Synopses & Reviews
This book is about empowerment for chronic pain patients and care providers
alike. Every chronic pain condition has a treatable myofascial trigger point component, including fibromyalgia. Many of the localized symptoms now considered as fibromyalgia are actually due to trigger points. The central sensitization of fibromyalgia amplifies symptoms that trigger points cause, and this book teaches care providers and patients how to identify and treat those causes.
Chronic myofascial pain due to trigger points can be body-wide, and can cause or maintain fibromyalgia central sensitization. Trigger points can cause and/or maintain or contribute to many types of pain and dysfunction, including numbness and tingling, fibromyalgia, irritable bowel syndrome, plantar fasciitis, osteoarthritis, cognitive dysfunctions and disorientation, impotence, incontinence, loss of voice, pelvic pain, muscle weakness, menstrual pain, TMJ dysfunction, shortness of breath, and many symptoms attributed to old age or "atypical" or psychological sources.
Trigger point therapy has been around for decades, but only recently have trigger points been imaged at the Mayo Clinic and National Institutes of Health. Their ubiquity and importance is only now being recognized.
Devin Starlanyl is a medically trained chronic myofascial pain and fibromyalgia researcher and educator, as well as a patient with both of these conditions. She has provided chronic pain education and support to thousands of patients and care providers around the world for decades. John Sharkey is a physiologist with more than twenty-seven years of anatomy experience, and the director of a myofascial pain facility. Together they have written a comprehensive reference to trigger point treatment to help patients with fibromyalgia, myofascial pain, and many other conditions.
This guide will be useful for all types of doctors, nurses, therapists, bodyworkers, and lay people, facilitating communication between care providers and patients and empowering patients who now struggle with all kinds of misunderstood and unexplained symptoms.
Part 1 explains what trigger points are and how they generate symptoms, refer pain and other symptoms to other parts of the body, and create a downward spiral of dysfunction. The authors look at the interconnection between fibromyalgia and myofascial trigger points and their possible causes and symptoms; identify stressors that perpetuate trigger points such as poor posture, poor breathing habits, nutritional inadequacies, lack of sleep, and environmental and psychological factors; and provide a list of over one hundred pain symptoms and their most common corresponding trigger point sources.
Part 2 describes the sites of trigger points and their referral patterns within each region of the body, and provides pain relief solutions for fibromyalgia and trigger point patients and others with debilitating symptoms. Pain treatment plans include both self-help remedies for the patient—stretching or postural exercises, self-massage techniques and prevention strategies—as well as diagnostic and treatment hints for care providers.
Part 3 offers guidance for both patients and care providers in history taking, examination, and palpation skills, as well as treatment options. It offers a vision for the future that includes early assessment, adequate medical training, prevention of fibromyalgia and osteoarthritis, changes to chronic pain management and possible solutions to the health care crisis, and a healthier version of our middle age and golden years, asserting that patients have a vital role to play in the management of their own health.
Synopsis
Trigger point therapy is crucial to the treatment and cure of fibromyalgia, myofascial pain, migraines, back pain, irritable bowel syndrome, plantar fasciitis, osteoarthritis, chronic pain symptoms, mental confusion, impotence, incontinence, loss of voice, pelvic pain, muscle weakness, cardiac arrhythmia, menstrual pain, TMJ, shortness of breath, and many other kinds of disease and disability. Yet although trigger point therapy has been used for decades, trigger points are often misdiagnosed and misunderstood.
Devin Starlanyl is a fibromyalgia medical researcher and fibromyalgia patient who has provided chronic pain support to thousands of people around the world. John Sharkey is a physiologist with more than 27 years of anatomy and dissection experience. Together they have written a comprehensive reference to trigger point treatment for fibromyalgia, myofascial pain, and a number of other conditions. This guide for both therapists and laypeople facilitates communication between care providers and patients, empowering patients who struggle with all kinds of chronic pain symptoms.
Part 1 explains what pain trigger points are and how they generate symptoms, refer pain to other parts of the body, and create a downward spiral of dysfunction. The authors look at fibromyalgia causes and pain causes; identify stressors that perpetuate trigger points such as poor posture, poor breathing habits, nutritional inadequacies, lack of sleep, and environmental and psychological factors; and provide a list of over 100 pain symptoms and their corresponding trigger points.
Part 2 describes the sites of muscle trigger points within each region of the body and provides pain relief solutions for fibromyalgia patients and others suffering from debilitating symptoms. Pain treatment plans include both self-help remedies for the patient--stretching, postural exercises, self-massage--as well as treatment protocols for care providers: palpation, therapeutic massage, myofascial release, acupuncture, and injection therapy.
Part 3 offers guidance for both patients and care providers in history taking, exams, and treatment and offers a vision for the future of fibromyalgia treatment and fibromyalgia cure, asserting that patients have a vital role to play in the management of their own health.
About the Author
DEVIN J. STARLANYL has published over 100 articles on fibromyalgia and myofascial pain in national and international medical journals and is the coauthor of Fibromyalgia and Chronic Myofascial Pain and author of The Fibromyalgia Advocate. JOHN SHARKEY, MSc, is a physiologist, anatomist, neuromuscular therapist, and the author of The Concise Book of Neuromuscular Therapy. The author lives in West Chesterfield, NH/Dublin, Ireland.