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الموضوع: Laser on trigger points

  1. #1
    Junior Member
    تاريخ التسجيل
    Nov 2016
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    Laser on trigger points

    LASER ON TRIGGER POINT
    100257.
    Done by: Haitham Gazzaz
    Supervised by: prof. Samir Algazzar





    :Trigger points

    The inside of the body is covered with soft tissue called fascia. This tissue covers evert structure including organs, muscles, nerves and blood vessels.
    The fascia that covers your muscles is call myofascia.
    When the myofascia is stressed from overuse or trauma it can tear and adhere together.
    These adhesions are called "trigger points" and can prevent the muscles from working well.
    Trigger points lead to an increase in muscle stiffness and tenderness and a decrease in range-of-motion. In addition, trigger point in one muscle can create pain in another area this called referred pain.

    How Trigger Points Are Formed
    The damage to muscle and connective tissue which results in trigger points can occur several ways. It can happen as the result of:
    · Repetitive overuse injuries (using the same body parts in the same way hundreds of times on a daily basis) from activities such as typing/mousing, handheld electronics, gardening, home improvement projects, work environments, etc.
    · Sustained loading as with heavy lifting, carrying babies, briefcases, boxes, wearing body armor or lifting bedridden patients.
    · Habitually poor posture due to our sedentary lifestyles, de-conditioning and poorly designed furniture
    · Muscle clenching and tensing due to mental/emotional stress. Direct injury such as a blow, strain, break, twist or tear. Think car accidents, sports injuries, falling down stairs and the like.
    · Surprisingly, trigger points can even develop due to inactivity such as prolonged bed rest or sitting.

    Active Trigger Points

    After forming, trigger points have two phases, active and latent. The active, painful phase of the trigger point is the one which produces the unrelenting, debilitating pain symptoms and which motivates people to seek relief. The active trigger point hurts when pressed with a finger and causes pain around it and in other areas. It causes the muscle in which it's located to be weak and due to the taut bands, to have limited flexibility. The active trigger point referral symptom may feel like a dull ache, deep, pressing pain, burning, or a sensation of numbness and fatigue. It can also cause sweating, tearing of eyes, goose bumps and dizziness. The affected dense, shortened muscles, laden with taut bands may even compress and entrap nerves, leading to another secondary set of symptoms. If unaddressed or ineffectively treated, eventually, other muscles around the dysfunctional one may be required to "take up the slack", becoming stressed and developing secondary trigger points. It is not unusual for chronic pain patients to have multiple, overlapping referred pain patterns, making diagnosis and treatment more complex. It is easy to see why this widespread pain is often mistaken for Fibromyalgia - a related but separate diagnosis.

    Latent Trigger points
    Trigger points can also lie quietly in muscles, sometimes for years. This type of trigger point is called latent. Latent trigger points are very common. Unless you press on the trigger point and feel the tenderness, you probably don't know they are there. Most people have at least a few. Latent trigger points may persist for years after apparent recovery from injury. Latent trigger points cause:
    • Restricted movement
    • Distorted muscle movement patterns
    • Stiffness and weakness of the affected muscle
    They generally do not cause pain unless compressed. Many things can cause a trigger point to become active. An old injury that periodically re-surfaces (that "trick knee" or low back "going out") may very likely be due to latent trigger points "waking up" and becoming active when aggravated by muscle overload, a cold draft, fatigue, infection, illness, or stress.

    Treatment by deep tissue laser therapy
    Laser therapy stimulates a cascade of pain relieving chemical regeneration properties in the area affected by the trigger point. Just a few minutes of laser therapy applied to a trigger point may cause immediate reduction in pain. Laser therapy excites the kinetic energy within cells by transmitting healing energy known as photons. The skin absorbs these photons via a photo-chemical effect, not photo-thermal; therefore it does not cause heat damage to the tissues. As such, laser can be safely used on patients who have metal joint replacements without the risk injury.
    Laser light does not excite or interact with the molecules in metal or plastic.
    Once photons reach the cells of the body, they promote a cascade of cellular activities. They can ignite the production of enzymes, stimulate mitochondria, increase vasodilatation and lymphatic drainage, synthesize ATP and elevate collagen formation substances to prevent scar formation. This is a critical step in reducing long-term disabling chronic myofascial pain syndromes and joint restrictions.

    Example of deep tissue laser therapy on a trigger point:
    Tennis elbow (lateral elbow pain) can be very painful and is often difficult to treat. However, a primary trigger point that often refers pain to the elbow mimicking this condition is the supraspinatus rotator cuff muscle of the shoulder. It is often overlooked as a symptom contributor to the elbow pain. Applying 3-4 sessions of laser therapy over the supraspinatus as well as the elbow may lead to a reduction elbow pain.
    [IMG]file:///C:/Users/HPHP~1/AppData/Local/Temp/msohtmlclip1/01/clip_image005.png[/IMG]

    Resources
    National Association of Myofascial Trigger Point Therapists | Myofascial Therapy | What Is It?
    Trigger Points and Deep Tissue Laser Therapy | LiteCure Medical
    https://www.tptherapy.com/instructions/trigger_points
    التعديل الأخير تم بواسطة Haitham Gazzaz ; 11-29-2016 الساعة 12:09 AM

 

 

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