Pain Information Center
About Dr. Fors
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Dr. Greg Fors, DC Chronic Pain Expert Board-Certified Neurologist Author of "Why We Hurt"
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Dr. Greg Fors has hand selected or developed each of our products based on years of clinical experience treating chronic pain. As a Board Certified Neurologist & expert in chronic pain disorders, Dr. Fors lectures to doctors & therapists around the country on the cause and treatment of myofascial pain & fibromyalgia syndrome.
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Myofascial Pain Syndrome
by Dr. Greg Fors
Myofascial Pain Syndromes can be effectively and conveniently treated with home-care trigger point therapy products.
Sore Spots or Muscle Knots
Myofascial pain syndromes (MPS) are where certain areas of the body contain "sore spots" or "muscle knots" that create pain, deep ache, and/or stiffness in that area and refer pain to other areas of the body. For example, a low back myofascial pain syndrome (MPS) would have "sore spots" or myofascial trigger points in the muscles of the low back that cause pain, deep ache and stiffness in the low back region. These myofascial trigger points in muscles, tendons and/or ligaments of the low back could also refer pain into the buttock, hip or even down the leg to the foot.
Pain Referral
Another example would be a myofascial pain syndrome of the shoulder area with trigger points causing pain, deep ache and/or stiffness of the shoulder and neck area. These trigger points in the muscle, tendons and/or ligaments of the shoulder region could also refer pain down the arm even to the hand, into the mid-back and up into the neck and head.
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Pain Signals to your Nervous System People with these
myofascial pain syndromes usually have a history of an acute injury,
(slip fall, car accident, etc.) or repetitive muscle strains at work or
at play, (eg. computer work, data entry, golf). The pain of a
myofascial pain syndrome is usually made worse or brought to the
persons attention whenever they use or over use that region of their
body. Individuals also become aware of their regional myofascial pain
syndromes when a healthcare provider examines them and palpates these
"muscle knots" that reproduce symptoms in that area or refer pain in a
distinct pattern. These "muscle knots" are the myofascial trigger
points in muscles, tendons and or ligaments that cause or maintain pain
and stiffness in the musculoskeletal system. These myofascial trigger
points are spots of hyperirritable tissue that fire pain signals into
your nervous system. These myofascial trigger points need to be removed
if one is to regain their freedom from pain and freedom of movement
again.
Myofascial pain syndrome is equally present in both the male and female populations, whereas fibromyalgia syndrome
(FMS) strikes women atleast 10 times more then men. Also fibromyalgia
causes a "sore all over" feeling with fatigue, whereas, myofascial pain
syndrome is a more regional complaint. However, myofascial pain
syndrome is extremely more common and can be quite disabling, and even
at times it can lead to fibromyalgia syndrome. Furthermore, Meyer HP
(2002) reported in a study on myofascial pain syndromes, "Failure to
recognize myofascial pain syndrome often leads to over-investigation,
unnecessary medical intervention, and iatrogenic (physician caused)
harm with serious cost implications."
Get a Proper Diagnois Because an individual with myofascial
pain syndrome can have an underlying pathological process or disease,
it is mandatory that all individuals with myofascial pain syndromes or
fibromyalgia receive a proper diagnostic work-up by a competent doctor
to rule-out all other disorders. Once an individual knows that their
musculoskeletal pain of the back, neck, shoulder, hip or wherever has a
myofascial trigger point component it is beneficial for them to start
on a program of deactivating these triggers of pain.
Trigger Point Therapy Since
the early and mid-fifties researchers, such as Dr. Janett Travell, Dr.
Raymond Nimmo, have found that deep manual pressure applied to these
myofascial trigger points had a dramatic therapeutic effect by quickly
eliminating the pain. This became known as Trigger Point Therapy and is
practiced around the world now by MDs, Chiropractors, Physical
Therapists, Occupational Therapist, and Massage Therapists. Now through
FREs innovative products such as the FENIX Rehab System you can begin a
home-care program to set yourself on the road to freedom from pain and
stiffness.
