yeah...for sure.

BTW...Chiropractors are COOL...I just went to see one for the first time and I really did just gain about 15 degrees of neck rotatino on both sides from her adjustment. Once something starts to hurt and you favor it i think it is very easy to pull all kinds of things out of alignment.

But relating back to your post...she asked me when I started getting the pain in the back of my shoulders and meck...I couldn't rememebr. It wasn't one of my original symptoms, I only notice that when I was in PT for tendonitis and they would have me do certain arm strengthening excercises that my shoulder musles woudl hurt really badly. Eventually, I got to the point where they just atrted hurting all the time....but it was a later sx, not initial. I wish I could remember when it started.

damn yoga. and gosh i love my kids...but they ARE what did this to me. it is SO frustrating not to feel good.

johanna

Jo- How early on did you start to see the chiropractor?

I stumbled on to him in august of 2004 at his clinics demo booth at the county fair of all places.

But I had been thinking about seeing one & procrastinating about it for awhile. {comp PT eval finally assessed my whole body and found I was quite crooked - but the dr didn't think it applied to my claim-so no tx for that}

I pretty much believe in fate about some things - that this guy was supposed to be found by me, to help me - and the advanced PT guy too- that was able to drop my top ribs when they were stuck.
I think fate is how I met my hubby too & got all my jobs.

If I would have found chiro at the beginning in 2003 or even back in 99?/ who knows??
just happened.

Botulinum toxin A for myofascial trigger point injection: A qualitative systematic review.Ho KY, Tan KH.


Pain Management Services, Department of Anaesthesia and Surgical Intensive Care, Singapore General Hospital, Outram Road, Singapore 169608, Singapore.

Botulinum toxin injection is used to treat various pain conditions including muscle spasticity, dystonia, headache and myofascial pain. Results are conflicting regarding the use of Botulinum toxin for trigger point injection in terms of improvement in pain. The aim of this study was to carry out a systematic review to assess the evidence for efficacy of Botulinum toxin A (BTA) compared with placebo for myofascial trigger point injection. Electronic databases on Medline, Cochrane Library, Scopus, CINAHL were queried using key words such as "botulinum toxin", "myofascial pain", "trigger point", "chronic pain" and "musculoskeletal pain". Relevant published randomized controlled trials that described the use of BTA as injection therapy for trigger points were considered for inclusion. The five-item 0-16 point Oxford Pain Validity Scale (OPVS) was used as a selection criteria for suitable clinical trials. Trials were also assessed based on quality using the Oxford Rating Scale. Data extracted from qualified trials included outcome measures such as pain intensity and pain pressure threshold. All studies were ranked according to the OPVS and the authors' conclusions were compared. Five clinical trials met the inclusion criteria. One trial concluded that BTA was effective, and four concluded that it was not effective for reducing pain arising from trigger points. OPVS scores ranged from 8 to 14 with the negative studies corresponding with higher validity scores. The current evidence does not support the use of BTA injection in trigger points for myofascial pain. The data is limited and clinically heterogeneous.

PMID: 17071119 [PubMed - as supplied by publisher]

ps the words in red are KEY!!!!!!!!!!!!!!!!!!!!!!!!!! always when reading a study rip it to bits then see if they make sense!!!

hugs,
V

V- It is true you should rip a study to shreds. It is also true to consider the source. No personal offence to anyone intended, but the chinese medical system...how advanced is it? What frame of reference do these guys have? What studies are they examining? Were they done by the experts in the field or by relatively unknown investigators? Can't tell any of that from the abstract. I think a thorough reading of the article woudl be needed to make any conclusions.

just another opinion.

JoHanna -

How are you doing since your botox shots? what should I expect? The pain is not as bad as after a nerve block? I have 7 days of pain after a nerve block adn then I feel better .

I just had 2 nerve block injections at C6 in 4 weeks. It will be two weeks since my second one and I am getting botox. The nerve blocks did a good job so far - I still have pain especially when I type at a computer - starts all the spasms all back up again - with the crackling and popping sounds etc. with the shoulder rotations -- ugh.

please fill me in when you get a chance!
regards, Conster