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Healing through Trigger Point Therapy: A Guide to Fibromyalgia, Myofascial Pain and Dysfunction [Paperback]

Devin J. Starlanyl , John Sharkey , Amanda Williams

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Book Description

Aug. 27 2013 1583946098 978-1583946091 1
This book is about empowerment for chronic pain patients and care providers
alike. Every chronic pain condition has a treatable myofascial trigger point component, including fibromyalgia. Many of the localized symptoms now considered as fibromyalgia are actually due to trigger points. The central sensitization of fibromyalgia amplifies symptoms that trigger points cause, and this book teaches care providers and patients how to identify and treat those causes.
 
Chronic myofascial pain due to trigger points can be body-wide, and can cause or maintain fibromyalgia central sensitization. Trigger points can cause and/or maintain or contribute to many types of pain and dysfunction, including numbness and tingling, fibromyalgia, irritable bowel syndrome, plantar fasciitis, osteoarthritis, cognitive dysfunctions and disorientation, impotence, incontinence, loss of voice, pelvic pain, muscle weakness, menstrual pain, TMJ dysfunction, shortness of breath, and many symptoms attributed to old age or "atypical" or psychological sources.
 
Trigger point therapy has been around for decades, but only recently have trigger points been imaged at the Mayo Clinic and National Institutes of Health. Their ubiquity and importance is only now being recognized.
 
Devin Starlanyl is a medically trained chronic myofascial pain and fibromyalgia researcher and educator, as well as a patient with both of these conditions. She has provided chronic pain education and support to thousands of patients and care providers around the world for decades. John Sharkey is a physiologist with more than twenty-seven years of anatomy experience, and the director of a myofascial pain facility. Together they have written a comprehensive reference to trigger point treatment to help patients with fibromyalgia, myofascial pain, and many other conditions.
 
This guide will be useful for all types of doctors, nurses, therapists, bodyworkers, and lay people, facilitating communication between care providers and patients and empowering patients who now struggle with all kinds of misunderstood and unexplained symptoms.
 
Part 1 explains what trigger points are and how they generate symptoms, refer pain and other symptoms to other parts of the body, and create a downward spiral of dysfunction. The authors look at the interconnection between fibromyalgia and myofascial trigger points and their possible causes and symptoms; identify stressors that perpetuate trigger points such as poor posture, poor breathing habits, nutritional inadequacies, lack of sleep, and environmental and psychological factors; and provide a list of over one hundred pain symptoms and their most common corresponding trigger point sources.
 
Part 2 describes the sites of trigger points and their referral patterns within each region of the body, and provides pain relief solutions for fibromyalgia and trigger point patients and others with debilitating symptoms. Pain treatment plans include both self-help remedies for the patient—stretching or postural exercises, self-massage techniques and prevention strategies—as well as diagnostic and treatment hints for care providers.
 
Part 3 offers guidance for both patients and care providers in history taking, examination, and palpation skills, as well as treatment options. It offers a vision for the future that includes early assessment, adequate medical training, prevention of fibromyalgia and osteoarthritis, changes to chronic pain management and possible solutions to the health care crisis, and a healthier version of our middle age and golden years, asserting that patients have a vital role to play in the management of their own health.

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Healing through Trigger Point Therapy: A Guide to Fibromyalgia, Myofascial Pain and Dysfunction + Fibromyalgia and Chronic Myofascial Pain: A Survival Manual
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Review

“The hallmark of this book is the ‘Gallery’ which contains detailed discussions of selected muscles  throughout the body. The reader will find detailed medical information about the function of each muscle complete with medical illustrations of the highest quality. … [This book] not only serves as a textbook and valuable reference, but also an eye-opener for those who have struggled with chronic pain and other symptoms that have until now eluded diagnosis and effective treatment!”
Fibromyalgia Frontiers

“The book is written in a way that is approachable to patients and those who do not have a background in health care. Detailed illustrations help to facili­tate a deeper understanding of complex patterns of pain referral and also dem­onstrate location of muscles. …. This text is a great resource for pa­tients with trigger points, fibromyalgia, and chronic myofascial pain, and can be a great tool for making the patient an active participant in their care. In addi­tion to being a resource for patients, this book would be a great addition to any student’s or clinician’s library and would go a long way toward facilitating more successful outcomes with patients in this population.”
—Journal of Orthopaedic & Sports Physical Therapy

About the Author

DEVIN J. STARLANYL has published over 100 articles on fibromyalgia and myofascial pain in national and international medical journals and is the coauthor of Fibromyalgia and Chronic Myofascial Pain and author of The Fibromyalgia Advocate. JOHN SHARKEY, MSc, is a physiologist, anatomist, neuromuscular therapist, and the author of The Concise Book of Neuromuscular Therapy. The author lives in West Chesterfield, NH/Dublin, Ireland.

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Front Cover | Copyright | Table of Contents | Excerpt | Index
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Most Helpful Customer Reviews on Amazon.com (beta)
Amazon.com: 4.7 out of 5 stars  15 reviews
11 of 11 people found the following review helpful
5.0 out of 5 stars This book is a superb guide to all myofascial pain, even if you don't know that Trigger Points are what is causing your pain! Nov. 8 2013
By Mary Jo Smiley CMTPT - Published on Amazon.com
Format:Paperback|Verified Purchase
This is a book for everyone, not just those with Fibromyalgia! I am a Trigger Point Therapist and I will suggest this book to everyone. Almost everyone has some myofascial dysfunction even if you have never hear of it. It is the most common cause of pain, plain and simple! People come to my office with everything from recurring headache/migraines, general "stiff and sore", injuries, repetitive strain injuries, old auto or fall injuries, new auto or fall injuries, pain related to surgery or broken bones to "I just kind of hurt all over, mostly my hip" and they are all helped by treating the offending trigger points!

By reading the first 50 pages, you will know more about myofascial pain than most healthcare providers. If you are a healthcare provider, reading this book is a MUST. Most every "unexplained pain complaint" is described and solutions are given. Very few people "make up" pain, it is real, the problem is that a good deal of pain is referred pain from these Myofascial Trigger Points and to eliminate the pain, they must be found and treated properly.

This book can satisfy the "just show me the pictures" type of learner and the "explain every detail" type too! Do yourself a favor and read the chapters explaining what Myofascial Pain is, why it is there, what happens when you treat the trigger points and how to keep them from coming back! Do this and THEN go to the pages with the pictures of your pain!

Devin has done a superb job of writing a guide for the person with pain, the family and friends of someone in pain, the body workers who deal with pain and the medical professionals that see these people every day! You, your family member, your friend, your client or patient is not crazy or making this stuff up! Help everyone involved by using this book or/and helping them to find a professional that is well trained in the treatment of the cause!
7 of 7 people found the following review helpful
5.0 out of 5 stars The role of trigger points in chronic pain, stage I and II of CMP, and centralization in fibromyalgia Feb. 28 2014
By Celeste Cooper - Published on Amazon.com
Format:Kindle Edition|Verified Purchase
Starlanyl and Sharkey make it very clear that trigger points (TrPs), and the pain and other symptoms they cause, can be mistaken for many things. As the authors point out, TrPs have been imaged by the National Institutes of Health and the Mayo Clinic. The authors explain the role of the mitochondria, muscles, connective tissue, metabolic problems, kinetics, and chemical reactions in detail. Chronic myofascial pain (CMP) is a physiological condition. You can't relax a shortened, dysfunctional muscle with TrPs without physical intervention, and tissues close to the TrPs develop a serious energy deficit. Trigger points are "very real," state the authors. The authors are clearly invested in education and offer information on probably every helpful therapy available; they leave no stone is left unturned.

Of particular interest to the reader, is the author's use of different scenarios to explain what it is like to live with CMP (also known as myofascial pain syndrome, MPS). They explain the importance of identifying perpetuating factors. Some factors can be addressed by life-style changes; however, there are those that cannot, such as anatomical deformity. Starlanyl and Sharkey offer extensive information on perpetuating factors responsible for development and sustenance of TrPs that cause chronic myofascial pain, but they don't leave you there; they offer solutions to every possible perpetuating factor.

There is great deal of confusion between fibromyalgia (FM) and CMP. Starlanyl and Sharkey clear up the confusion by explaining that FM is the centralization (amplification) of pain, which is perpetuated by untended trigger points. As the authors clearly state, if a healthcare professional doesn't understand that CMP can mimic the symptoms of FM, patients are frequently misdiagnosed with fibromyalgia. On the other hand, they also know that the two, FM and CMP can, and often do, cohabitate, but most doctors, medical students, and other healthcare providers do not understand this or the appropriate and different treatments. One only has to study the comprehensive muscle review and graphics that show exactly how TrPs create symptoms throughout the body. The visual aids by illustrator Amanda Williams are amazing.

According to Starlanyl and Sharkey there are two stages to chronic myofascial pain (CMP). As someone who studies this, writes about this, and lives with this, I can say the authors have given a great explanation between the two and every provider who treats a patient with chronic pain should understand the key factors in both stages.

The scenarios offered and the presentation of the material connects the reader on a personal level and they are particularly important if the reader is a physician or medical student, because understanding how CMP affects one's life and livelihood is of extreme significance. Every patient that experiences chronic pain should have access to this information. I urge patient readers to share this book with their healthcare provider because education is power and patient empowerment creates the same ripple effect of a stone that skips across a body of water, just like TrPs, there is no end to the effect it can have.
7 of 7 people found the following review helpful
5.0 out of 5 stars very informative and helphul Sept. 24 2013
By Busy Retiree - Published on Amazon.com
Format:Paperback|Verified Purchase
Helps me deal with a difficult challenge in a way a layman can understand, and treat Fybromyaglia. Difficult to find books of this types in stanging book stores.
6 of 6 people found the following review helpful
5.0 out of 5 stars Great book for patients and clinicians Oct. 22 2013
By James Fricton - Published on Amazon.com
Format:Paperback
Healing through Trigger Point Therapy is an insightful book about the most common causes of chronic pain- myofascial pain and fibromyalgia. These conditions cause more pain, misery, sleepless nights, and disability that any other condition, yet it is often neglected by most health care providers. Devin Starlanyl and John Sharkey provide us with a well-documented, practical, and clearly illustrated book for both patients and health care providers to help them understand and manage these conditions. The book reviews both the mechanisms that underlie these conditions as well as details the muscles that can cause face pain, headaches, neck pain, back pain, shoulder pain, hip pain, thigh pain and others. The illustrations by Amanda William are excellent in demonstrating the muscles and their pain referral patterns that can confuse many clinicians. This book is strongly recommended for both patients and health care providers alike.
6 of 6 people found the following review helpful
5.0 out of 5 stars Helpful and easy to understand Sept. 22 2013
By Cheryl M. LaGuire - Published on Amazon.com
Format:Paperback|Verified Purchase
If you have chronic pain, this book is for you. You will learn how to manage it. Easy to read and understand

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