What is better for trigger points, muscle lengthening, and fascia restoration or resetting.
Carol Stuhmer (Miami, FL) on Jan 6, 2013
1 users found this answer helpful
Any one who practices any particular type of work, is likely to think that's the best way to go. There's no one way, so much of the work under various names are really just another take on treatment and much overlaps in type of technique...though the approach may be different. You can get "tense" just trying to figure out all the names of techniques and what they do....about where you're at. Find a therapist that has studied a variety of techniques, and you will likely find someone who will be able to help you. This is most likely to be someone with many years of experience. A large part of working with the therapist you select, is to do self help techniques that are suggested. One needs to participate in their own healing. Good luck finding the right therapist to work with....and remember this usually won't be the "cheapest" one - for good reason. -Carol Stuhmer
Nitasha Canine (Charlottesville, VA) on Jan 6, 2013
I suggest you buy a book called, "Pain Free" by Pete Egoscue. This will help you take control of your posture and get an idea of what you need. It will help you help yourself in between your sessions with bodyworkers. If you ask 100 'experts' for their opinion, you will most likely get 100 different opinions. You will be in a better position to know for yourself what is right for you if you educate yourself a little on your body and take the steps to undo what years of poor posture have done to your body. This book will help you do that. To answer your question, all of those methods if done properly will reset tight muscles which is the point of all four modalities you mentioned. In my practice I employ all of those methods but you will rarely find a therapist who has been trained in that many techniques. I have been practicing for 15 years now. Most important is releasing the tight line before trying to strengthen the weak. The tight muscles always dominate the weak and further cause imbalance. So, again I would read the book I suggested and go from there. Best to you.
Adele Newlin (New York, NY) on Jan 6, 2013
Myofascial release is very good for muscle lengthening, range of motion and pain.
Paula Reeder (Katy, TX) on Jan 6, 2013
I want to know: do you do impact exercise? have you had your leg lengths measured? do you wear orthotics (stabilizers)? I suspect that you have an undiagnosed and untreated leg length discrepancy (maybe as little as 1/8 - 1/4 inch). When you do weightbearing exercise, the impact on your body is the same as tripling this length discrepancy (i.e., if one leg is 1/4" shorter, when you exercise, the impact and effect on your body alignment is the same as if it was 3/4" short). Also, how old are you? Do you need semi-rigid stabilizer of your feet. If you DO wear orthotic support, how were they cast? Was it a weight-bearing assessment, or a non-weight bearing cast? Are the orthotics semi-rigid, or hard plastic? If they are hard plastic, it is the same as keeping your foot in a cast at all times, and key muscles in your feet and legs will atrophy because they are no longer needed. Many things to consider here!
Christina Richards (New York, NY) on Jan 6, 2013
I am a Rolfer. Rolfing will realign your body in gravity to give you better posture. I work specifically with gait by addressing ankle, knee, hip, back and all restrictions of the body. This is done by lengthening and releasing shortened fascia. This will give you better range of motion and ease of movement to improve you energy and allow your body to function better as a whole.
Rosemary Rickard (Tampa, FL) on Jan 6, 2013
Structural Integration with Cranio Sacral Therapy is the best way to align your posture and get your muscles working at their optimum performance. Once everything is in better alignment then you can add stretching and weight bearing exercises.
Nigel Hunt (New York, NY) on Jan 6, 2013
MUSCLE LENGTHING: Proprioceptive neuromuscular facilitation (PNF) is best for muscle lengthing. This techniques not only lengthens hypertonic muscles but tendons and ligaments. Myofascia Release is highly recommended for Fascia restoration. Nigel Hunt Massage For Health And Fitness
Jeff Byrd (Las Vegas, NV) on Jan 6, 2013
How about trigger point therapy? Most of the time, if you address the main problem the others work itself out. Then go from there. That is what I you do.
Janette Asaro Pena (Holmes, NY) on Jan 6, 2013
For trigger points, muscle lengthening and fascial release, I recommend getting Chiropractic care. Getting your spine and lower extremities adjusted is imperative to improve nerve flow and normalize joint range of motion. Hydrocullator and cold laser combination are a great, PAINLESS treatment for trigger points. Once they release, muscles lengthen and heal, improving range of motion, eliminating pain, and restore normal function. Muscles can be relaxed or toned by massaging lymph points or acupressure. Active release technique and functional range release cause pain, do not efficiently remove adhesions, and do not work nearly as well as cold laser. Cold laser dissipates the myofascial adhesions of the trigger points easily with no side effects and no pain.
