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Specialists Speak on Trigger Points

Below are are few interesting quotes and comments by some of the leading specialists and experts in the field of physiology, biomechanics, anatomy and medical research regarding trigger points.

Arthur C. Guyton, MD -
Author of Textbook of Medical Physiology

"The mechanism of the sustained involuntary contraction of a spasm has not been explained to (my) complete satisfaction even in experimental animals."

Rene Calliet, MD -
Former Chairman of the Department of Rehabilitative Medicine at the University of Southern California School of Medicine.

"Trigger points have been inadvertently discovered by patients, their spouses, therapists, non-medical practitioners; yet . . . Failure to achieve success has resulted in the assumption that patients in their noncompliance are the cause of failure, rather than therapeutic misguidance. The speciality of Physical Medicine and Rehabilitation, in fact, all medical orthopaedics and therapeutic neurology will benefit from the clarification of this previously neglected modality and from this neurophysiological concept of musculoskeletal pain."

Janet Travell, MD, -
Personal White House physician to President John F. Kennedy,
Author of Myofascial Pain and Dysfunction - The Trigger Point Manual

The best basis for treatment from Dr. Travell is: "Acute myofascial pain due to TPs caused by clearly identifiable strain of one muscle is, as a rule, easily relieved. If the patient's pain has increased as the range of motion decreased, the therapeutic results are still likely to be good. If the pain has decreased as the range of motion also decreased, which may indicate increasing fibrosis, achieving relief of pain and return of function becomes more challenging. Patients who have had a stable pattern of referred TP pain for months or longer, without extension to other muscles, are likely to respond well to treatment. When the pain has spread and is gaining momentum with successively more muscles becoming involved, multiple perpetuating factors must be eliminated before specific myofascial therapy will give sustained relief."
A layman's translation is: "The longer it took to develop and the worse it is, the longer it will take to recover."