In Motion Chiropractic

43 Main Street #1

Dover, NH 03820 US

603-516-0990

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  • Trigger Points and Pain

Trigger Points and Pain

  • Created in Newsletter Library, Back, Body & Joint Pain
Trigger points are persistent, localized muscle spasms that can cause a great deal of pain. Trigger points alone may be responsible for many cases of neck pain, upper back pain, and lower back pain. This relationship is fairly common knowledge among physicians who treat pain, including chiropractors, rheumatologists, and physiatrists (doctors of physical medicine).
What is not generally known is that trigger points may also be implicated in radiating pain into the arm and hand or radiating pain into the leg and foot. In fact, radiating pain due to trigger points may be mistaken for pain caused by a herniated disc, in either the neck or lower back. Trigger point pain affecting the wrist and hand may even be misdiagnosed as carpal tunnel syndrome. A patient in whom a correct diagnosis of trigger point pain is missed may lose much precious time and other resources, as she fruitlessly "tries" one doctor after another and needlessly undergoes all sorts of complex and costly testing.
The key to correctly identifying the source and cause of upper or lower extremity radiating pain is to be able to accurately characterize its nature. Radiating pain caused by trigger points is diffuse - the pain broadly covers a region. This diffuse pain is described as "scleratogenous", meaning that it is pain referred from connective tissue such as muscle and tendon. Radiating pain caused by a compressed spinal nerve (ultimately caused by a herniated disc, for example) is described as "radicular" or "dermatomal". This pain is confined to a specific area - the area that is supplied by a specific spinal nerve. For example, pain involving the thumb and index finger could be caused by compression of the C6 spinal nerve. Pain involving the outside of the foot and the little toe could be caused by compression of the S1 spinal nerve.
Scleratogenous pain is not specific. A person might complain of pain across the "shawl" portion of the upper back and traveling into the upper arm, experienced "all over" the upper arm. Another person might be experiencing pain across the gluteal region, hip, and upper thigh. Both of these patterns of radiating pain are likely due to several trigger points, localized to the respective areas.
Of course, an accurate diagnosis is necessary to be able to develop an effective treatment strategy. The good news is that although trigger points necessarily represent a chronic muscular process, they may be treated with very good to excellent outcomes using conservative protocols. Chiropractic care is the optimal method for managing trigger point pain. Chiropractic care is a drug-free approach which directly addresses the biomechanical causes of these persistent trigger points and their associated patterns of radiating pain. Chiropractic care improves mobility and restores function, helping to reduce and resolve chronic pain.
1Alonso-Blanco C, et al: Multiple active myofascial trigger points reproduce the overall spontaneous pain pattern in women with fibromyalgia and are related to widespread mechanical hypersensitivity. Clin J Pain Feb 28 2011 (Epub ahead of print)
2Bron C, et al: Treatment of myofascial trigger points in patients with chronic shoulder pain: a randomized, controlled trial. BMC Med 9:8, 2011 (January 24th)
3Renan-Ordine R, et al: Effectiveness of myofascial trigger point manual therapy combined with a self-stretching protocol for the management of plantar heel pain: a randomized controlled trial. J Orthop Sports Phys Ther 41(2):43-50, 2011
  • About Chiropractic Care
    • What is Chiropractic
    • How Does it Work
    • Who is Chiropractic For
    • Vertebral Subluxation
    • Wellness Resources
  • Common Conditions Treated
    • Auto Accident Injuries
    • Back and Shoulder Pain
    • Body Pain
    • Chronic Condition Relief
      • Conditions Affecting Women
      • Headaches
    • Herniated Discs
    • Improved Health
    • Pediatric Ailments
    • Repetitive Use Injuries
    • Respiratory Function
  • Health & Wellness
    • Healthy Thinking
      • Get Positive
      • Relaxation Techniques
    • Life in Motion
    • Wellness Lifestyle Tips
      • Treat Yourself Well
      • Treat Others Well
      • Eat Well
    • Wellness Essentials
      • At Home
      • At Work
      • Exercise
      • Nutrition
      • What You Wear
    • Wellness Perspectives
      • Mental
      • Spiritual
      • Social
      • Physical
  • Therapies & Techniques
    • Techniques
    • Therapies
  • Newsletter Library
    • Back, Body & Joint Pain
    • Healthy Tips
    • Exercise & Fitness
    • Injury Rehab & Prevention
    • Kid's Health
    • Illness Prevention
    • Chronic Conditions
    • Nutrition & Healthy Eating
    • Breaking Bad Habits
    • Senior Health
    • Weight Loss
    • Pregnancy & Parenting
    • Wellness
    • Mind-Body Connection
    • Stress & Anxiety
    • Life-Work Balance
    • Staying Young
    • Staying Motivated
  • Wellness4Kids
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Office Hours

Our Regular Schedule

Office Hours

Monday:

8:00 am - 12:00 pm

3:00 pm - 6:00 pm

Tuesday:

8:00 am - 12:00 pm

3:00 pm - 6:00 pm

Wednesday:

8:00 am - 12:00 pm

3:00 pm - 6:00 pm

Thursday:

8:00 am - 12:00 pm

3:00 pm - 6:00 pm

Friday:

8:00 am - 12:00 pm

3:00 pm - 5:00 pm

Saturday:

8:00 am - 11:00 am

Two per month

Sunday:

Closed

Office Hours - Portsmouth

Monday:

Closed

Tuesday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Wednesday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Thursday:

8:00 am-12:00 pm

3:00 pm-5:00 pm

Friday:

8:00 am-12:00 pm

3:00 pm-5:00 pm

Saturday:

Closed

Sunday:

Closed

Laser Hours

Monday:

Monday 3-6 (Dover)

Tuesday:

Tuesday 8-12 (Portsmouth), 3-6 (Dover)

Wednesday:

Wednesday 8-12 (Dover)

Thursday:

Closed

Friday:

Friday 3-5 (Dover)

Saturday:

Closed

Sunday:

Closed

Locations

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Testimonials

Reviews By Our Satisfied Patients

  • "Although I still have the occasional headache, the daily and sometimes debilitating ones have subsided. I highly recommend In Motion Chiropractic to anyone that is looking for that personal touch that has pain or is just looking to maintain their health."
    Stacey L.
  • "First time in about 16 years that my jaw joint has been in alignment. No more clicking. Even if it takes years to retrain my bite, this was an unexpected fabulous surprise that came from my treatment."
    Sarah
  • "This team is exceptional in every way! They’re so committed to their clients’ overall health and experience. I’ll never go any where else!"
    Christine
  • "After starting treatment here in October, my rheumatologist recently told me he’d see me in a YEAR - and NO MORE MEDS. I’ve been fighting Lupus/Psoriatic Arthritis for 13 years, so this is huge for me.

    Brian and Cassie are fantastic (props to Stacy too!) They have also treated my 2 year old and now my husband has an appointment. THANK YOU IN MOTION!!

    If you are prenatal start now...I wish I had known how safe and helpful it is through pregnancy and beyond."
    Andrea

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