Ronald Greenawalt (Las Vegas, NV) on Jan 6, 2013
Combination of chiropractic, Neurolin technique! Body Talk technique, Cold therapy laser have all shown to be beneficial. Be sure to drink at least 2liters of water per day. You may also have an acidic issue or low on minerals.
Brian Skow (Scottsdale, AZ) on Jan 6, 2013
See a qualified Asian Bodywork Therapist - http://www.aobta.org/aobta-directory.html?sobi2Task=search - for meridian and acupoint therapy, including joint manipulations, passive stretches, and prescriptions for meridian exercises and self-acupressure.
David Friedman (Phoenix, AZ) on Jan 6, 2013
Fascia restoration would be more beneficial. I would consider seeing someone who does Rolfing.
Brionna Brouhard (Salem, OR) on Jan 6, 2013
I have found that the best treatment depends upon you. There's no magic bullet that fixes everyone, so trying the different modalities is your best bet for finding the right one for you. Depending on your particular health considerations, myofascial release may help you.
George Engelhard (Orlando, FL) on Jan 6, 2013
If you came to me, I would give you a full body massage with trigger point therapy and PNF stretching. It seems to me, since you mentioned tiredness that there may be general health issues. I would yse Chinese medicine to evaluat4e and treat you.
Mary Jo Smiley (Warrendale, PA) on Jan 6, 2013
If you have trigger points, the most effective treatment is Myofascial trigger point therapy! No question! I would also suggest Structural Integration or Rolfing.
Nicole Keane (Anchorage, AK) on Jan 6, 2013
Find a skilled myofacial/ trigger point therapist. ART can be helpful too, but myofacial work would be the best starting point. Superficial to deep, and it shouldn't cause you too much pain, if you have the right person doing it.
Edan Harari (New York, NY) on Jan 20, 2013
I think that it's hard to say which technique is better out of the ones you mentioned. I believe that while some modalities are better than others, the only way to know which one will be the most effective is to try as many as you can and keep track of your progress with a journal. Be sure to note how you felt after the treatment and how you felt a week after the treatment. Also, do your research on the different types of bodywork that is available. I recommend looking into Ortho-Bionomy, too. It can do everything you mentioned and more. I currently practice this modality and I must say that I've had many clients come to me who have tried just about every technique you mentioned and they found that Ortho-Bionomy was more effective and efficient because it was gentle, pain-free, the least time-consuming, and it also worked with balancing the skeletal structure to provide some real lasting relief.
Jon Tallerico (Springfield, MO) on Jan 10, 2013
There is nothing wrong with trying out several modalities. But it is important to remember that the pain isn't generated in the muscle, joints, or fascia. It is a response from your nervous system and needs to be treated as such. The only way I've seen to fully address a trigger point is to gently address the muscle (or muscles) that are reporting pain, then address the area broadly since it will be highly sensitized by the nervous system, then address the movement patterns which may be causing and reactivating painful spots. I have seen little more than anecdotal evidence for fascia-based treatments, and the science points to fascia being extremely resistant to change. Good luck with your pain and posture!
Charles Ruland (Huntington, NY) on Feb 20, 2013
Many of your problems might be a result of your posture the Rolf method of structural integration specifically reorganizes your body in gravity and changes your posture. As Dr Rolf would say gravity is either building you up or breaking you down
Felix Williams (Fort Lauderdale, FL) on Feb 27, 2013
Well the pain can be caused by alot of different factors. I would say that when it comes to Trigger Point, lengthening the muscle is always more effective. I find that in my own sessions that Myofasical release is the best pre start to a NMT session.
Ihtiyor Mukhamatsaidov (Brooklyn, NY) on Feb 22, 2013
I would get mix of myofascial release, deep tissue and stretching massage sessions along with strength training with a personal trainer.
