The Protocol:
Myofascial Trigger Point Therapy (MTPT) is a unique treatment protocol for the treatment of myofascial pain and dysfunction.
The protocol is based on the seminal works of Janet G. Travell, MD and David G. Simons, MD, co-authors of Myofascial Pain and Dysfunction The Trigger Point Manual, Volumes I and II, and integrates current scientific concepts and research.
This protocol includes the following:
Comprehensive patient history
Pain mapping
Range of motion evaluation
Postural analysis
Identification of perpetuating factors
Correction of perpetuating factors
Manual techniques to treat myofascial pain and dysfunction
Personalized self-care program including self-treatment techniques and muscle re-education.
Patient education
It is this protocol that makes myofascial trigger point therapy a comprehensive form of pain management.
How Will I Feel?:
Many patients experience relief from pain after 1 or 2 treatments. For others, several treatments are needed before their pain starts to diminish. It is not uncommon for patients to experience some soreness for one to two days after treatment. This usually resolves after the first few treatments.
You may experience fatigue as the chronically held musculature is allowed to relax and return to a normal tone, however some patients experience an increase in energy.
You may notice your pain pattern changing. This is a temporary and positive sign that you're making progress. It's a good idea to keep a pain journal. We find that when one pain area is eliminated, patients tend to forget it was ever there. A pain journal will allow you to track your progress from day-to-day. If soreness or a new pain pattern is causing you concern, contact your therapist immediately and he/she will talk you through ways to reduce or eliminate it.
It is not uncommon for people to experience relief from symptoms they were not seeking treatment for, such as chronic hand and forearm pain clearing up after being treated for a stiff neck.
Returning to normal activities without pain is accelerated by following the self-care program provided by your therapist. This will include self-treating your trigger points and re-educating your muscles. Lasting results will be achieved by working with your therapist to eliminate underlying perpetuating factors.
Your rate of improvement can depend on many conditions:
Type of injury and length of time since it occurred.
Overall physical health and level of fitness
Perpetuating factors
Underlying skeletal abnormalities
Nutrition
Quality of sleep
Depression or anxiety
Patient compliance with self-care and eliminating or reducing perpetuating factors.
Other medical conditions (i.e. allergies, diabetes, thyroid dysfunction, etc.)
Good communication, patience, trust, and a positive attitude are essential.
