Category Archives: myofascial pain

Helps to Diagnose Hypermobility / Ehlers–Danlos syndrome

German journal article has good templates for diagnosing Ehlers–Danlos syndrome and I thought the world should share this…

Posted in myofascial pain, Uncategorized | Leave a comment

Intramuscular Stimulation (IMS) Works Even in Rats

Intramuscular Needle electrical needling of trigger knots in rat gastrocnemius(calf)  results in less irritable sites. I use IMS for areas I wish to avoid use of local (neck, about hip where need to be able to walk after etc.).  I … Continue reading

Posted in Manual Med, Mechanical aids, myofascial pain | Leave a comment

Some Fibromyalgias are Treatable Arthritis

I have a patient with psoriatic arthritis that had widespread pains. His rheumatologist told him it was “fibromyalgia” He developed such bad bronchitis I had to put him on steroids – at which point his “fibromyaglia” pains went away. He … Continue reading

Posted in arthritis, Back Pain, Fibromyalgia, Insurer issues, myofascial pain, pain mechanisms | Leave a comment

Chronic Nonspecific Shoulder Pain -Look For Infraspinatus Trigger

At a recent conference, it was stated that the Infraspinatus muscle was key to all pain in the upper quadrant. He advised rolling a lacrosse ball back and forth it over it. You either sit or stand against a wall … Continue reading

Posted in arm, Manual Med, myofascial pain, shoulder | 1 Comment

Office Factors Related to Chronic Neck Pain

Keyboard too close, too long in one job position, and muscle tension are 3 factors found in one study

Posted in myofascial pain, Neck | Leave a comment

Frozen Shoulder – Just a Little Cortisone But More Blocks Help

Study found 20 mg Kenalog worked as well as 40 mg and another found you don’t even need to hit the joint. I supplement suprascapular and quadrilateral space blocks as well as subscapularis working out.

Posted in Injection, myofascial pain, shoulder | Leave a comment

Needling Lower Trapezius Helps Unilateral Neck Pains

Needling the lower trapezius muscle was found beneficial in chronic neck pain. I was so taken with the approach then had to injecting lower trap(with muscle relaxed rather than stretched) that I had to include a pic of actual treatment … Continue reading

Posted in Manual Med, Mechanical aids, myofascial pain, Neck, Thoracic | Leave a comment

Vitamin D – Could High Doses Help Pains?

4000 u/d vitamin D  lessening  Chronic Musculoskeletal Pains

Posted in Back Pain, Deficits, Drugs, Fibromyalgia, myofascial pain, pain mechanisms | 4 Comments

Fibromyalgia (FM) Falls – Stiff Ankles Contribute

A study found falls in FM related to reduced dorsiflexion (bringing toes and foot up). The question is how does one fix that.

Posted in ankle, Fibromyalgia, Leg Pains, Manual Med, myofascial pain | 1 Comment

Nocturnal Calf Cramps – Trigger Injections Help

Injections into gastrocnemius not only helped nocturnal calf cramps – they helped the insomnia as well

Posted in Injection, Leg Pains, myofascial pain | Leave a comment

Reaching “Critical Mass” to Achieving Pain Control – Procedure Pearls

I have recently achieved (previously unattainable) control in some of my chronic pain subjects using recent innovations – but to acheive this required use of multiple modalities at once.

Posted in arm, Back Pain, Botox, complex regional pain, Drugs, Fibromyalgia, Headaches, Injection, IV therapy, Leg Pains, Manual Med, myofascial pain, Neck, neuropathic, Pain Dystrophy, piriformis, post herpetic neuralgia, radiculitis, shoulder, Uncategorized | 9 Comments

What Causes Hand Tingling in Computer Terminal Operators – More Myofascial Than You Would Think

The causes of hand tingling in computer operators were : myofascial pain syndrome, 68%;  cervical radiculopathy (arm sciatica), 27%;  shoulder rotator cuff syndrome, 11%;   forearm tenosynovitis, 8%;  and carpal tunnel syndrome, 5%.

Posted in arm, myofascial pain, Thoracic | Leave a comment

Severe Neuropathic Pain – Only 1/4 Respond to Standard Drug Protocols – What Else Is There?

Presentation at Canadian Pain Society Winnipeg 2013 found only 23.7%  of severe neuropathic pain victims responded to Canadian Pain Society drug protocols for neuropathic pain. It is time to look outside the box for treatment measures.

Posted in Drugs, Fibromyalgia, Injection, IV therapy, Manual Med, myofascial pain, neuropathic, Pain Dystrophy, piriformis | 9 Comments

Unilateral Interscapular Pains – Dorsal Scapular Nerve Entrapment – Forgotten and Now Rediscovered

    About 30 years ago, I attended a course given by Drs. Travell and Simon.  Dr. Simon was discussing interscapular pains and Dr. Travell mentioned – don’t forget the scalenes – something that Dr. Simon replied he was getting … Continue reading

Posted in Back Pain, myofascial pain, Neck, Thoracic, thoracic outlet syn | 7 Comments

Tissues Around Knee Contribute to Pains

For years, I have been working and injecting the muscles around the knee to promote relief from knee pains. Sometimes it makes a big difference; sometimes the joint line osteoarthritis is more important.  Two studies hi-light muscle issues  in patellofemoral … Continue reading

Posted in Knee, Leg Pains, myofascial pain, neuropathic | 1 Comment

Low Vitamin D and Chronic Pain – What is the Evidence?

In 2006, My Daughter, Janice Montbriand, published a poster called Commonly Missed Factors in Chronic Pain. Vitamin D deficiency was one of them. Since the there have been a variety of confirmatory studies – with some negative ones as well. I … Continue reading

Posted in Back Pain, Deficits, Fibromyalgia, myofascial pain, osteoporosis, Rheumatic | 1 Comment

Sciaitica, Bone Cyst in Ilium, and Gluteal Tight Muscles – down right leg – needs help

Chronic sciatica /buttock pain  – I recently received a request for help…

Posted in Back Pain, Hip Pains, Injection, myofascial pain, neuropathic, piriformis, radiculitis | 1 Comment

Can’t Get Rid of Shoulder Tip Pain? – Think C4/5 Neck Facet

Various measures have been used for trapezius tip pains but they keep coming back. Now it’s confirmed the neck is a player.

Posted in myofascial pain, Neck, shoulder | 2 Comments

Neck / Shoulder Tip Pains, Tired and Dizzy When Upright – Maybe Coat-hanger Hypotensive Events

Postural Hypotension (Low Blood Pressure on standing) is associated with neck and shoulder tip pains in what is thought a hypo-perfusion issue.  One should notice being dizzy standing up – something that can happen after head injury and also spinal … Continue reading

Posted in chronic fatigue, myofascial pain, Neck | 2 Comments

Muscle-Joint Pains, Dry Mouth and Eyes? – Maybe You Have DEMS/SAPS with Thyroid Antibiodies

DEMS – dry eyes and mouth syndrome; SAPS – sicca asthenia polyalgia syndrome These cases do not qualify for sjogren’s syndrome but have “Sicca [dryness] symptoms and “nonspecific musculoskeletal pain”. They were found to have 59.2% thyroid peroxidase antibody rate … Continue reading

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Diabetic Have More Muscle Pains

Diabetics are 1.6 times more likely to have chronic musculoskeletal complaints yet in non-diabetics, a high random glucose is associated with less complaints.

Posted in myofascial pain, neuropathic | Leave a comment