The Myofascial Genesis of Pain

Travell, Janet; Rinzler, Seymour H.

doi:10.1080/00325481.1952.11694280

Cited by 437 publications

(109 citation statements)

References 6 publications

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“…Others have emphasized the high correlation with trigger points [17,18]. These are called An Shi points by Chinese practitioners and are often quite tender [19,20]. The abolition of pain and acupuncture analgesia by injection of local anesthetics into acupoints is probably the strongest evidence to suggest that neural innervation is required for the acupuncture response [21,22].…”

Section: Anatomical Structure Of Acupointsmentioning

confidence: 99%

Defining Meridians: A Modern Basis of Understanding

Longhurst

2010

Journal of Acupuncture and Meridian Studies

145

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Acupuncture, one of the primary methods of treatment in traditional Oriental medicine, is based on a system of meridians. Along the meridians lie acupuncture points or acupoints, which are stimulated by needling, pressure or heat to resolve a clinical problem. A number of methods have been used to identify meridians and to explain them anatomically. Thus, tendinomuscular structures, primo-vessels (Bonghan ducts), regions of increased temperature and low skin resistance have been suggested to represent meridians or as methods to identify them. However, none of these methods have met the criteria for a meridian, an entity that, when stimulated by acupuncture can result in clinical improvement. More recently, modern physiologists have put forward the "neural hypothesis" stating that the clinical influence of acupuncture is transmitted primar ily through stimulation of sensory nerves that provide signals to the brain, which processes this information and then causes clinical changes associated with treatment. Although additional research is warranted to investigate the role of some of the structures identified, it seems clear that the peripheral and central nervous system can now be considered to be the most rational basis for defining meridians. The meridian maps and associated acupoints located along them are best viewed as road maps that can guide practitioners towards applying acupuncture to achieve optimal clinical results.

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Section: Anatomical Structure Of Acupointsmentioning

confidence: 99%

Defining Meridians: A Modern Basis of Understanding

Longhurst

2010

Journal of Acupuncture and Meridian Studies

145

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“…Over the following years, there were other reports of headache possibly related to the neck, but the clinical descriptions given were less precise [8,9]. It was to be a few more years before reports appeared that led to the inclusion, in the sphere of headache originating from the neck, of cases in which the pain was induced by the stimulation of trigger points ("mechanical headache") [10,11].…”

Section: The Early Descriptionsmentioning

confidence: 99%

Concepts leading to the definition of the term cervicogenic headache: a historical overview

et al. 2005

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IntroductionThe term cervicogenic headache (CEH) refers to a head pain condition that has its origin in the neck. Such ideasheadache of nuchal origin -must have occupied the minds of men for centuries. A more systematic search for such headaches seems to have been made only from the early stages of last century [1]. The reason for the lack of breakthrough of such ideas was probably the vague, indistinct descriptions of the headache in the original works, and confusion with other headaches, like migraine without aura and tension-type headache, none of which were properly defined at that time. Cardinal symptoms, beside the headache, were supposed to be dizziness, visual disturbances and tinnitus -the attacks in part lasting two to three hours. This constellation of symptoms has little to do with the CEH picture that we know today. Clinicians who conscientiously were searching for cases of headache stemming from the neck on those premises could be easily and widely misled. An overview of the early description could be the basis for a better understanding of the current terminology as far as CEH is concerned. J Headache Pain (2005) 6:462-466 DOI 10.1007 Concepts leading to the definition of the term cervicogenic headache: a historical overview

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“…3,6 Neck pain and headache in such a case could easily be mistaken as musculoskeletal in origin, such as the myofascial pain syndrome. 7 It is possible that patients with VAD seek medical or chiropractic attention due to the associated neck pain and headache. 4 There is a possibility for SMT to be performed on a patient with a VAD in progress, thus potentially exacerbating the condition.…”

Section: Introductionmentioning

confidence: 99%

Recognition of Spontaneous Vertebral Artery Dissection Preempting Spinal Manipulative Therapy: A Patient Presenting With Neck Pain and Headache for Chiropractic Care

Mattox

Smith²,

Kettner

2014

Journal of Chiropractic Medicine

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Objective: The purpose of this case report is to describe a patient who presented to a chiropractic physician for evaluation and treatment of neck pain and headache. Clinical features: A 45-year-old otherwise healthy female presented for evaluation and treatment of neck pain and headache. Within minutes, non-specific musculoskeletal symptoms progressed to neurological deficits, including limb ataxia and cognitive disturbances. Suspicion was raised for cerebrovascular ischemia and emergent referral was initiated. Intervention and outcome: Paramedics were immediately summoned and the patient was transported to a local hospital with a working diagnosis of acute cerebrovascular ischemia. Multiplanar computed tomographic and magnetic resonance imaging with contrast revealed vertebral artery dissection of the V 2 segment in the right vertebral artery. Anticoagulation therapy was administered and the patient was discharged without complications after 5 days in the hospital. Conclusion: This case highlights the potential for patients with vertebral artery dissection to present with nonspecific musculoskeletal complaints. Neurological symptoms may not manifest initially, but their sudden onset indicates the possibility of an ischemic cerebrovascular event. We suggest that early recognition and emergent referral for this patient avoided potential exacerbation of an evolving pre-existing condition and resulted in timely anticoagulation treatment.

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The Myofascial Genesis of Pain

Cited by 437 publications

References 6 publications

Defining Meridians: A Modern Basis of Understanding

Defining Meridians: A Modern Basis of Understanding

Concepts leading to the definition of the term cervicogenic headache: a historical overview

Recognition of Spontaneous Vertebral Artery Dissection Preempting Spinal Manipulative Therapy: A Patient Presenting With Neck Pain and Headache for Chiropractic Care

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