For more information on myofascial pain, see the following
Myofascial Pain and Dysfunction: The Trigger Point Manual
by Janet G. Travell, M. D. and David G. Simons. available from
Lippincott, Wiliams & Wilkins at lww.com. This two-volume work
is considered to be the Bible of muscular pain. If you can't read
medical terminology, take it to your doctor. If he doesn't have his
own, well-marked, dog-eared copy with lots of yellow stickies,
paper clips, stars, arrows, underlinings and highlighting in four different colors, he
probably doesn't know muscular pain. (Pharmaceutical brochures are no
substitute and muscle relaxants do not relax trigger points.) These
are medical textbooks costing around $100 each. You should be able
to find them in any good medical library or through inter-library loan.
and Chronic Myofascial Pain by Devin Starlanyl, M. D.
Doctors have long dismissed fibromyalgia as a women's disease
("and these women are CRAZY!") That is starting to change, in part
due to the development of far too many tests that reveal clear
clinical abnormalities behind the pain, and in large part due to
Starlanyl who is a doctor herself -- and suffered from severe
fibromyalgia. Fibromyalgia is still commonly confused with
myofascial pain syndromes. (Nearly every long-time beautician I have
checked has upper back and neck pain with severe trigger points in
her trapezius -- and a diagnosis of fibromyalgia). You can also
suffer myofascial syndromes with the beginnings of fibro, or have
fibro with myofascial syndromes and trigger points. To clarify the
difference, Starlanyl's book includes the superb trigger point and
pain referral diagrams from Travell & Simons' Myofascial Pain
and Dysfunction. See also Devin's website
for more information.
Trigger Point Therapy Workbook by Clair Davies.
Davies was a
piano tuner nearly incapacitated by shoulder pain. Ultimately,
Travell & Simons' myofascial techniques were the only thing that
helped and what ultimately resolved the problem.
(I was a field
geologist nearly incapacitated by migraines -- in part, I suspect,
due to neck trauma from the poorly fitting backpacks and equipment
of 30 years ago, designed for Tall People only. Hot tip: NEVER EVER
wear a pack that forces your neck into a head-forward position!) At
any rate, Davies wrote the book I wish I had written when I first
studied myotherapy, hoping to relieve my pain, 20 years ago.)
This book is solidly based on Travell & Simons, but
emphasizes self-treatment (rather than clinical) techniques. If you
lack medical background, use the Davies book with its clear
non-technical English in conjunction with Travell & Simons for
its terrific illustrations.
Charts allow you to test the length of individual muscles. These
are the patient examination tests shown in Travell & Simons'
Myofascial Pain and Dysfunction. Each test includes a list of
muscles most likely to cause restriction. Muscles are also keyed to
the fascial lines of Tom Myers "Anatomy Trains."