Trigger Point Dry Needling
David G. Simons, MD, co-author of the Simons, Travell, and Simons Trigger Point Manual, has stated that, “Since no medical specialty claims skeletal muscle as their organ, it is often overlooked.”
Indeed, several studies have confirmed that myofascial pain is one of the most commonly ignored causes of persistent pain. Many of our patients report that previous healthcare providers rarely have included the detailed and specific muscle examination that is common at MOST. The hallmark feature of myofascial pain syndrome is a so-called “trigger point,” which can be responsible for prolonged pain and dysfunction. A common characteristic of trigger points is referred pain, which may confuse those clinicians who are not familiar with common referred pain patterns. Dr. Janet Travell, MD, perhaps best known as President Kennedy’s White House physician, has mapped out the referred pain patterns of most skeletal muscles.
Although trigger points and myofascial pain are poorly recognized worldwide, there is a growing number of scientific studies that confirm that trigger points are indeed a very common source of pain and dysfunction. Physical therapists at MOST are very involved with researchers and clinicians worldwide and are among the world’s top specialists in myofascial pain syndrome. Trigger point dry needling is one of the most effective treatment options to inactivate myofascial trigger points.
Ralph Simpson is certified in trigger point dry needling through Myopain Seminars and Dr Jan Dommerholt. Dr. Dommerholt was the first physical therapist in the United States to teach trigger point dry needling courses and injection techniques to physicians, dentists, physical therapists, and other eligible health care providers. Several course instructors from other continuing education companies studied with Dr. Dommerholt.
He has published several articles about trigger point dry needling.
Have questions about dry needling? You might find the answers in this Dry Needling FAQ (pdf) publication. The sections Resources for Patients and Resources for Professionals on this site feature several other articles about myofascial pain.
For more information about trigger point dry needling and myofascial trigger point therapy, please do not hesitate to contact Dr. Ralph Simpson, PT, DPT, OCS, CMPT, CMTPT, LACT at 406-862-2348.
Since the introduction of systemic postural evaluation and assessment by Florence Kendall, many physical therapists have demonstrated how muscular imbalances can reduce active and passive range of motion in the hip which cause and contribute to spinal disfunction. The orthopaedic manual therapy examination has also progressed through an evolution of not just looking at passive intervertebral and segmental mobility but looking at the overall scenario of lower lumbar disfunction as it occurs with both active range of motion and in varying postures. Dr. Shirley Sahrmann has also contributed to the body of knowledge of postural assessment and simple yet effective treatments which use active mobility techniques to gain range of motion in an otherwise stiff and inflexible joint. The simple principle of reciprocal inhibition is used and combined with joint loading during range of motion to gain mobility in hip joints. The BackSystem 3 is also used to facilitate active release-type stretching/mobilization of back soft tissues.
Class IV Lite Cure Laser
Laser therapy is a non-invasive technique to help reduce pain and inflammation. Laser therapy can be safely used as an adjunct or replacement for pharmaceutical drugs. This pain relief treatment is FDA cleared and enables patients to have an alternative to drugs and surgery.
Laser therapy treatments last between 5 and 10 minutes depending on the condition being treated. Laser therapy treatments must be administered directly to skin, as laser light cannot penetrate through layers of clothing. You will feel a soothing warmth as the therapy is administered.
Depending on the condition being treated your therapy may be administer through either a contact or non-contact hand piece. The contact hand piece is designed to allow the practitioner to physically manipulate the tissue while administering the treatment, resulting in a laser-massage treatment. This allows for light to penetrate deeper into tissues than the non-contact hand piece due to it’s ability to displace tissue through a laser-massage technique.
Patients generally see results after 3 to 5 treatments. Your doctor will develop a treatment plan that is optimal for your condition.
Research shows people respond better when educated about how we feel pain, than the do when they are educated about anatomy. So, at MOST not only do we utilize class IV laser, dry needling and appropriate exercise, we also educate people as to the origin and nature of pain.
Chronic Pain? Watch this video series
This is a 3 part video series that I am hoping will help many patients coping with persistent pain. Watch the videos over 3 sessions so you don’t get overwhelmed with the information.
Why Things Hurt
Back Pain – Separating Fact from Fiction
Understanding Pain in 5 Minutes
Best Advice for People Taking Opioid Medication
“There are more people in North America addicted to prescription Opioids than Heroin & Cocaine combined”.“Opioid overdose is the second leading cause of unintentional death and the first being car accidents.”
“…chronic opioid use may unexpectedly worsen the perception of pain in some individuals.”
If you are shocked by the above statement please watch the 11 minute video. If you have a patient who is taking any opioids such as Oxycodone, OxyContins or Percocets for their persistent back pain, please have them watch this short Opioid video.
Shoulder, elbow, hand injuries we commonly see at MOST and utilize our expertise to treat not only the upper extremity injury but all the low extremity injury. Whether it’s work or recreationally induced. The painful heal syndrome is a specialty area we treat at MOST.
Total Joint Replacement
In the early 90′s, golf fitness was just beginning on the PGA Tour and Ralph Simpson was lucky enough to be there in the early years. From those years on the PGA Tour, Ralph Simpson developed a 3-pronged approach to golf fitness: