Lateral Elbow Pain is Often Associated with Trigger Points Trigger points are really common in the elbow and forearm muscles; this may well be connected to our increased sedentary and technology-based lifestyles. Needless to say, as hands-on therapists, we too often get tense and stiff forearm muscles. Why trigger points? Our body tries to protect us. It wants the trauma to heal and often “switches-of” around “damaged tissue.” Trigger points are a key part of this protect-and-defend mechanism. However, if a problem isn t managed correctly, it can crescendo and the trigger points become deep seated, causing the host muscle to be shorter, tighter, and less efficient. In addition, trigger points also add to the cycle of increased sensory input to our peripheral and central nervous system (sensitization), which can lower the threshold for pain.
People over 50 are supposed to start taking one-a-day aspirin to prevent heart disease—but the evidence suggests any benefits are far outweighed by its dangers.
In other words, if left untreated, trigger points can feed into the nervous system and prevent full recovery. Trigger Point Treatment Treatment will often include deep tissue massage therapy, muscle stretching, heat and ice, and kinesio taping. When treating trigger points, many practitioners will also apply dry needling (medical acupuncture) and vacuum or static cupping Tennis Elbow Tennis Elbow – Lateral Epicondylitis (lateral elbow pain on gripping) can start as an annoying ache but rapidly degenerate into a debilitating problem, with pain on gripping, opening bottles, or even on shaking hands. Unless they have had it, people simply don t understand how bad it can be. The pain from a tennis elbow is often associated with trigger points in the muscles of the lateral epicondyle of the elbow, especially the Lateral Head of Triceps and the Extensor Carpi Radialis Brevis tendon (1-2 cm distal to its attachment on the lateral epicondyle). As shown in the video above, trigger points in the extensor carpi unlaris are also often implicated in lateral elbow pain.
LE is more common than Medial Epiconylalgia (Golfer's Elbow) by a ratio of 9:1. Although mostly referred to as Lateral Epicondylitis, LE is generally NOT an inflammatory condition. Microscopic evaluation of the tendons does not show signs of inflammation, but rather angiofibroblastic degeneration and collagen disarray. Light microscopy reveals both an excess of fibroblasts and blood vessels that are consistent with new blood vessels (angiogenesis).
It is most often due to repetitive micro-tears in the zone, especially where the tendon of the muscle meets the bone (musculotendinous junction). This is because the tendons are relatively hypovascular close (proximal) to the tendon insertion. Links About NAT Courses As a manual therapist or exercise professional, there is only one way to expand your business - education! Learning more skills increases the services that you offer and provides more opportunity for specialization. Every NAT course is designed to build on what you already know, to empower you to treat more clients and grow your practice, with a minimal investment in time and money. About Niel Asher Education Niel Asher Education is a leading provider of distance learning and continued education courses. Established in the United Kingdom in 1999, we provide course and distance learning material for therapists and other healthcare professionals in over 40 countries.
Our courses are accredited by over 90 professional associations and national accreditation institutions including the National Academy of Sports Medicine (NASM) and National Certification Board for Therapeutic Massage and Bodywork (NCBTMB). Full details of all international course accreditations can be found on our website. Printed course materials and other products offered on our websites are despatched worldwide from our 3 locations in the UK (London), USA (Pennsylvania) and Australia (Melbourne). NAMTPT AWARD 2017 We are honored to have received the 2017 ' Award from the National Association of Myofascial Trigger Point Therapists. Since 1999 Niel Asher Education has won numerous awards for education and in particular for education and services provided in the field of trigger point therapy. Award Winning Instructors Niel Asher Healthcare course instructors have won a host of prestigious awards including 2 lifetime achievement honorees - Stuart Hinds, Lifetime Achievement Honoree, AAMT, 2015, and Dr. Jonathan Kuttner, MD, Lifetime Achievement Honoree, NAMTPT, 2014.
Accreditation If you are a qualified/licensed manual therapist or exercise/fitness professional you can expand your credentials with NAT certification. In addition to national accreditation for continued education, each course that we offer includes 'NAT Learning Credits'. By taking and completing courses you can accumulate NAT credits to qualify for NAT certification. There are currently 3 levels of NAT certification. Certifying NAT is a valuable way to show your clients that you take continued education seriously, and to promote your skills and qualifications. Most of our courses are accredited for CE/CPD/CPE.
