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|Chiropractic Care, Your Nerve System, and Pain|
The experience of pain causes all sorts of unpleasant physical reactions. Tight muscles are one such response, and muscular tightness may progress to localized knots, known as trigger points, and even muscle spasm. These responses are never a good thing, and usually result in more widespread and more intense pain.
The solution to most types of musculoskeletal pain involves getting at the underlying cause of the problem. Often, the underlying cause is biomechanical. Neck pain or low back pain, for example, frequently results from a lack of full mobility of spinal vertebras and the resulting irritation and inflammation of spinal muscles and spinal ligaments. Bigger problems may ensue when this irritation and inflammation begins to affect spinal nerves. Nerve inflammation may then involve other tissues and organs, with subsequent development of various symptoms and disorders.
By addressing the underlying cause of biomechanical pain, regular chiropractic care helps restore maximum function to both your spinal column and your spinal nerves. The long-term result is enhanced health and well being for you and your family.
Trigger points are painful nodules in muscular tissue, commonly found in the upper back, low back, and gluteal muscles. Trigger points are frequently chronic, persisting from day to day without much relief. When someone says, “My muscles are all in knots”, those knots are most likely trigger points.
The formal definition of a trigger point describes a localized region of tenderness, located in a tight band of muscle, which is associated with a palpable twitch in response to deep pressure over the tight band.1 Such deep pressure usually results in pain radiating from the trigger point to the surrounding soft tissues. Formally, if the twitch response is not present, the localized muscle tightness cannot accurately be termed a trigger point. It may also be argued that characterizing a local muscle “knot” as a trigger point requires the presence of the above mentioned radiating pain. These definitions are of importance when making decisions about appropriate care for painful muscle knots.
As with any care management decision-making process, some procedures make sense and others do not. Many so-called pain management physicians will recommend injecting painful trigger points with an anesthetic or even botulinum toxin.2,3 Such an invasive procedure is rarely required. Pain management practitioners and even specialists in internal medicine will recommend muscle relaxers such as Robaxin, Flexeril, or even Soma in attempts to diminish muscular pain in the shoulders or low back that may or may not be associated with the presence of trigger points. The problem with such medications is they do not address the underlying cause of the painful muscle knots. Further, their efficacy with respect to muscular pain is questionable.
The mistake, as is frequently the case, is in thinking of trigger points as a real entity. But trigger points do not exist in a vacuum. These painful muscle knots arise as a consequence of mechanical disturbances and stress in the rest of the body. Attempting to treat the trigger points themselves with injections or medications misses the real problem. Trigger points have arisen in a person’s shoulders or low back owing to chronic issues elsewhere, typically involving the spinal column itself and the small muscles that enable those vertebras to move in three-dimensional space.
Trigger points are best managed by directing care to the underlying issues, primarily involving loss of full mobility of spinal vertebras and resultant inflammation in spinal muscles. As with many other biomechanical problems, chiropractic care is often the best solution. By utilizing a specific, highly targeted, noninvasive approach, chiropractic care helps alleviate the factors that have led to the painful muscle spasms known as trigger points. As the underlying biomechanics improve, the trigger points themselves begin to resolve, all without the need for injections or medications.
1Fernández-de-las-Peñas C, Dommerholt J: Myofascial trigger points: peripheral or central phenomenon? Curr Rheumatol Rep 16(1):395, 2014
2Kim SA, et al: Ischemic compression after trigger point injection affect the treatment of myofascial trigger points. Ann Rehabil Med 37(4):541-546, 2013
3Zhou JY, Wang D: An update on botulinum toxin a injections of trigger points for myofascial pain. Curr Pain Headache Rep 18(1):386, 2014
We want to welcome you to Blu Wolf Medical/Chiropractic. We are very proud to have just been named the exclusive NFL Alumni Treatment Center for the Buckhead Area.
Dr. Hagar Sara Golan and the rest of the team at Blu Wolf Medical/Chiropractic are committed to providing chiropractic solutions to address your unique needs, whether you are experiencing sports related injuries, back pain, neck pain, headaches, or even muscular tightness and tension. We are committed to your overall wellness.
Our goal is to get you back on the field, on the court, on the golf course, on the ice or back into your LIFE as QUICKLY as possible and WITHOUT PAIN. We use the most technologically advanced equipment and 20 + years experience! Our deep tissue laser is currently being used by over 16 NFL teams, other professional teams, the PGA, hundreds of college teams, orthopaedic clinics and sports management clinics. The laser is FDA cleared to reduce pain,reduce inflammation and arthritis. It is PAINLESS, without side effects and can be an alternative to surgery. The number of injuries and conditions we can treat are numerous. For more info click on our Laser tab.
We are looking forward to meeting you. See you soon!
Dr. Hagar Sara Golan
Jacqueline L Kapres, MS, Certified Laser Technician
Atlanta Buckhead Chiropractor | Blu Wolf Medical/Chiropractic | 678 665 9653
550 Pharr Road Suite 640
Atlanta, GA 30305
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