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This is referred to as the "Energy Crisis Theory".ĭry Needling and Manual Trigger Point Therapy Courses – A Better Quality of Life for Your Patients If this condition becomes chronic, the muscle may further contract and become painful. These sustained muscle contractions can then lead to poor circulation in that area due to blood vessels being compressed, preventing adequate oxygen supply to the muscle and not allowing it to heal properly. Multiple contractions of this kind in a specific region in the muscle, may form a taut band, that is easily palpable by trained practitioners. This is because calcium triggers muscle fiber contraction. Any lesion in the sarcoplasmatic reticulum system may lead to excessive release of calcium ions and thus sustained contractions of muscle fibers. One of the functions of the sarcoplasmatic reticulum is to transport and store calcium ions. The sarcoplasmatic reticulum is a membrane system within the muscle fiber. They are triggered for example by muscular overload, such as by an injury or overuse. In detail: Microlesions in the muscle fiber (muscle cell) organ called sarcoplasmatic reticulum occure. Since 1983, thousands of physiotherapists, doctors, chiropractors, massage therapists and other health professionals worldwide have applied trigger point therapy in their practice. It changed the understanding and treatment approach towards chronic pain.

This book was a breakthrough in the world of rheumatology, orthopedics and physiotherapy. In 1983, Simons and Travell published their work entitled "Myofascial Pain and Dysfunction - The Trigger Point Manual". Simons, MD (1922-2010) to further explore the realm of trigger points and myofascial pain syndrome. Kennedy, was the first to propose the term myofascial trigger point " in 1942. Janet Travell, MD (1901-1997), an American medical doctor and the personal rheumatologist of US president John F. The most currently acceptable terms are myofascial pain and myofascial trigger points. Many terms have been proposed to describe muscle related pain. The study of muscular pain can be traced to the 15th century.