Guest guest Posted January 16, 2004 Report Share Posted January 16, 2004 I too am a firm adherent of trigger point massage/pressure/injections. I injured my upper back in 1994 (I can't believe it's been TEN years!) and nothing showed up on X-ray or MRI, but the pain generated in my spine caused all the muscles to the right of it to contract. They were in a chronic state of contraction for 2 years before I found someone who could help me. That was a physical therapist who did deep tissue massage. She told me about the trigger points, and showed me how to use a tennis ball between trigger points and the wall or floor. I started using a tennis ball, and after a couple of months I regained control of what was going on in my upper rights back. It was a lifesaver. When my IT band contracts, I get trigger points in my thigh. You also have them in that soft part of your hip between the iliac crest and the greater trochanter (hip joint), in your lower back (below the waist) and in the latissimus dorsi for lower back pain. You also have them at the base of your skull & down the neck in many places (when I say 'you have them " I mean if something's gone awry, those places may become trigger points). You can tell you've hit a trigger point if it " feels so good " . You also may feel referral of pain from where you're pressing to another place (a lot of people writing about trigger points, including the researchers who wrote the definitive document on them) say that all trigger points refer pain -- that may be true as a potential -- they may all be ABLE to refer pain -- but sometimes they don't refer pain, so don't go by that). For example, the one at the base of my skull on the right refers to the sinus. You can get rid of some headaches by pressing on trigger points. (I've said " trigger points " so many times I'm beginning to feel like Roy .) You need to find ALL the points that " feel so good " and press on each one for one minute (if you have as many as I do, this can take a couple of hours, but it's worth it). And you should also be aware that relief may not happen immediately, but about half an hour later. It's amazing what pressing on a trigger point for one minute can do for you. And it's FREE! I found out what trigger points are and why they cause pain. Here's what they are: http://www.triggerpointbook.com/triggerp.htm The reason they cause pain is that they restrict the flow of blood. After I give my back a good all-over tennis-ball treatment, my back feels very stimulated from the increased blood flow. As for trigger point injections, my understanding is that docs will inject lidocaine, cortisone, and/or botox into them. I've tried cortisone. Didn't work. I'm sure lidocaine would work, but even the longest-lasting lidocaine only works for 8 or so hours. Botox paralyzes the nerves so that they can't contract. Over a 3-month period, the nerves will grow new endings, but hopefully during that time, your muscles get out of the habit of contracting. Ann benefits of massage therapy Just wanted to share how helpful I've found trigger point massage therapy to be. Not only is the massage great, but no doctor or physical therapist has yet to " investigate " my body like a good massage therapist. Last week my massage therapist pointed out that my right pelvis was rotated severely forward. She stated that I need to get with a good personal trainer who can help me with that and my chronic IT band problems. So, if you're having problems getting a good diagnosis regarding pain in your soft tissue areas, hip pain, etc, I suggest finding a good massage therapist and seeing what they have to say. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2004 Report Share Posted January 16, 2004 Thanks for the great link and info. I also tried cortizone and got absolutely no relief. After reading posts from this group about the negative effects of cortizone, I decided I'd never have injections again! Like you, I have trigger points on the side of my thighs, lower back, and at the lower end of the IT band (laterally just below knee). The pain at the lower end of the IT band has been so severe lately, that I literally rubbed my leg raw there and caused a sore. That's why I went back for more massage. I haven't tried a tennis ball, but have used a rolling pin on my legs. I will try the ball. I also found during my latest massage that have two really severe trigger points near both shoulder blades. Wow, did it hurt when she pressed on those areas. Re: benefits of massage therapy I too am a firm adherent of trigger point massage/pressure/injections. I injured my upper back in 1994 (I can't believe it's been TEN years!) and nothing showed up on X-ray or MRI, but the pain generated in my spine caused all the muscles to the right of it to contract. They were in a chronic state of contraction for 2 years before I found someone who could help me. That was a physical therapist who did deep tissue massage. She told me about the trigger points, and showed me how to use a tennis ball between trigger points and the wall or floor. I started using a tennis ball, and after a couple of months I regained control of what was going on in my upper rights back. It was a lifesaver. When my IT band contracts, I get trigger points in my thigh. You also have them in that soft part of your hip between the iliac crest and the greater trochanter (hip joint), in your lower back (below the waist) and in the latissimus dorsi for lower back pain. You also have them at the base of your skull & down the neck in many places (when I say 'you have them " I mean if something's gone awry, those places may become trigger points). You can tell you've hit a trigger point if it " feels so good " . You also may feel referral of pain from where you're pressing to another place (a lot of people writing about trigger points, including the researchers who wrote the definitive document on them) say that all trigger points refer pain -- that may be true as a potential -- they may all be ABLE to refer pain -- but sometimes they don't refer pain, so don't go by that). For example, the one at the base of my skull on the right refers to the sinus. You can get rid of some headaches by pressing on trigger points. (I've said " trigger points " so many times I'm beginning to feel like Roy .) You need to find ALL the points that " feel so good " and press on each one for one minute (if you have as many as I do, this can take a couple of hours, but it's worth it). And you should also be aware that relief may not happen immediately, but about half an hour later. It's amazing what pressing on a trigger point for one minute can do for you. And it's FREE! I found out what trigger points are and why they cause pain. Here's what they are: http://www.triggerpointbook.com/triggerp.htm The reason they cause pain is that they restrict the flow of blood. After I give my back a good all-over tennis-ball treatment, my back feels very stimulated from the increased