A full list of CE accreditations can be found by clicking on the link below. Niel Asher Technique Since 1999 the Niel Asher Technique for treating trigger points has been adopted by over 100,000 therapists worldwide, and has been applied to the treatment of a number of common musculoskeletal injuries. The Niel Asher Technique for treating frozen shoulder was first introduced and published in 1997 and has been widely adopted by therapists and exercise professionals working within elite sports and athletics. International Students Most of our courses are available as either 'Printed' or 'Download' editions, wherever you live. Internet connection is required to access online and downloadable material. When you purchase a download edition, you receive immediate lifetime access to all course material.
Course texts can be downloaded and printed if required. When you purchase a 'Printed' edition, you will also receive free access to the download edition. We ship Worldwide from locations in the USA, UK, and Australia.
Most items are despatched within 24 hours and shipping is FREE for all orders over US$50. Where to Start? We offer a range of over 50 courses, presented by some of the worlds leading manual therapists. All courses are reviewed annually, and new courses are regularly added. Our courses are modular, and designed to build on what you already know. For more information, please visit our 'Where to Start?'
Message Please note, comments must be approved before they are published. Recent Articles Jan 01, 2019 Dec 30, 2018 Dec 29, 2018 Dec 18, 2018 Dec 17, 2018 Dec 15, 2018 Categories.
This deeply relaxing, powerful and cleansing treatment is not your typical massage, it’s gentle rhythmical movements stimulate and influence the direction and speed of the lymph through the lymphatic vessels and nodes to great effect. The lymphatic system moves slowly due to not having a pump, which means it can easily become overloaded, sluggish and congested. The lymph vessels lie just beneath the skin and facilitate the removal of metabolic wastes, excess water, toxins, bacteria, large protein molecules and foreign substances from the tissues.
MLD (manual lymphatic drainage) relaxes the sympathetic nervous system, reduces pain and enhances the activity of the immune system. It is effective in the treatment of a wide variety of problems including oedema (swelling), skin disorders, headaches, sinus congestion, stress, sprains and aches and before and after surgery to remove tissue congestion. It is particularly useful in improving the healing process and reducing recovery time after surgery, post-mastectomy therapy and cosmetic surgery such as liposuction, breast surgery or facial surgery.
MLD (manual lymphatic drainage) is extremely gentle and wonderfully relaxing. Is one of our wonderful massage therapists and this facebook review sums up just how well Chiropractic and massage complement each other.
‘I’ve been attending this clinic for around a year. I first came with sciatica and now, incredibly, it’s gone. Rachel has a deep insight for healing through her practice. I have regular monthly adjustment and I’m now better than I’ve been for years. I complement this with regular massage therapy from Sasha at the clinic. This practice is unique as it offers a fully holistic treatment plan that lifts, heals and rejuvenates.
Thoroughly recommended’. I can honsetly say it was an amazing experience! It is astonishing what both my body and little Renies’ did to bring her into this world. I won’t lie, it was much much much harder that I expected and I suspect Renie did even more work than me! My contractions first began on Monday evening around 5pm.
In the day I had been for a sea swim and then came home and decided to just relax, rather than do all sorts of crazy jobs, which I had previously been doing. That should have been a sign. I decided perhaps I should look into hyponbirthing as our due date was 2 days away, definitely too late in pregnancy to start wondering about this, but heyho thats me all over! I spent the afternoon doing breathing exercises, pregnancy yoga and eating chocolate! (something that needs to stop if I ever want to get back into my jeans!) 37 weeks pregnant.
Monday morning Ben had a migraine, so rather than cycle to work I had dropped him off. I was due to collect him at 5-30pm. I was just about to leave when I started to get what I would describe as intense period type pains below the bump, they came every 15 minutes or so. Some how wisdom prevailed, (I am a bit of a doer and usually carry on regardless) and I decided driving was probably not wise. I texted Ben, ‘please get the bus home,’ his thoughts went along the lines of ‘S.@t! NOT NOW I have a migraine!!’ Babies come when babies are ready! When Ben got home, he started to time the contractions.
We both had a big meal once the realisation hit that these weren’t just braston hicks. We would defintiely need the energy and then Ben sent me to bed to try and get some rest before what was to come, however it was little good because by this point the longest break between surges (contractions) was 8 minutes. They were still very sporadic all night, ranging from super intense, insides turning out and being squeezed simultaneously (little did I know this was nothing) to a mere mild rippling.
