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Trigger Point Therapy for Headaches, Migraines, and TMJD: Summary
Considerations: • Refer to TRT specialists or cognitive behavior therapy specialists Fascia • Three dimensional tissue • Soft and contains collagen • Connective tissue Superficial Fascia : anchors the hypodermis to superficial muscles Deep Fascia : combination of all other layers that surround muscles, organs, and bones Contains Lymph, nerve, and blood vessels Composed of: ○ Collagen ○ Elastin: ability to move but return to original state Ground substance: water and polysaccharides to give it the gel-like make up Provides support for trillions of cells in the body Thixotropy : ability for fascia to vacillate between a gel and liquid state through movement Hyaluronic Acid : lubricant for fascial components of joints and muscles; “water magnet” Piezoelectricity : electrical charge produced by mechanical pressure Fascial plasticity : ability for fascia to change and adapt Myofascial Modalities • Active release technique • Craniosacral therapy • Hellerwork • Rolfing or Structural integration
Myofascial release : broaden, soften, and loosen fascia and connective tissue. Performed without lubricant to avoid gliding across skin. Gliding does not affect fascia. Utilizing friction from hands to affect fascia. Pressure thoughts: How much pressure needed to spread just skin Trigger Points Myofascial Trigger: Is a hyperirritable spot in skeletal muscle that is associated with hypersensitivity palpable nodule in a taut band. Painful on compression and can give rise to characteristic referred pain tenderness, motor dysfunction and autonomic phenomena Pathophysiology: Normal Muscle Contraction: Acetylcholine (Ach) initiates muscle contraction → ACh stimulate calcium release → calcium causes Actin and myosin to bind → ATP/energy → muscle contraction → release Decreased amount of ACh. Enough Ach to stimulate Calcium release BUT not enough to stimulate muscle contraction. Actin and myosin bind and create a contractile knot/stay combined → ATP/energy is utilized early and does not play a roll in relaxation Trigger point release brings healthy/new blood into trigger point to release waste build Ligament : Bone to bone Tendon : Bone to muscle Energy Crisis Theory:
up in the muscle fiber(s) Trigger Points Irritants: • Emotional stress • Repetitive overuse • Sedentary lifestyle
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