blood flow. As for trigger point injections, my understanding is that docs will inject lidocaine, cortisone, and/or botox into them. I've tried cortisone. Didn't work. I'm sure lidocaine would work, but even the longest-lasting lidocaine only works for 8 or so hours. Botox paralyzes the nerves so that they can't contract. Over a 3-month period, the nerves will grow new endings, but hopefully during that time, your muscles get out of the habit of contracting. Ann benefits of massage therapy Just wanted to share how helpful I've found trigger point massage therapy to be. Not only is the massage great, but no doctor or physical therapist has yet to " investigate " my body like a good massage therapist. Last week my massage therapist pointed out that my right pelvis was rotated severely forward. She stated that I need to get with a good personal trainer who can help me with that and my chronic IT band problems. So, if you're having problems getting a good diagnosis regarding pain in your soft tissue areas, hip pain, etc, I suggest finding a good massage therapist and seeing what they have to say. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2004 Report Share Posted January 16, 2004 Are you sure that sore point lateral to your knee is a trigger point? Does it really " hurt so good " ? I'm sore there too, but it feels more like something injured there, like maybe my lateral collateral ligament. There are a lot of different tissues in there -- the lateral retinaculum, the IT band goes through there, various tendons connecting the quads to the femur, and that pesky LCL. Also my new OS told me that if you have a torn meniscus, it can cause pain there, outside the knee, and here's why (very interesting, I thought). Firstly, the inner 2/3 of the meniscus has no pain nerves and no blood supply. A little oversight by God when he designed knees, because no blood supply means no healing. Anyway, let's say your meniscus has what they call a bucket handle tear, in which the tear may run across the meniscus front to back, but hasn't broken away. He said that when you take a step (or otherwise bend your knee under pressure), the femur pushes the torn part away, causing a lot of pull at the corners where it's still attached. The outer part of the meniscus, the thick part, is fairly pliable and has some (limited) movement. The outer 1/3 of the meniscus does have pain nerves (and a blood supply -- so if you're going to tear your meniscus, be sure to tear the outer portion of it), and this repetitive pulling irritates it muy mucho. Since the outer edge of the meniscus is right there with all those other tissues right at the joint, this can cause pain that seems to be in those other tissues. He told me this about 5 min. before my operation last week, because I had read that the meniscus doesn't have pain nerves and I couldn't understand why my torn meniscus could be crippling me so much. (I still have a lot of swelling from the operation, so it's still too early to tell whether his removing the torn part will help. I hope he's right.) Ann benefits of massage therapy Just wanted to share how helpful I've found trigger point massage therapy to be. Not only is the massage great, but no doctor or physical therapist has yet to " investigate " my body like a good massage therapist. Last week my massage therapist pointed out that my right pelvis was rotated severely forward. She stated that I need to get with a good personal trainer who can help me with that and my chronic IT band problems. So, if you're having problems getting a good diagnosis regarding pain in your soft tissue areas, hip pain, etc, I suggest finding a good massage therapist and seeing what they have to say. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2004 Report Share Posted January 16, 2004 I'm not sure why the lateral side of my knee hurts so bad. I've even posted to this group about it before, but didn't get many answers. I've had a couple of " professionals " tell me that the spot that hurts corresponds with the end of the IT band. The spot is right in the middle of the side of my leg, beside my middle knee (if that makes sense). In a sitting position, it hurts right in the soft spot about an inch laterally from my knee and hurts down to the bone that protrudes laterally where the knee bends... Re: benefits of massage therapy Are you sure that sore point lateral to your knee is a trigger point? Does it really " hurt so good " ? I'm sore there too, but it feels more like something injured there, like maybe my lateral collateral ligament. There are a lot of different tissues in there -- the lateral retinaculum, the IT band goes through there, various tendons connecting the quads to the femur, and that pesky LCL. Also my new OS told me that if you have a torn meniscus, it can cause pain there, outside the knee, and here's why (very interesting, I thought). Firstly, the inner 2/3 of the meniscus has no pain nerves and no blood supply. A little oversight by God when he designed knees, because no blood supply means no healing. Anyway, let's say your meniscus has what they call a bucket handle tear, in which the tear may run across the meniscus front to back, but hasn't broken away. He said that when you take a step (or otherwise bend your knee under pressure), the femur pushes the torn part away, causing a lot of pull at the corners where it's still attached. The outer part of the meniscus, the thick part, is fairly pliable and has some (limited) movement. The outer 1/3 of the meniscus does have pain nerves (and a blood supply -- so if you're going to tear your meniscus, be sure to tear the outer portion of it), and this repetitive pulling irritates it muy mucho. Since the outer edge of the meniscus is right there with all those other tissues right at the joint, this can cause pain that seems to be in those other tissues. He told me this about 5 min. before my operation last week, because I had read that the meniscus doesn't have pain nerves and I couldn't understand why my torn meniscus could be crippling me so much. (I still have a lot of swelling from the operation, so it's still too early to tell whether his removing the torn part will help. I hope he's right.) Ann benefits of massage therapy Just wanted to share how helpful I've found trigger point massage therapy to be. Not only is the massage great, but no doctor or physical therapist has yet to " investigate " my body like a good massage therapist. Last week my massage therapist pointed out that my right pelvis was rotated severely forward. She stated that I need to get with a good personal trainer who can help me with that and my chronic IT band problems. So, if you're having problems getting a good diagnosis regarding pain in your soft tissue areas, hip pain, etc, I suggest finding a good massage therapist and seeing what they have to say. Quote Link to comment Share on other sites More sharing options...
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