This book is about empowering 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 attributed to fibromyalgia are actually due to trigger points. The central sensitization of fibromyalgia amplifies symptoms caused by trigger points, 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, 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 either 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 27 years of anatomy experience, and the director of a myofascial pain facility. Together they have written a comprehensive reference on 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 laypeople, facilitating communication between care providers and patients and empowering patients who struggle with misunderstood and unexplained symptoms.
Part I 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 100 pain symptoms and their most common corresponding trigger point sources.
Part II 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 III 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.
Table of Contents:
Part I. What You Need to Know
Chapter 1. General Overview
Chapter 2. Muscles: Your Moving Machine
Chapter 3. Trigger Points: Cause and Effect
Chapter 4. Fibromyalgia, Trigger Points, and Chronic Myofascial Pain: A New Understanding
Chapter 5. Kinetics: Lines of Power
Chapter 6. Keys to Symptom Management: Identification and Control of Perpetuating Factors
Chapter 7. Symptom List
Part II. The Gallery: Identifying the Symptom Source
Chapter 8. Muscles of the Face, Head, and Neck
Chapter 9. Muscles of the Trunk
Chapter 10. Muscles of the Shoulder, Arm, and Hand
Chapter 11. Muscles of the Hip and Thigh
Chapter 12. Muscles of the Lower Leg and Foot
Chapter 13. Beyond the Myofascia
Part III. Where Do We Go from Here?
Chapter 14. Solving the Puzzle: History, Exam, and Treatment
Chapter 15. Trigger Points in the Twenty-First Century
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, and neuromuscular therapist, and the author of The Concise Book of Neuromuscular Therapy. Sharkey resides in West Chesterfield, New Hampshire, and Dublin, Ireland.