You can enhance your strength, flexibility, and alleviate pain with self-care Myofascial Release products. People
generally find electric massagers and heating devices to be relaxing,
it feels good, so it makes them feel better for a short while. Because
of this massage lotions and electric massagers, some even with
infra-red heat, are extremely popular with people. This is especially
apparent around Christmas when people buy these items as gifts for
friends and family who are hurting.
There is a problem with this
because research has not shown these approaches, of rubbed in lotions
and electric massagers, to release or deactivate pain-causing
myofascial trigger points, commonly called "muscle knots." This is
important to realize if we really want to end the suffering caused by
myofascial trigger points in ourselves or those we love.
The
respected pain researchers Melzack and Wall (1988) have reported in
their studies that myofascial trigger points are a key element in the
cause and/or maintenance of chronic pain. Also numerous research
studies (Garvey, 1989/Hong 1993) have found deep manual pressure called
trigger point therapy to be one of the most effective ways to rid
oneself of myofascial pain. Furthermore, a recent research study by
Hanten (2000) found that a home-care program of trigger point therapy
following by a sustained stretch to the muscle, as with the FENIX Rehab System, was as effective as in-office treatment. This research was conducted on 40 adults with neck and upper back pain.
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| Multifidi Muscles |
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| Infraspinatus TP |
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| Levator Scapula |
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Live your life pain-free by utilizing FENIX self-care trigger point therapy products in your wellness program.
Based on these facts, if you or someone you care about has a myofascial pain syndrome or fibromyalgia, get the FENIX Rehab System and put it to work for you or them. If you do not invest in yourself, who will? You're worth it! Start on the road to recovery and begin to free yourself from myofascial pain today.
Consult your Physician
Before beginning any home care program it is vital to consult your physician. This Fre, Inc. web-site, the informational guidebooks, videos, nor its products can not be used in place of a visit to a healthcare professional. Nothing in FRE, Inc. websites, guidebook, videos or any other informational materials should be construed as personal advice for you, or a diagnosis, or treatment for any disease, disorder or ailment and must not be used in this manner. If you are presently under the care of a doctor or therapist for your myofascial pain, it is highly recommended that you bring your FENIX Rehab System and the Guidebook in on your next visit. Show him or her what you are doing for home care for your myofascial trigger points. He or she can also help you identify the primary trigger points you may need to deactivate, and the best way to accomplish this with the FENIX Rehab System.
Basic Therapy
The following link goes to a page that describes a step-by-step approach on how to deactivate and pain-causing myofascial trigger points with the FENIX Rehab System.
Go To FENIX Basic Massage Therapy
Identifying Trigger Points
To identify trigger points to treat click on this link How to Find a Trigger Point, or go to the main menu for Pain Help. There are five different articles on myofascial pain syndromes for different regions of the body.
Low Back Pain
Neck Pain & Chronic Headaches
Shoulder, Arm & Mid Back Pain
Hip Pain & Sciatica
Fibromyalgia Syndrome
Choose the one that relates to you to find valuable information this on myofascial pain syndrome. Each article contains some back ground information on that particular regional myofascial pain syndrome. The articles then go on to explain and describe some of the primary myofascial trigger points or muscle knots involved in that particular myofascial pain syndrome, whether of the back, neck or extremities.
Not all the possible myofascial trigger points are covered, for any muscle, fascia, tendon and/or ligament can form trigger points or adhesions and cause local and referral pain. However, there are some primary trigger points (TPs) in each region that tend to be more common in that particular region, and many, but not all, of these primary myofascial trigger points are discussed.
Once you find these primary myofascial trigger points you can gently move around to find other secondary or "satellite" trigger points. This is vital to do for a myofascial pain syndrome will snowball with the pain becoming worse and more chronic by these primary trigger points spilling into nearby tissues causing more trigger points to form. These secondary myofascial trigger points cause the pain of regional myofascial pain syndrome to spread.
Myofascial Pain Syndrome
Low Back Pain
Neck Pain & Chronic Headaches
Shoulder Arm & Mid Back Pain
Hip Pain & Sciatica
Fibromyalgia Syndrome
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