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Myofascial Trigger Points: Pathophysiology and Evidence-Informed Diagnosis and Management

Author(s): Jan Dommerholt, PT, DPT, MPS, DAAPM, President, Bethesda Physiocare Inc., President, Myopain Seminars
Peter Huijbregts, PT, MSc, MHSc, DPT, OCS, FAAOMPT, Assistant Professor, University of St. Augustine for Health Science
Details:
  • ISBN-13: 9780763779740
  • Paperback    296 pages      © 2011
Price: $101.95 US List
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Another addition to the Jones and Bartlett Learning Series:
Contemporary Issues in Physical Therapy and Rehabilitation Medicine

Myofascial Trigger Points: Pathophysiology and Evidence-Informed Diagnosis and Management's emphasis is on the etiology of trigger points with a critical overview of current concepts. The contributing authors are the most respected myofascial pain research and practice experts. The authors address the etiology of trigger points, the epidemiology of myofascial pain, clinical management of patients, specific treatment issues, and the role of trigger points in various pain syndromes. This book is an accessible introduction to myofascial trigger points for physicians, therapists, chiropractors, osteopaths, acupuncturists, and massage therapists.

Features include:

  • A review of the integrated trigger point hypothesis.
  • Trigger points features are highlighted within the context of clinical manual medicine and manual therapy.   
  • A systematic analysis of the evidence with regard to effectiveness of non-invasive treatments.
  • Review of invasive therapies with specific attention to trigger point dry needling.
  • Detailed review of the proposed role of myofascial trigger points in peripheral and central sensitization.
  • Discussion of the interrater reliability of trigger point palpation in shoulder muscles.
  • Exploration of the contribution of myofascial trigger points in the etiology of chronic tension-type headaches.
  • Case history of a patient with chronic daily headache, emphasizing the integration of trigger point therapy into a broader therapeutic management approach.

INSTRUCTOR RESOURCES: PowerPoint Presentations and a Test Bank

 

Features & Benefits

 

  • Provides a systematic analysis of noninvasive treatments and invasive therapies, with specific attention to trigger point dry needling.
  • Discusses the clinical diagnosis and interrater reliability of trigger point palpation.
  • Examines the proposed role of myofascial trigger points in peripheral and central sensitization.
  • Explores the role of myofascial trigger points in the etiology of headaches, including a detailed case history emphasizing the integration of trigger point therapy into a conservative management approach.

 

Part  1  Pathophysiology
  Chapter  1  Myofascial Trigger Points: Translating Molecular Theory into Manual Therapy
  Chapter  2  Myofascial Trigger Points: An Evidence-Informed Review
  Chapter  3  Nutritional and Metabolic Perpetuating Factors in Myofascial Pain
Part  2  Diagnosis
  Chapter  4  Reliability of Myofascial Trigger Point Palpation: A Systematic Review
  Chapter  5  Interrater Reliability of Palpation of Myofascial Trigger Points in Three Shoulder Muscles
  Chapter  6  Contributions of Myofascial Trigger Points to Chronic Tension Type Headache
Part  3  Management
  Chapter  7  Effectiveness of Non-invasive Treatments for Active Myofascial Trigger Point Pain: A Systematic Review
  Chapter  8  Trigger Point Dry Needling
  Chapter  9  Physical Therapy Diagnosis and Management of a Patient with Chronic Daily Headache: A Case Report
Part  4  Future Research Directions
  Chapter  10  Myofascial Pain Syndrome: Unresolved Issues and Future Directions

Jan Dommerholt, PT, DPT, MPS, DAAPM-President, Bethesda Physiocare Inc., President, Myopain Seminars

Peter Huijbregts, PT, MSc, MHSc, DPT, OCS, FAAOMPT-Assistant Professor, University of St. Augustine for Health Science

  • "Although intended for physical therapists, the content is useful to all manual therapists who manage patients with myofascial pain. The authors of this book exceed expectations in providing a current best evidence synthesis on MTrPs. This is an excellent example of the proper use of current evidence to inform clinical decision making and formulate new research directions, a process central to modern evidence-informed manual therapy practice. I highly recommend this book to all manual therapists as a valuable synthesis of current evidence in the field of MTrPs. It also serves as a great stimulus for further hypothesis generation for those interested in advancing the field through research."

    ~ Danielle Southerst, Canadian Memorial Chiropractic College (Manual Therapy, November 22, 2010)

  • "Both the authors are long-time experts in the field of orthopedic manual therapy, well-respected, and published. They have done an excellent job of pulling together the current knowledge in myofascial trigger points.

    The text is divided into 4 parts: pathophysiology, diagnosis, management, and future research directions. Part 1 goes into exquisite detail about the chemical reactions thought to relate to the occurrence of trigger points. It also includes a very valuable update on the nutritional and metabolic factors in trigger points. Part 2 (diagnostics) looks at the reliability of palpation of trigger points. Management is reviewed in chapter 3 with a systematic review of noninvasive treatments and a section on dry needling.

    I would suggest this book for all women's health PTs who use manual techniques to treat trigger points."

    ~ Beth Shelly, PT, DPT, WCS, BCB-PMD, Moline, IL (Journal of Women’s Health Physical Therapy, Spring 2011)

The following instructor resources are available to qualified instructors for download

ISBN-13: 9780763779740

Slides in PowerPoint Format
Test Bank