the muscles would also alleviate a lot of movement disorders and pain syndromes. She noted that if the muscles were treated then the ligaments, nerves and circulatory dysfunctions would naturally resolve. She called her therapy Trigger Point Injections.

Travell, MD injected lidocaine into a trigger before activating the release which is less painful, but take even more time that Gunn. In the world of Travell you compliment the trigger points with some hands-on therapy. Still both of these authors techniques can be painful so a lot of patient would simply suffer with the pain than the injections.

These intensely miserable patient had nowhere to turn until Edward S. Rachlin, MD. modified both techniques. Dr. Rachlin is an orthopedic surgeon who has written a text on Myofascial pain therapy with trigger point injections. He was able to see the benefits of the disciplines proposed by Gunn and Travell and blend them into an integrated package. His therapeutic package is also focused on the muscular trigger points. The Rachlin injection procedure does not require the twitching-response as Gunn/Travell taught in schools of MRT. Plus Rachlin would perform a pre-trigger point anesthesia injections to soothe the trigger before the release. Much less pain and much more tolerable to already depleted miserable patients.

During this evolution of myofascial release therapy a provider focused his injections at the junction between the tendon/ligaments and the bone. This procedure is now called Prolotherapy introduced by George Hackett, MD. His contribution is now global and in essence, it too involves injections and needles, but the focus is on the tendons and ligaments. Many providers contend that this is a valid procedure just as the others but due to some misunderstanding due to the substance being injected. A very mild caustic agent is injected in an attempt to stimulate fibroblastic cell to renew and thicken thus strengthening the joint.

Muscles function in locomotion and are made up of the fibers of movement, the coverings, the transition to a ligament and then the attachment to the bone. This muscular unit is call Myofascial Tissue and is the focus of therapy.

We don’t need to reinvent the wheel!!?? Please be aware that a lot of complex pain research has already been done!

If you google “new research in pain therapy” you will find a lot of research in medications, cell therapy and high-tech devices to sooth the pain. Please be aware that a lot of complex pain research has already been done! Unfortunately this >60 years of research is overlooked by doctors. This is because most pain issues are deep within the muscle/connective (myofascial) tissues and the treatment option is part of the Formal Physical Therapy Departments. Medical Doctors have neglected the benefit of Formal PT because MDs have jumped over the art of doing their part in the Formal physical Therapy. We, the doctors, have to put more manual labor and effort into pain therapy, manual labor in the form of myofascial release therapy as the original matriarchs and patriarchs of myofascial pain therapy.

Here is a list of the my most important pain therapy references in the last few decades. These authors have spent their entire careers establishing protocols to began the treatment process for a lot of complex myofascial pain issues and nerve pain diseases. If your providers do NOT have these on the shelf, print this list and take it in at your next visit and ask.

1. Gunn Approach to the Treatment of Chronic Pain: Intramuscular Stimulation for Myofascial Pain of Radiculopathic Origin [Hardcover] C. Chan Gunn MD OBC CM DSc(hon) PhD (Author)Publication date:1997-07-23

2. Travell & Simons' Myofascial Pain and Dysfunction: The Trigger Point Manual (2-Volume Set) [Hardcover] David G. Simons (Author), Janet G. Travell (Author), Lois S. Simons (Author), Barbara D. Cummings (Author) Publication Date: November 1, 1998 | ISBN-10: 0683307711 | ISBN-13: 978-0683307719 | Edition: 2

3. Myofascial Pain and Fibromyalgia: Trigger Point Management [Hardcover] Edward S. Rachlin MD FACS (Author), Isabel Rachlin PT (Author), Isabel Rachlin (Author) Myofascial Pain and Fibromyalgia: Trigger Point Management [Hardcover] Edward S. Rachlin MD FACS (Author), Isabel Rachlin PT (Author), Isabel Rachlin (Author) Febuary 15, 2002 | ISBN-10: 0323011551 | ISBN-13: 978-0323011556 | Edition: 2

4. Ligament and Tendon Relaxation (Skeletal Disability : Treated By Prolotherapy) [Hardcover] George S. Hackett (Author)Ligament and Tendon Relaxation (Skeletal Disability : Treated By Prolotherapy) (Hardcover) By: 	George S. Hackett (Author) George S. Hackett | ISBN-10: 039805066X | ISBN-13: 9780398050665 1958 http://onlinelibrary.wiley.com/doi/10.1111/j.1526-4610.1966.hed0602088.x/abstract

5. Acupuncture Energetics: A Clinical Approach for Physicians [Hardcover] Joseph M. Helms (Author)ISBN:1572507063 Author(s):Joseph M. Helms Publisher:Medical Acupuncture Publishers Publication date:1995 Edition:1st Binding:Hardcover Volume(s):1 Pages:760

6. CraigPENS as per UTSW, William F Craig, M.D.

7. Myofascial Release by Gokavi, Cynthia N. Gokavi, MBBS.

Books

Citations for books typically include: name of the author(s) title of the book in italics volume when appropriate city of publication is optional name of the publisher year of publication chapter or page number(s) where appropriate ISBN is optional Citations for individually authored chapters in books typically include: name of author the title of the chapter name of the book's editor name of book and other details as above the chapter number or page numbers for the chapter are optionalSrodrigu (talk) 02:51, 20 March 2013 (UTC)