They were anything from 3 minutues apart and lasting 30 seconds to 8 minutes apart and lasting 60 seconds. Eventually we called the midwife, who arrived around 6am. I was 1cm dilated (is that all) and so she left and told us to call back when the contractions were 3 minutes apart and 60 seconds each – for at least 30 minutes (or something like that, honestly Ben was in charge of this and all I did was press the buzzer on a bell when a contraction started and stopped.) I vomited, A LOT. We thought at about 10am I should eat something for energy. We tried dried frut and nuts, not bad and then one tiny little mistake, a chunk of chocolate.
DO NOT do it! Just as the chocolate melted in my mouth and made that cloggy seal, the mother of all contractions was upon me (it seemed it at the time anyway). I managed to just make it to the bathroom, where I remained, face on toilet seat for a good 30 minutes. Flashbacks to my uni days, hugging the toliet bowel and curling up in a ball on the bathmat. Except I couldn’t curl up in a ball and sleep this off, there is no way out, it is unrelenting!
Ben managed to prise my face off the loo seat, after my protests. ‘It’s fine darling I cleaned the toilet yesterday!’ At 11am another midwife arrived.
I was so lucky that my community midwife who looked after us during pregancy turned up. What a priviledge to have the woman who saw me through pregnancy there to hold my hand and help deliver our baby. Ellie is quite possibly the most laid back person I have met, must be a midwifery requirement. Between 11am and 2pm everything is a bit of a blur, I was delerious, although apparently still not in active labour.
This is NOT something any woman wants to hear after almost 20 hours of contractions! My waters still hadn’t broken, so at the next examination, when I was still only 4-5cm dilated, Ellie broke them for me. I had thought the contractions were intense before this, wow how wrong I had been! Now everything ramped up. Renie had decided to turn back to back too, so as well as lower abdominal contractions, they were also in my back and radiating into my right pelvis and leg. I spent my time moving from being on all fours on the bed, sitting on the toilet and being in the bath. I tried to grab Bens manlyhood, he managed to maneover himself out of the way just in time, so I bit his hand instead.
I did immediately apologise, honest! Not long after this and me wimpering ‘I can’t do this’ and both Ben and Ellie replying ‘But you are doing this’ for the 100th time, Ben reminded me I did have options. My birth plan was clear – minimal intervention, but after 20 hours I was exhasuted and I really felt ready to give up (not that you can when in labour, but I know my eyes were pleading to be taken to hospital and have pain relief). My mind had jumped straight to epidural, not that I vocalisd this as I knew I would be disappointed if we went to hospital.
Ben again kept reminding me I had options, but I still didn’t get it. Eventually Ben said ‘You have options, DOWNSTAIRS!’ The penny dropped, gas and air! I got through almost 2 cannisters of gas and air, the intensity of contractions didn’t go, but I just didn’t care anymore! At this point I got in the pool and moved into the second stage.
Although the pushing stage requires a lot of effort and energy, it is also a relief to know you are in the final stretch and meeting your baby is imminent. Pushing your babies head out takes all your power and strength, its primal and takes over your body, as were the noises I was making apparently! There were times when I thought this is never going to happen, but when it does its absolutely amazing, words cannot describe. Once babies head was out the final few pushes were easy, (not for Ben because he was literally holding up my entire body weight with his thumbs!) First we had to wait for Renie to be ready, she needed to turn herself so her shoulders were at the right orientation and I could feel her wriggling, then whoosh she arrived and before I knew it we were a family. Ben was my absolute rock in labour. He made the appropriate amount of jokes, kept me smiling with his silliness.
Tickled my back for about 24 hours (so much for all the massage techniques we had practised thinking I would like them), made a labour playlist, which I loved up until pushing stage. Never in my life did I think I would state ‘Turn this F@.!”ing [email protected] off’ when listening to MJ, but I did! Always asked me if I needed anything, then noted himself it was at the crescendo of a contraction everytime, so waited patiently before asking again afterwards, the answer was usually ‘Yes Water!’ Ben and Renie 30 minutes after birth I know my body went through a lot as did Renie’s, but never underestimate what yor birting partner did too. He nearly lost the ability to ever make us a family of 4, almost lost his thumbs when I was pushing and literally held me up when I was in the bath and birthing pool!
Along with all this Ben had to deal with his emotions. He had to watch me go through the most intense thing he will ever see me do.
He had to clean up afterwards and during labour (yes I pooped in the birthing pool – A LOT apparently) and most importantly he was about to become a father. Yes there had been an entire pregnancy to realise this, but men are literally not connected to the tiny human growing in their partners tummy. Its a lot to deal with a very short period of time. Ben I love you. Renie 1 day old Renie 4 weeks old (sucks the same fingers that Mummy did!). CHIROPRACTIC & HEALTH A Natural Connection March 2018 © The Wellness Practice © Dr. Chestnut M.Sc, D.C., C.C.W.P.
