Chronic Pain Whatever the cause, support for managing long term or intractable pain.


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Old 08-17-2013, 11:55 PM #11
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NIMMO? I can't find that on any of the acronym sites.

Quote:
Self-treatment

There are a number of ways to self-treat trigger points and these methods are described in numerous texts. Underlying any attempts at self-treatment should be a working knowledge of the area to be treated, especially with regard to the musculature, nerves, glands and vessels.
http://en.wikipedia.org/wiki/Trigger...Self-treatment
As my therapist explained it, with TP complexes like mine (and Fixmeup's, as I read it) the TPs have to be addressed/released in a specific order/pattern in order for the therapy to be most efficacious. Doing them in a different order may result in only temporary or incomplete release. This is also explained in the Trigger Point Therapy Workbook.

Once the therapist evaluates the patient and establishes the pattern, the patient can take over and help themselves in the future because they'll know exactly what to do & how.

Doc
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Oh, the pain... THE PAIN...

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"Thanks for this!" says:
ginnie (08-18-2013)

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Old 08-18-2013, 09:28 AM #12
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Default Hi fix me up

If your doc. doesn't have some kind of open mind, let the door hit him in the butt, walk out and snub him. Doctors are people, they need to know when their behavior is not acceptable. Picture him naked, and say what ever you want to him. (this stops the fear of talking to someone in a position over you)
Research is critical, when DX cannot be made. Copy the information from the PC, and hand him a written account of what you are experiencing.
When I was in Columbia, I did this trial study. I had access to the medical library there, and did research almost every day to better understand what it was that I had. Kept up with the latest articles from Magazines like JAMA. I got so good at this that I actually taught 3rd year medical students a number of times, what it was like to live with the condition I have. They are training new physicians with a a lot more empathy. My children also attended and got up on the podium, and told them too, what it was like to be the child of a parent in pain.
Your physician should embrace ideas, not shun them. Knowledge is power, power to make choices based on information. No person can make an informed choice about their treatment unless they understand the purpose of it.
Keep going, and find that help that you need. ginnie
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Old 08-18-2013, 11:31 AM #13
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Nimmo info sites-
https://www.google.com/search?client...ed=0CGUQ1QIoAA


Generally you treat the most painful TrPs first, then often that will bring up the latent ones, so then those will need to be addressed.

If you also find poor posture to be an issue , head/shoulders hunched or rolled forward.. that needs to be addressed too. That alone can stress the upper back muscles like the rhomboids, which will give a burning/ boring pain under the shoulder blades..
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Old 08-19-2013, 08:50 PM #14
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Default dear dr. smith

You said your wife has trigger issues. Does she know what they are? I have got to find out what mine are because I will have one day where I have zero pain, it happens few and far between so I appreciate a pain vaca, unfortunately that day in paradise is followed by a week in complete hell. Any suggestions???
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Old 08-21-2013, 03:08 AM #15
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Quote:
Originally Posted by Fixmeup11 View Post
You said your wife has trigger issues. Does she know what they are?
Sorta. She's got some TPs in her neck & shoulder that... "go off" (for lack of a better term at the moment) when she gets overstressed or pushes herself too hard. Our therapist helped her locate them, and told us what to do & how. When they go, it can put her down for 1-2 days. She's got a regimen of modalities she goes through to resolve them. One involves my helping release the TPs. She also uses a theracane and a TP massager stick (not endorsements -- just what she has/uses. I'm sure there are plenty of other fine gizmos too.) If all that doesn't work, some prescriptions.

Doc
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Old 09-23-2013, 01:11 AM #16
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Wink Stress and anxiety

Quote:
Originally Posted by Fixmeup11 View Post
I'm 30yrs old and for the last 11 yrs I have had chronic pain in my left shoulder. It sucks. The kicker is that NO ONE knows what it is or what is causing it. I have tried everything:chiropractor(who told me I had the back of an 80 yr old man when I was 19),many rounds of physical therapy, acupuncture, deep tissue massage. I have also had every test done twice! In 2004 and 2012: MRI, xrays, nerve tests. I have seen every specialist available to me as well. The last shoulder DR I saw was the first to actually give me a diagnosis. Chronic sub-scapula pain. Well DUH! I have huge knots that run all around my shoulder blade. My family physician who has been helping me by "shutting the pain up with medication" has given me many trigger point injections as well. They work for maybe 20 minutes if I'm lucky. Personally I think just stabbing a needle in the knots and wiggling it around would feel pretty good. Anyway, he stopped filling my pain medication in April because he said he thought I was making up the pain just to score drugs. I was completely shocked! Who the hell would spend thousands of dollars, concoct a chronic pain lie, and stick with it for over 10 yrs??? I'm not stupid, I understand that aside from the knots which can be felt, all my tests have come back showing absolutely nothing. I felt angry and betrayed. Et tu brute? He sent me to a pain guy and he gave me some news that never once even entered my mind. He told me I would have this pain the rest of my life. I cried. And cried. I have always had hope that it would be fixed eventually with new technology coming out every year. He said he wanted to do some trigger point injections w botox. As always, I'm down for whatever and will try absolutely anything. As soon as I got home I researched this concept. After hrs on the computer and reading the comments from people who have used it, I realized I was yet to read a single thing about botox being used in the shoulder. I stumbled on a website from a very accredited neurologist in new york who has written a few books and been practicing for 35 yrs. Very informative website. It was on this site that I read about botox trigger point injections and how the sucess rate is 60% and u need them every few months. Naturally my insurance doesn't cover this, big surprise, but if it was gonna work I will figure out a way to come up with the thousands of dollars this was going to cost. Then the good dr went on to say that in no way should these injections be used between the spine and shoulder blades!!! Which is exactly where I needed it! WTF?? I called this guys new york office (I live in kansas) to find out why. Its because it is incredibly risky area and you can easily lose complete use of your arm until the botox works its way out of your system which takes a few months. It is painful to administer and not even guaranteed to work at all. Not cool. I have a 2 yr old and caring for him requires both arms. I place neurologists higher on the food chain than pain guys. Especially those that are so brilliant and experienced at what they do that they have been published authors, twice! This completely made me disregard a pain guy from podunk kansas. I refuse to give up on finding something that works. Afterall, I will try anything. I will NOT let this pain control me for the rest of my life. I want a job, to contribute to society, and most importantly, get to a point of feeling good enough to take my son to the park. He is just 2 and asks me at least twice a day if mama feel better? Breaks my heart.
I understand and sympathize with you. The topic can cause all kinds of problems within the body. Listen to your favorite music, relax with meditation, search and do research your pain problem area. Keep your mind occupied and try not to focus on whats affecting you. Know your limitations and stay within them. Stay as busy as you can. Don't ever give up. Feed the spirit inside of you, activate it, trust me it works. Not a Dr. just a chronic suffer with so many diagnosis' someone has to be wrong?
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