Lawrence Bagnell (Langhorne, PA) on Jan 8, 2013
I would like to say it's one that would help, but it may be many different treatments. Firstly, you must determine why the trigger point is there. The location could be the result of an organ malfunction reflex, acupressure point reflex, muscle contracture from fixation in a joint or nutritional imbalance. Chiropractor's who use some form of Applied Kinesiology may be better able to determine why your having the symptoms you described. As for what I would look at investigate Chiropractic care, orthotics/shoes, active isolative stretching, nutrition and massage. Decreased range of motion could be joint jamming affecting muscle movement. Remember that muscles move joints and a proper evaluation with an experienced professional could make all the difference you need. Find the right mechanic for your body. Drbagnell.com
Aaron Flickstein (Edina, MN) on Jan 7, 2013
Pain Neutralization Technique (www.kaufmantechnique.com/medicalmiracles.html) is the quickest, least obnoxious and most rapid way of reliving the pain and dysfunction from trigger points yet developed, in my 42 years of hands on experience. Find someone from some discipline who has studied PNT and get some done for you.
Vladimir Batista (Miami Beach, FL) on Jan 7, 2013
The muscle lengthening and fascia release are good but I think adequate pressure is more effective. Thanks .
David Mancini (Minneapolis, MN) on Jan 7, 2013
ART is a great technique for these types of conditions. Another, and sometimes more comfortable process, would be NMT (Neuromuscular Therapy). After the muscles have been elongated and become more symmetrical, then spinal strengthening and complimentary adjustments will stabilize and maintain the chronic postural distortions.
Joseph McCoy (Muenster, TX) on Jan 7, 2013
I like Active Isolated stretching routines with Dalton's Myoskeltal Alignment techniques. He pretty much covers everything, especially the posture issues. I still do old-fashined Bonnie Prudden trigger point work along with my other therapies. Sometimes trigger point is too painful to people, so I warm the tissue up first and do myofascial, and that seems to help. Anytime we do deep work, we always follow up with a stretch. You also have to figure out which muscles are weak and inhibited. I do some muscle testing to see which mucles are firing out of order, and then tell you to strenghthen the weak, inhibited muscles while stretching tight, facilitated muscles and getting the tight ones lenthened and released through deep massage techniques. At home care routines are very important for overall recovery
Lawson Sealey (Newport Beach, CA) on Jan 7, 2013
The answer to all of these is YES! But most importantly, the root of this pain needs to be diagnosed rather than simply the symptomatic regions. There is no single treatment technique that fixes everything, evertime; even for trigger points. The body heals and recovers from injuries (chronic or acute) in various stages therefore different treatments need to be applied during the different stages of healing. Electrical stimulation, ultrasound, laser therapy, myfascial release, post isometric relaxation, stretching, strengthening, joint manipulation, massage therapy, propriception, and reflexology all need to be used. This is exactly how I practice in my office. I have seen outstanding results, particularly with athletes and car accident victims. This is why I encourage patients to receive therapy from a specialist such as myself since my office utilizes all of these treatment methods.
Robbin Phelps (Takoma Park, MD) on Jan 7, 2013
With all that going on, I donâ€™t think you will be thoroughly served by just one answer. I suggest starting with movement therapy like the TragerÂ® Approach to begin to find the internal organization that it sounds like you have lost contact with. Then, I would suggest adding strength training, yoga, and possibly some physical therapy. There are many helpful modalities out there. I find that it makes the most sense to encompass them in an overall context of movement therapy that addresses, â€œHow am I in my body every day even when I am not in a class or with my ____ practitioner.â€ Good luck!
Kimberly Schadewald (Lake Como, NJ) on Jan 7, 2013
Any therapist will give you any number of opinions on the matter. The sad truth is that there is no perfect answer. Every persons body is different and will react differently to each treatment available. Especially with so broad a question. Posture issues are generally Chiropractic in nature but if there is muscular trauma associated with the skeletal issue than a combination of massage and chiropractic would most likely be the best course of action. However, any good practitioner is going to want to know more about your health and physical life. They will need to ask you questions about your daily routine, injuries you've had and how they happened, sleeping habits, etc. You ask about Trigger Points... was that something you found out searching on the internet, or suggested issue from another practitioner or doctor? Trigger Points are likely when you've had serious or traumatic injury to the muscular structure, but are not always the root cause of pain or dysfunction. Your best bet is to find a practitioner that specializes in multiple techniques such as Myofascial release, Neuromuscular Therapy, Active Release Therapy, and work with that practitioner to find what therapy works best for you.