In Biomechanics Explains Importance of Segmental Motion and Chiropractic McGill, S. Stability: From Biomechanical Concept to Chiropractic Practice.
Journal of Canadian Chiropractic Association. 1999;43 (2) QUOTE BOARD: “There is evidence that these muscles (intersegmental muscles) are highly rich in muscle spindles (at least four to seven times higher than multifidus). Health, Love and Happiness begin with you! This month our clinic theme is love, health and happiness, as its February and all! These 3 things are all completely in your control and all inter-related.
No one else has the capacity to control these things, only you! The way you respond to what’s around you is choice.
We all have negative reactions sometimes, the key is to notice them and then tell yourself something positive. My biggest bug bear is aggressive drivers, especially those who tailgate and speed. Sometimes I get irritated with them and upset with the injustice of their behaviour.
Other times I just notice them and consciously decide to keep smiling, when they find a safe place to overtake they can. The more I practice the latter, the more it has started to become a habit and the happier my days are! Be Grateful Be grateful for life everyday, remember the small things. Our brains are wired to seek the negative, it is a form of protection. A good example is dog mess, we learn to look out for it and not stand in it. Now it is law to pick up your dogs doings, however instead of us appreciating and being grateful for the lovely clear pavements we have the majority of the time, we instead moan when we see mess!
A good practice to get into is picking 5 things that happened in the day you are grateful for. Either write them down or say them out loud to yourself every evening. The positive mind set this leaves you it will make you feel great. The small things that erk you really are just small and insignificant so do not warrent any energy spent. Realtionships Surround yourself with friends and family. Be picky about who you spend time with.
Choose people that energise and support you. If you find someone a constant drain perhaps it is time to consider whether you need them in your life. Sometimes it can be hard to let people go, however in the long run you will be thanking yourself for it. If something is on your mind, don’t let it fester. Talk to your loved ones about it, they love you and will support you. Sometimes it may even been an issue you are having in your relationship with them, if you do not communicate with them, they will never know.
Try and find ways to speak to your loved ones without blame. A good way to do this is to talk about your feelings and how sometimes they make your feel a certain way. Communication is the key to a happy relationship. Nutrition and Water If you look after your body, it will look after you. Your body and all its components are only as good as the food you feed them. Food can be the greatest medicine or the slowest posion!
We are made from nature and therefore our body needs food from nature. I have never seen a packet of biscuits growing from a tree, have you!? Try and eat more than 5 portions of fruit and vegetables daily and regularly drink water. Not only will your skin glow, your bowel movements will improve and your overall energy will pick up. Providing good healthly food shows your body you love yourself.
You deserve it. When your overall health improves, instantly it makes you feel more positive and your sense of wellbeing increases. Saying all that, moderation is key! If you deny yourself all the little pleasures in life, then all you will do is crave them.
If you want some chocolate, have it and feel good about it, no guilt. Enjoy it and remind yourself that this was my choice today and I loved it! Nature Get outside amongst nature. I always feel absolutely fabulous when I have spent time outside.
Just feeling the breeze (wind if you are in Peacehaven) on your skin makes you feel alive! Yes its cold at the moment, all these sensations are amazing and we should feel grateful to be able to experience them. For me going for a brisk walk 20 minute walk along the coast or in the woods rejunvinates me.
I take the time to let my senses take everything in, from the sound of the waves crashing and birds tweeting to the smells in the air. Exercise Get 30 minutes daily. Exercise improves blood flow and nerve flow. When everything is moving your brain is active, firing and strengthening.
Exercise has been shown to releases cannabinoid type molecules into the bloodstream, these give you an instant high! No wonder exercise makes you feel great! The article below is a study that details some of the reasearch done in this area. If you like a complex read then this can explain a little further. Find your Passion This doesn’t have to be your job.
Luckily for me mine is, however for my partner it is music, not just any music mind. He loves anything with skilled muscians (so modern day pop is out, sorry Taylor Swift) and is constantly writing lyrics himself and learning new instruments. He is never happier than when he has accomplished a new riff! Whatever yours might be, prioritise it, the dishes can wait (unless its your turn darling!) Finally with the growing awareness of mental illness and understanding how to support someone, scientists are trying to discover the secret to happiness. The link below is to a short survey.
If you have the time please do take part.
Comments are closed.
|
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |