What Science ACTUALLY Says About Trigger Points & Myofascial Pain

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  • Опубликовано: 24 дек 2024

Комментарии • 263

  • @ploomperera395
    @ploomperera395 2 года назад +92

    Hello Doctor, your information regarding this really can save a lot of lives! Although Myofascial pain isn't life threatening it really cost the quality of life & will have an heavy toll on one's mental health. I have unexplained pain for nearly 14yrs now & although I'm 35y.o my body feels like a 90y.o. When you're in a situation like this with nothing seemingly working & no proper help it really makes a person question whether it's worth living like this. Thank you for your information & keep up the great work. We need more doctors like you here in the UK.

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад +8

      Thanks for sharing your experiences! It is consistent with so many other people I have seen in my own clinic who suffer through chronic pain due to myofascial trigger points. This is a misunderstood and underdiagnosed condition that hopefully we get more research and emphasis in the future. Thanks for your comment!

    • @cozyrecords256
      @cozyrecords256 2 года назад

      YES I UNDERSTAND YOU SO MUTCH

    • @cozyrecords256
      @cozyrecords256 2 года назад +1

      @@Truerealism747 it is in my right masseter i have lived for about 2-3 years in intens pain

    • @christofinajackson9384
      @christofinajackson9384 Год назад +2

      I suffer from persistant upper back pain.Just below my shoulder blade. The pain can be so intense sometimes and stresses me so much 😢😢😢. I tried all sort of exercises and Physio but no relief..😢😢😢

    • @ispossible5139
      @ispossible5139 7 месяцев назад

      16 yrs of pain bro

  • @aradshah6181
    @aradshah6181 2 года назад +41

    Mate, i'm in absolute tears... im 21 years old, and you just described the last 2 years of my life as if you were there every day. I've been suffering from this, and i've constantly been undermined by our shit british healthcare service. It's take over my life, taken over my will. When you started talking in the first 2 mins, i was shocked that you described every last thought on my brain. I have aspirations of being a professional athlete, and all this has made me be on standby for the last 2 years. I cannot describe what kind of impact it's had. Listen, I live in london but i'll drop everything to get rid of this, and be under the care of someone WHO GETS IT LIKE YOU. Please reccomend a way we can talk on the phone, ill he in Cali in a heartbeat if you can guarantee you''ll sort this out for me. THANK YOU FOR YOUR HELP.... SAVING FUCKING LIVES ILL TELL YA

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад

      Thanks for your comment. There are plenty of providers all over the world who are treating people who suffer from myofascial pain. Hopefully you can find one that is in the UK! Best of luck

    • @noahway13
      @noahway13 Год назад +2

      Well?

  • @dumpling25
    @dumpling25 2 месяца назад +5

    Watching your videos on myofascial pain and trigger point injection therapy has been a bittersweet moment of clarity and victory for me. I'm 31 years old and have suffered from chronic back and neck pain for over 16 years. I found a very promising pain management doctor these past couple weeks who was able to tell me with confidence that my pain is myofascial and muscular in nature. Have an appointment for trigger point injection in a couple of months and I cannot wait. I wake up and go to sleep every day in so much physical and mental pain in my life that one naturally questions whether a life like this is worth living, and having found this latest physician (and your videos) has given me a tangible glimmer of hope in an otherwise dark world, riddled with helplessness and hopelessness. Thanks so much for the work that you do not only to treat your patients, but to educate other healthcare providers on this clearly neglected subject matter. You're the kind of hero that so many people need in their lives. Thank you.

  • @laxmanbafna4178
    @laxmanbafna4178 2 года назад +12

    This is the most important video in my life as I am suffering from myofascial pain since past 1.5 yrs and got no improvement.
    It was very helpful. Thank you so much.

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад +1

      Glad you found it useful, thanks for your comment!

    • @Jossshkhan
      @Jossshkhan 2 года назад +2

      @@JeffreyPengMD I thank you more than words can say... your content gave me hope. I have been dealing with MPS for the last 5 years. I have been to 10 different doctors and no one was able to diagnose my condition. I truly appreciate your video and information. May God bless you!!!

  • @LoriMayor
    @LoriMayor 8 месяцев назад +5

    As a soon to be licensed LMT, I have had many of my clients in clinicals tell me they have pain relief after my massage more than any other therapies they've received. They've had a long list of doctors both allopathic and alternative and the only thing they needed with myofascial release and trigger point therapy. I can palpate within minutes the hypotone or hypertone of the musculature and effectively treat most of these trigger points in a one-hour session and then work on the surrounding tissues and help the client to stretch and increase joint mobility where needed. I went into this profession because massage has change my life. I have spent 30 years thinking there was something really wrong with my body on a fundamental level. A combination of massage , chiropractic, PT and energy therapies has been the most effective treatment.

  • @BboyFever
    @BboyFever 2 года назад +12

    When Jeffrey started telling the story of the 16 yr old girl I literally started weeping. This has been literally my life for the last 3 years ... chronic pain between a 4 and 7 in my lower right back. 18 different physicians, MRIs, Ultrasounds, Xrays, Medication, nothing helps. I have no idea how I'm going to keep living my life.

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад +4

      Thanks for sharing. I can't tell you how many people I've seen with chronic pain that have DRAMATIC relief in pain after getting twitches from trigger point injections.

    • @BboyFever
      @BboyFever 2 года назад +1

      @@JeffreyPengMD Thank you for your video Jeffrey. This is amazing content, deserves a thumbs up and subscription. Would you have any recommendations on finding a good physician, given dry needling technique is so important?

    • @reesecop
      @reesecop Год назад +1

      Michael, were you able to get trigger point injections and find some relief? 🙏

    • @BboyFever
      @BboyFever Год назад +3

      @@reesecop Hey Teresa, thanks for your reply. I found a physio who specializes in Trigger point, but he recommended not going straight for the spot as sometimes that can cause severe flareups. We had two session so far and have done surrounding muscle groups up to 1/2 inch away. I feel about 25% better. Next week we're gonna try for the trigger point, fingers crossed.
      Thank you for your msg, and if you are going through anything similar wishing you all the best as well.

    • @VictorGorinov
      @VictorGorinov Год назад +1

      @@BboyFever Did you go through the trigger point directly? If yes, how did it went? Trying to solve lower back pain I've had for 2 years now. Wish you all the best!

  • @megeek727
    @megeek727 10 месяцев назад +3

    This video is an excellent explaination of what happens to Myofascial patients. Dr. Peng could have used me as a case study. I was an amateur long-distance runner for years then switched to amateur bicycle road racing for over a decade followed by a few years of daily tennis matches. I developed some serious muscle overuse issues which were misdiagnosed and ineffectively treated for over a year. After spending an insane amount of money visiting orthopedic doctors and countless months in physical therapy and on the chiropractor's table, I was getting worse instead of better. Being totally frusted, I started researching Trigger Points and Myofascial pain on my own which led me to Yoga. It took some extremely long (2-3 hours) stretching sessions before I started seeing results. Two years later, I am pain-free unless performing a deep stretching session which can activate some of my remaining trigger points but that is part of my self-therapy. My most productive stretching sessions are not pain-free.

    • @cmm8622
      @cmm8622 3 дня назад

      Would you mind sharing any specific recommendations on the deep yoga routines that helped you? Thank you!

    • @megeek727
      @megeek727 3 дня назад

      @@cmm8622
      My issues were primarily in the psoas (inner hip muscle), iliotibial band (connective tissue anchoring hip to knee), and quadriceps (front leg muscles). Once the fascia was stretched I was pain free.
      - Initially, I could not make any progress until finally stretching the psoas muscle. The hips are the key to all lower body movement. I was able to stretch the psoas over time with very deep squats. It took a long time because all the outer layer muscles (gluts) had to be stretched first inorder to reach the psoas muscle. Keep in mind this was not always a comfortable process because living muscle and fascia is being stretched and sensitive nerves are entangled in the fascia. Try stretching a steak - it isn't easy. I initially used a door as a prop to lean back against when attempting the deep squats. My sciatic nerve pain was eliminated once this muscle was sufficiently stretched. There were a couple of days where I needed an icepack after stretching.
      - The iliotibial band is extremely tough tissue. I found attempting to do the splits was the most helpful stretch for this area. It takes a lot of long sessions to see progress.
      - My quadriceps were primarily plagued with muscle knots. The splits help with the knots too.
      I wish the best of luck.

  • @RABSON01
    @RABSON01 Год назад +2

    100% agree with this. I suffered sciatic pain in my glute, radiating down the outside of my calf. This resulted in pain sitting, standing and sleeping. Stretching and massage over years could not rectify the issue. One session of dry needling into the glute trigger points removed 95% of the pain. Today I’ve been researching due to headaches I’ve been suffering every other week, for 48-72 hours at a time and it would appear it’s radiating from the upper trap region. I’m about to book another needling session to address the issue, as stretching and theragun treatment is not sufficient. Highly recommend needling to anyone with trigger points.

    • @JeffreyPengMD
      @JeffreyPengMD  Год назад

      100%. Thanks for sharing

    • @josdav07
      @josdav07 Год назад

      That's awesome I need to try this, is this the same as acupuncture?

  • @birgitta3379
    @birgitta3379 Месяц назад +1

    As a massage therapist, this is very affirming and fascinating too!

  • @PrimaWhiteKitty
    @PrimaWhiteKitty Год назад +6

    Thank you times a thousand for getting this information out here on to RUclips so that patients like me can get insight on what might be an unknown cause of their pain. I had this chronic debilitating pain for 3 years and not one specialist I saw or even my general doctor told me about this subject I had to find it out on my own, and it's thanks to videos like this one!!! Please keep doing this👏👏👏

  • @mikoliker
    @mikoliker 11 месяцев назад +3

    Dear Dr Peng, thank you soooo much for this video, the most complete explanation of the dynamics of the myofacial pain and action of trigger points I've found so far. A true must-see for sufferers of common sports injuries and cronic pain. Again many, many thanks... 🙏

  • @jenniferp7749
    @jenniferp7749 2 года назад +5

    I just had my first dry needling. Your message helped me get there. Thank you 🙏

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад +1

      Wonderful! Good luck!

    • @MelloHubb
      @MelloHubb 2 года назад +1

      How was it Jennifer? Painful? Did it relieve the pain from the trigger points?

  • @stayred77
    @stayred77 8 месяцев назад +5

    This causes unbelievable pain and suffering. After 4 years, I'm at the point of disability from severe global pelvic pain. Just had an evalluation with a sports rehab PT which is probably who i should have seen in the first place since my pain began after becoming a marathon runner. I've also started seeing a myofascial release therapist. Praying they can reverse this and help me. I've spent around $30,000 at this point and had 2 unnecessary pelvic surgeries. Smh

    • @sungspatta6123
      @sungspatta6123 6 месяцев назад

      I am so sorry

    • @JillCao
      @JillCao 5 месяцев назад

      I’m so sorry to hear this 🙏🙏🙏

    • @jasminem.6644
      @jasminem.6644 Месяц назад

      No cures, just customers 🥺💔

  • @manjushakyaver80
    @manjushakyaver80 6 месяцев назад +3

    I had a similar pain in the left buttock. I couldn’t sit for too long. It was a dull pain that would wake me up in the middle of the night. My hip was tight too and tried all kinds of stretches but no relief. The pain eventually spread to my back. Previous to all this, I was suffering from knee pain. I couldn’t walk, had problems going up and down the stairs. It was terrible. I came across a therapist on RUclips that recommended the frog yoga pose to relieve the pain in hip and back. I tried this in bed as I couldn’t get down on the floor. When I tried it, it was very uncomfortable almost painful. I couldn’t hold the pose for too long. I realized just how tight I was in the hips. I kept doing it throughout the day. And eventually started to hold and stretch for longer period of time. To my surprise it got rid of my pain in hip, buttocks and back. What’s more surprising is that my knees got better. I was able to walk, go up and down the stairs…no pain!! I’m about 90-95% better. I do believe the source of the pain is not the actual location. It’s like a leaky roof, the location of the drip is not the actual source of the leak. You need to find the source or trigger spots. I’m starting to pay more attention to my body and look for tightness- you can feel spots for tightness for example back of thigh, inner thigh, front of thigh. I totally agree with this doctor. I’m glad I found this to get a better understanding. Thanks Doc! 😊

  • @JimYeats
    @JimYeats 3 месяца назад +3

    A big reason why something like this might not be detected or searched for is simply because of the compartmentalization of the US medical system, and lack of well trained - and well paid - primary care providers.
    If you send someone to Orthopedics, they're going to treat everything as though it's a bone, joint, ligament, or tendon problem. If you send to someone to Chiropractic they're going to tell the patient that they can solve everything from their joint pain to abdominal pain with an adjustment. If you send someone to an acupuncturist they're going to feel they can cure everything with acupuncture.
    What's really needed is a family provider, or GP, who knows just enough about each subject to really truly help manage the overall wellness and figure out who the appropriate person would be to focus care.

  • @MarjBatic
    @MarjBatic 5 месяцев назад +1

    This explained my situation so perfectly. I plan to share this with my physicians….i have been trying to get a correct diagnosis for 22 months. The pain affects my life so negatively. I either stay home sitting in ice, or am miserable during an activity. I just want to walk in the park with my dog without pain!!

    • @sumr1000
      @sumr1000 26 дней назад

      Try looking for myofascial release therapist and Red light therapy and PEMf therapy mat

  • @ryanodom2892
    @ryanodom2892 5 месяцев назад +2

    7 years of the same thing.. i just rubbed the spots that hurt and started discovering these trigger points. no help in the healthcare I've received, just chopped up from surgeries and fused bones when it was my fascia all along

  • @deborahhayes825
    @deborahhayes825 Год назад

    Been there, done that from age 16 to 50 for rhomboid TP. Finally I hit a knowledgable PT PhD. who was familiar with Travell and SImons. I'm surprised they didn't send her to a psychiatrist and tell her it's all in her mind. Glad she finally found you. I consider dry needling to be nothing short of a miracle.

  • @cruz47144
    @cruz47144 Год назад +1

    I have suffer with myofacial pain for 15 years. Took one year to diagnose after repeated visits to specialists including psychology classes where they teach you to try and live with your pain. In my 15 years with this problem I've notice that stress significantly increases pain and also my food triggers: like chocolate, grains, wheat, and nuts. When I consume those triggers, pain almost becomes intolerable. No medication really reliefs it but it does put me to sleep so it kind of works but then that only helps at bedtime. I use an aggressive foam roller with nodules on it and sometimes I roll on a softball when trigger points are deep in the muscle. I will say this, my trigger points have moved all over my body but sometimes doctors have a hard time accepting my issues with pain. But in those 15 years trigger points have subsided for months but then they come back with a furry. I will show this video to my pain management doctor and tell him about the dextrose 10cc maybe this will calm down my fibro. I'm a 63 yr old male. Thanks again Doc

  • @gigieyre
    @gigieyre 2 года назад +3

    Truth! I've been suffering with this for about 6 years. When I go in for dry needling, some of the therapist aren't as experienced. I know that if I don't get the twitch, I will be hurting pretty much the next day. It's a total waste of money. If I get the twitch. I can have relief for a varied amount of time. Right now, relief is for about 2 weeks. I'm hoping that I will be able to find a good therapist that gets the twitch every time. Then, I will be able to have a longer time of relief.

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад +4

      Thanks for sharing. This has been my experience exactly. Must get that twitch!

  • @sjones9271
    @sjones9271 2 года назад +5

    If there are any other physicians or specialists that watch this video, I just want to say the medical community in the US is doing a horrible job of diagnosis this condition. I was a Physician Assistant trained in the USA for over 20 years and I don't even recall learning about this condition. I have now suffered for over 7 years with chronic pain. I did have some trauma to the my left arm after a vaccine related injury in 2015 and some of the issues with MPS are multifaceted, like poor posture and sedentary after being diagnosed with auto-immune disorders. But I have to say after watching 2 of Dr. Peng's video I feel like crying because he just explained everything I have been experiencing for 7 years and the unilateral pain, weakness, spasm, neuropathy (with normal MRI's and seeing specialists) is so frustrating. Then being told I have Fibromyalgia after I repeatedly told every single provider and specialist my pain was unilateral and progressively worsening. I was worked up for MS. I would have so appreciated the proper the diagnosis 7 years ago because my condition has progressively worsened and now exercise is difficult and the number of TP's I have has just gotten worse over time to the point where I know have them on the Left lower gluteal/back/leg. Basically my entire left side is affected and I am in constant pain. I read someone else post that it is a miserable way to live in Chronic pain. I refuse to take drugs, even OTC, I wish this would show all the doctors we are not drug seekers. All I wanted was a proper diagnosis and relief of the pain WITHOUT drugs (NSAIDS, muscle relaxers, anti-depressants) no thank you! I take vitamins, magnesium and I do alot of the holistic modalities. The only thing I haven't tried is the TP injections or dry needling. Thank goodness for doctors like Dr. Peng who legit care about patients and their weird symptoms that don't show up on a diagnostic test or they can't explain. I am so tired of doctors telling patients it's all in their heads. That is why I am no longer a PA. I lost faith in the system that was supposed to help people. Now I am worried about trying to find someone with experience and knowledge like Dr. Peng who can do the TP injections right. I would rather not risk a chance of someone doing them wrong and causing more damage. It's just a sad state of affairs, some many people are out there suffering in chronic pain, feeling miserable, poor quality of life and doctors just telling them it's in their heads or to just to go to Physical Therapy, Chiro, or get a massage. I have done all of this and I am still in pain. The saddest part is after 7 plus years of pain I had to figure out I have MPS on my own.

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад +2

      Wow, what a story! Thanks for sharing your experience. The silver lining is that trigger points and injection technique is starting to be discussed more within the sports medicine community at large conferences such as the American Medical Society for Sports Medicine (a significant amount of credit goes to Dr Navid Mahooti who is near Boston).

    • @leelagaddipati3933
      @leelagaddipati3933 Год назад

      Dry needling works, same issue as above on my RT shoulder and neck.
      My physical therapist suggested DN to give it a try.

  • @jacksonshaolin5183
    @jacksonshaolin5183 3 месяца назад +2

    I just can agree to Dr. Peng. I'm in pain for 1,5 years and have a lot of TPs and no one was able to tell me what my problem was. I recently found a doctor who started to treat my TPs with acupuncture and it starts to help. But there is still a long way to go. And most importantly I have to change the way I live to avoid the root causes .. This video should be shown to every ongoing dcotor

  • @tammyo8922
    @tammyo8922 9 месяцев назад +2

    You have no idea how much I appreciate this video. Where I live, I’ve lost count of the tests I’ve had done, and the specialists I’ve seen… 28, 29, 30? I have been poked, prodded, dismissed, gaslit, and accused of exaggerating.
    Every time that I’ve shown up at the ER, I’ve been written off as having a gynaecological issue, being a drug seeker, drama queen, but, ultimately, written off as having mental health problems. The way I’ve been treated in this Pharmacare system bracket (I don’t call it healthcare here anymore), is revolting, and it has certainly given me more stress than I could ever imagine. And somehow I’m to blame? I’m learning more about ACNES, which is likely very similar to what you are talking about. I’ve since learned I may also have an underlying syndrome called Ehlers-Danlos syndrome. The saddest part is that I am still suffering with 10/10 pain every day, and I have no hope that anything will change. I hope more doctors will be open to listening to what you have to say. You are changing lives. Please keep up the awesome work! 🙏❤️

    • @selaxlife7621
      @selaxlife7621 6 месяцев назад

      Have u tried praying? Ask Jesus Christ to help u....he will lead u to where u need to go or do......and when I say trust me....let's jst say I've experienced a thing or two of what u mentioned up above. God bless and ill be praying for u Tammy.

  • @Chasenhaws
    @Chasenhaws 10 месяцев назад +1

    Such great info!! Thanks so much!! I was kind of surprised, though, that you didn't talk about how trigger points actually lead to even more trigger points and can eventually affect multiple areas all throughout the body.

  • @joaweyang
    @joaweyang 2 года назад +2

    I had the lower back pain from the age of 12, was not able to sit for over 20 mins. When I was in school, I was the only student who got the permission to squat on my chair - that was the only way to reduce the pain.
    For over 15 years, I didn’t even know what the name is for this type of pain, I just know that for the last 15 years, there was no one day I was pain free.
    I had a sensory deprivation experience last year and that was the first time after 15 years I recall what a “pain free” body could feel like (but only lasted for 10 mins”, then all pain comes back.
    The moment I learned that there is a term “myofascial pain” was the moment that I found the key to science, literature, and truth to recovery.
    Thank you so much Doc for your video!!

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад

      Wow, thanks for sharing your experiences. I'm glad you found this useful!

  • @Thompson-Gunner343
    @Thompson-Gunner343 2 месяца назад +1

    Yes Doc it does feel familiar. I was a police officer from 2000 through 2019. I took Advil every day I worked, prior to starting my shift. Probably 2K-3k mg at a time. Knowing it wasn’t good for my internal organs, I refrained from usage on days off. I was in numerous fights and a few high speed pursuit crashes. Having a “Chief” that was a narcissist I finally resigned close to retirement due to PTSD from a military deployment in 97.
    My life has been ruined. I was diagnosed finally with fibro earlier this year.
    Life is hell.

  • @ms.jessadventures
    @ms.jessadventures Год назад

    I was in pain for over 30 yrs with my back and also having back surgery, till i found trigger shots 🙌
    Get it my back every 6 months. And had 3 sessions to my shoulder that surgeon wanted to do rotator cuff surgery, completely healed now.

  • @Pining_for_the_fjords
    @Pining_for_the_fjords 9 месяцев назад +1

    Thank you for this video. I think I have had this for many years. I'm 38 and I've had it since my early 20s. The pain is always there, but it's been nearly unbearable over the past few months, especially when I'm driving. I've been to massagers, chiropractors and physiotherapists, and I massage the area myself and do the exercises prescribed by the physiotherapists. But whatever I do, I feel like I'm fighting against something pressing on my upper back muscles. It doesn't cause numbness or tingling, and it doesn't restrict movement, it's just a constant pain in one specific place.
    Also, since I was a child I've had a pulling sensation in the nerves or muscles around my right ear, which in the past few years has caused involuntary facial twitches. I suspect that the two problems are related, since they are both on the righthand side, and they both seem to be aggravated at the same time, namely by driving, travelling in a vehicle, or carrying anything on my back, shoulders or in my right hand for an extended period. However, every doctor and physiotherapist I've spoken to dismisses this idea. I'm wondering if anybody else has similar symptoms, or if it's likely that the cause of the pain in the face and upper back could be caused by the same thing.

    • @neygnow
      @neygnow 8 месяцев назад

      I don't have the same pain but I do have refer pain to my knee from sitting at my desk from work for 15 years. Started in my early 30s. After watching this, I did seek out a PT for dry needling. I had to go to 5 providers to find one that worked for me. You do have to find someone who is not dismissive and willing to look for twitches. He is right, once I feel the twitch, the pain is gone immediately. I finally have some relief. It's worth a try if dry needling is allow in your state. I also did a lot of research on my own by using a foam roller to find my trigger points and sharing this with my provider. Also watched a lot of youtube videos to diagnose myself. It's very difficult to find a good provider that knows what they are doing but you just have to persevere. Good luck.

  • @chand09b
    @chand09b 2 года назад +1

    Practising physiotherapy since 12 years and your research enlighted a lot...thanks a lot sir...ur intention to help people with your research is outstanding and you deserve a salute...thanks to u again...

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад

      Thanks for your kind words and for commenting!

  • @Gigicares7
    @Gigicares7 29 дней назад

    I can so relate to this. I have had a relentless stabbing knife pain in back for over a year that makes me sitting and position intolerant. Level 8 to 10 pain. Jumped all the hoops you speak of in your vid & more with various specialists...wash, rinse, repeat with no improvement. I recently saw U.C. Davis Neuro and they recommended Muscle/Myofascial
    Trigger Point Injection. I'm going tomorrow for the procedure. I will be doing myofascial massage as well to help with nerve restriction. I had 3 herniated disc's and the muscles compensated for the instability in my spine. I have numbness and tingling as well. This is SO me! I want to learn MFR and help others with this when I am physically able to.

  • @lecorb8825
    @lecorb8825 10 месяцев назад

    Absolutely brilliant video. Grateful and thankful for posting this. Especially the hypothesis on cause.

  • @bigtubdioramas7040
    @bigtubdioramas7040 Год назад

    Excellent case study. This is very common mistake doctors make in chronic pain with the lower gluteus maximus trigger points over the ischial tuberosity being mistaken for proximal hamstring problems. As an osteopathic physician treating chronic pain for over 20 years the two most common misdiagnosis for chronic pain are hypermobility and chronic trigger points. He doesn't excellent job of explaining this point of medical students not being given any information about this super important topic for chronic pain.

  • @utkarsh_jain_1_4
    @utkarsh_jain_1_4 11 месяцев назад

    After 6 months of suffering with head pressure and heaviness
    I am an athlete(gym and cricket)
    I was surfing on RUclips and found about this I got checked by a chiropractor i have triggers at splenius and scm muscle
    Really hope I get a solution now it's been 6 months since I have been a part of any activity

    • @peace8096
      @peace8096 4 месяца назад

      Did you release it?

  • @Moon888-oy8bb
    @Moon888-oy8bb 3 месяца назад

    @Jeffrey Peng MD, my Myofascial Pain began straight after multiple toxic insect bites (wasp, jumping ant and tick; we were clearing the bush). I felt awful, and thought that I had also contracted the c vid (severe flu symptoms). I react badly to single bites, so I am assuming that my body went into shock, with multiple toxic bites. I was "mandown" for a couple of days, and when I took my first steps, I realised that I had weakness in my legs, and pain ... this has been ongoing now for nearly a year, with no success at the doctor, normal chiropractor, bowen theraphy or homeopathy (I became desperate and tried everything that I could, including stretches which did not help). However, I watched a video last night (23/09/2024) about the necessity of breaking down of the myofascial adhesions, so I started pusing on and massaging my tender trigger points. This morning, I was able to walk better than I have in a very long time. Tomorrow I will visit a neuro/chiro who manually massages; so we will see if that helps too?

  • @physiohebat8248
    @physiohebat8248 3 месяца назад

    Hi doc, thanks for sharing this online. It is a very useful information that not many people know about.

  • @RosannaWorthen-ll4jp
    @RosannaWorthen-ll4jp 3 месяца назад

    I am super grateful for your knowledge doctor. I have been a L.M.T. for years and I learned so much to help me with my practice on myself and others. Thank you!

  • @muysantos2859
    @muysantos2859 6 месяцев назад

    one of the best videos out there!!! adding this to my favorites.

  • @azeemali7102
    @azeemali7102 11 месяцев назад +1

    Wow amazing stuff! took me years to find this...Bravo Dr. Peng!

  • @trimunaobeauty8668
    @trimunaobeauty8668 Месяц назад +1

    Hello, doctor. I would like to ask, after treating an active trigger point, how many days should a patient wait before continuing treatment?

  • @TheAuditore1997
    @TheAuditore1997 Год назад

    Incredible video. I understand so much more and will start looking for a clinician. I’m excited at Relieving my neck/shoulder pain!

  • @sonjanordahl3158
    @sonjanordahl3158 11 месяцев назад

    Where were you when I was suffering with neck shoulder and arm pain? After 3 years I was discharged from the military. And after another 3 years of work it finally relaxed and the pain stopped.

  • @jeffreyallen1290
    @jeffreyallen1290 2 года назад

    I had similar problems with my shoulders and arms. Many of the symptoms that you described, loss of range of motion, considerable referred pain throughout my arms, elbows and even my shoulder blade area. This gradually grew worse over the course of a year and my doctor refered me to a Physical Therapist but after 10 visits had no relief. While at the PT she mentioned that my muscles were very tight. I realized I needed a PT that specialized in just that, tight muscles. I then went to a rolfer and after 10 sessions was almost pain free. Rolfers specialize in deep massage work on the Myofascial tissues. I still go a couple of times a year just to maintain the status quo. I tell people about my experiences every chance I can because Doctors don't seem know very much about Myofascial problems or Rolfers.

  • @Jenn-b1q
    @Jenn-b1q 7 месяцев назад

    Hello. I broke my back in 2006 while AD military, I’ve suffered chronic pain since. I have L4/5, S1 fusion and SCS implant. I got to injections, steroid injections, ablations…….nothing worked. I am a big believer in chiropractic care, I’ve done acupuncture, myofascial massage, recently started cupping and dry needling. But, I continue to suffer pain almost daily. Why do some people get complete relief after so few needling treatments? I feel like I need it for the rest of my life.

  • @mca521980
    @mca521980 2 года назад +2

    Has this been found useful for fibromyalgia? Unfortunately, my whole body is tense 24/7. I just did 1st dry needling treatment in mid back & they didn't explain it at all. I found this very informative. So, thank you for that.
    I hope they can cover multiple problem areas for me in the future.

    • @mca521980
      @mca521980 2 года назад

      Your chart at the end, was a great addition too. Ty

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад +1

      Possibly! Fibromyalgia is incredibly complicated and difficult to treat. My intuition is that for some reason, some people are more predisposed to forming trigger points. Left untreated, which most are, this leads to a whole body response to pain that affects both mental and physical health. Going after the trigger points with needling (this may take MANY sessions) will potentially treat the root cause and hopefully all the other symptoms improve as the pain generators are resolved. Definitely something to discuss with your healthcare providers. Good luck!

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад +2

      You're welcome! You may find this useful as well: ruclips.net/video/_x4TMjLK82Y/видео.html

    • @NicoProv
      @NicoProv 10 месяцев назад

      Please go get your Vitamin D levels checked ASAP.
      What's called " fibromylgia" is many times a vitamin D deficiency . We are told normal is 35 but really that is still very low and problematic . Optimal range of vitamin D in the blood is 80-100.Vitamin D deficiency can mimic almost every "disease" in the book.

  • @lc2489
    @lc2489 2 года назад +1

    Ty for this video I have this same problem. I'm going to get needling tomorrow

  • @parent013
    @parent013 Год назад

    Thank you. Just thank you. Dr. Peng. More doctors need to watch this video. Can you touch on referred lower back pain and trigger point in the groin? Thanks again

    • @JeffreyPengMD
      @JeffreyPengMD  Год назад

      You can use this to help identify trigger point locations: ruclips.net/video/_x4TMjLK82Y/видео.html

  • @dplj4428
    @dplj4428 10 месяцев назад

    16:31 ATP? inflammation? starved muscles?
    17:44 ?? Neuropathy due to diabetes or trigger points or both? How to distinguish cause?

  • @marielemus7155
    @marielemus7155 9 месяцев назад

    This information identified what I am probably experiencing currently in my elbows, arms, and neck. My massage therapist uncovered incredible amount of "tightness", and "knots" in my shoulder, neck, back with referred pain. I started to feel exaggerated amount of pain soon after Covid in October and now suffering what is called Long Covid with slow recovery. I am curious about your treatment of needling and how to get a consultation/ visit with you. Fascinating! Thank you.

  • @tizitadestaw8536
    @tizitadestaw8536 2 года назад

    Thank you...doc I have an experience of patient 26 female who has dizness, headache..for 2 years her quality of life decrease she is been to neurologist., different physiotherapy clinics...has been treated as BPPV...no change...when I get to see her she mentioned that her dizness increases when she chew meat....I asses her SCM her headache and dizness dramatically decrease ..all I did was release of trigger points release of SCM .I'm physical therapy

  • @Andy-uc9oc
    @Andy-uc9oc 8 месяцев назад

    Yep! I had been trying to get to the cause of my pain for 20years. I lost count of the amount of specialists appointment, MRI's, X-ray, Ultrasounds, and all sorts of appointment from physio, myotherapy, injections etc etc etc but to no avail. I would've spent about 10K over those years trying to figure out what the issue was. I ended up finding out the issue myself. Turns out its MPS Myofascial pain syndrome. So now to continue forking out more money now to get the ACTUAL issue resolved - fingers crossed!! 🤨

  • @rawmotiongraphicsart6798
    @rawmotiongraphicsart6798 Год назад

    Thank You, Doctor: I have SAME thing it seems and am scheduled for MRI. I usually am only given one or two trigger points and suspect I simply need more. Also took two kinds of medications, yet they are not providing relief. THANK YOU for info, Doctor.

  • @zpto12345
    @zpto12345 4 месяца назад +1

    I wonder when physical therapies were not helping in the first place what was the point in repeatedly asking patient to get more and more PT sessions....when MRIs are repeatedly coming normal how correct is it to diagnose hamstring tendinitis / tendinopathy?

  • @michaelbury1941
    @michaelbury1941 3 месяца назад

    I have this chronic condition and what people don’t understand and once you have it you will KEEP getting it with the any aggravation.

  • @bubakabir2071
    @bubakabir2071 2 года назад +1

    hello doctor, thank you so much you have specifically explain my problem for almost four years, i have visited over 17 doctors here in Nigeria but no any effective result really lost hope think what am experiencing will never be heal. mine is the pain from shoulder blead then to neck then to head mostly right site my arm. please what should i do first thank you so much,

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад

      Wow! I'm glad this helped explain things for your condition. Unfortunately I cannot give medical advice over the internet. Please seek the advice of your trusted health care provider. Best of luck!
      ruclips.net/video/y9RcwV1oXu0/видео.html

  • @alexm9078
    @alexm9078 11 месяцев назад

    I had dry needling in my neck,back, shoulders and pecks and it works great. my only problem is that now my nervous system is extremely sensitive for some reason. even just moving my tongue around in my mouth feels like nails on a chalkboard.

  • @coachcasey7795
    @coachcasey7795 2 года назад +1

    This video is FIRE!!! Thanks so much for posting this. 🙏

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад

      You're welcome! Thanks for commenting

  • @enlightened166
    @enlightened166 7 месяцев назад

    Much THANKS and GOD Bless You!!!

  • @Blabberous
    @Blabberous 2 месяца назад

    I need to see you. I’ve been in extreme pain for the last 20 years, but I haven’t been able to find a doctor who can treat me. One of my doctors performed an ultrasound on my upper back trigger points and they’re as large as golf balls.

  • @CodAr-man
    @CodAr-man 2 месяца назад

    I am exactly going through this, hell I even got my spine operated as my doctor told me that I have par defect and even after all the normal reports and surgery I am still in pin every single day, my sleeps are the worst part, I am so frustrated that I am at a verge of committing suicide. There are multiple trigger point in my back and my traps extremely painful!

  • @blessingokpo8007
    @blessingokpo8007 2 года назад

    This was very informative. Thank you

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад

      Glad you found it helpful! Thanks for your comment

  • @johnathanabrams8434
    @johnathanabrams8434 2 года назад +1

    If there is a leakage of acetylcholine at the neuromuscular junction, a concentration at the synaptic cleft AND an inhibition of acetylcholinesterase from a low ph and cgrp at the active trigger point wouldn't or is there any medication that promotes, reactivates or agonizes or reuptakes acetylcholinesterase?

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад

      That's a complicated question! The problem is the pathophysiology of trigger points is still not well understood so clinicians are still looking for other types of medications that can potentially help.

    • @johnathanabrams8434
      @johnathanabrams8434 8 месяцев назад

      ​@@JeffreyPengMD
      www.ncbi.nlm.nih.gov/pmc/articles/PMC10179372/
      A New Unified Theory of Trigger Point Formation: Failure of Pre- and Post-Synaptic Feedback Control Mechanisms
      Robert D Gerwin. Int J Mol Sci. 2023.
      Abstract
      The origin of the myofascial trigger point (TrP), an anomalous locus in muscle, has never been well-described. A new trigger point hypothesis (the new hypothesis) presented here addresses this lack. The new hypothesis is based on the concept that existing myoprotective feedback mechanisms that respond to muscle overactivity, low levels of adenosine triphosphate, (ATP) or a low pH, fail to protect muscle in certain circumstances, such as intense muscle activity, resulting in an abnormal accumulation of intracellular Ca2+, persistent actin-myosin cross bridging, and then activation of the nociceptive system, resulting in the formation of a trigger point. The relevant protective feedback mechanisms include pre- and postsynaptic sympathetic nervous system modulation, modulators of acetylcholine release at the neuromuscular junction, and mutations/variants or post-translational functional alterations in either of two ion channelopathies, the ryanodine receptor and the potassium-ATP ion channel, both of which exist in multiple mutation states that up- or downregulate ion channel function. The concepts that are central to the origin of at least some TrPs are the failure of protective feedback mechanisms and/or of certain ion channelopathies that are new concepts in relation to myofascial trigger points.

  • @staciebamsch2810
    @staciebamsch2810 2 года назад +3

    I feel like you're telling my story of dealing with chronic neck pain this past year. My Dr says today, let's try trigger shots since nothing else has worked. 🤞🤞 hopefully this it 🙌🏼

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад +2

      Good luck! Thanks for sharing your experience. Try to get those twitches!

    • @staciebamsch2810
      @staciebamsch2810 2 года назад

      Day 3- completely pain free🙌🏼 headache-gone, neck pain-gone, but was still a little tight yesterday. Today is better! I had developed tennis elbow on right-side as well during the past few months.. woke up the next day after getting the trigger shots in my neck.. elbow pain- GONE 🙌🏼 💯 I feel normal again after a year of pain🤗

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад

      Amazing!!

    • @staciebamsch2810
      @staciebamsch2810 2 года назад

      @@Truerealism747 my doctor thought it was from arthritis at 1st, so he gave me 2 different injections in my neck - epidural and a blocker. No relief. So that's why he said 🤔I think it's muscle tension.. tried the trigger shots last week 🙌🏼.. but I do feel everything tightening up again, so I may need it a few times 🤷🏼‍♀️. Just glad we figured out what works.

    • @moderngod1
      @moderngod1 2 года назад

      Still doing good?

  • @Reachland02
    @Reachland02 5 дней назад

    I've had this pain since I was 17. Now I'm 39 and its still not going anywhere. Its annoying.

  • @mstt3530
    @mstt3530 Год назад

    Fantastic video! Thank you 🙏🏾

  • @kjwest1721
    @kjwest1721 Месяц назад

    Is there a myofascial/trigger point website we can go to that has a "find a specialist" tab we can click on? Your video is VERY informative but, with all due respect, useless to those of us who suffer horribly every day, if we can't find a specialist near us who can treat us. How do we find a specialist? I'm a 66 year old woman and Ive been in pain for over 25 years and the pain is spreading and getting worse. Its truly HORRIBLE!! I can actually feel the painful lumps!! Doctors think i'm catastrophising my pain just to get drugs. Now that i'm old, i might have 20 years left to live, but this is not the way i pictured living my senior years. I am alive, but not living! Please HELP US!!! I live in the Cleveland/Akron, Ohio area. Thank you.

  • @chatdanai
    @chatdanai 2 года назад +1

    Hi Dr Jeffrey! Love watching all of your video. They are very informative and useful for improving my daily orthopedic practice. I have a few questions regarding to your trigger point needling technique. What is your recommended needle size? and do you injected local anesthesia in a fanning posture or directly on the trigger point then do a few dry needling afterwards. Thankyou for your response!

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад +1

      I use a 27g 2 inch needle for most muscles. I tend to administer more local where there are the most twitches. But you don't have to use a lot, 0.1 or 0.2 cc. Just takes the edge off / reduces some soreness afterwards. Getting the twitches is the most important thing.

    • @chatdanai
      @chatdanai 2 года назад

      @@JeffreyPengMD thankyou for sharing your technique sir!! much appreciated

  • @rattlin9194
    @rattlin9194 11 месяцев назад

    I wish i could have watched this 10 years ago before having both legs amputa... Just kidding, the leading case study here was exactly what i went through, 3 years of various military physios and doctors for accute hip/glute pain, until finally one tried 'this new thing called' dry needling. One great big jolt, some worried looks and some stretching and the following day i was back to sprinting my way outa the gates with tears of relief. I did a lot of weighted runs prior to the injury which is where i imagine the cause can be attributed - a great video, and this website is really useful also. Many thanks 🙏👌

  • @kellys_sunny
    @kellys_sunny 2 года назад

    Thank you for your thorough lecture. I am rehab doctor from South Korea, and your lecture was really helpful. Are there any tips to avoid injury to peroneal nerve and sural nerve while injecting into peroneal and solues m without ultrasound?

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад +1

      Greetings! Thanks for your comment. Stay away from the fibular head to avoid the common peroneal nerve. If you use a 27g needle, the chances of directly piercing a nerve is exceedingly low. You can try to approach the soleus from the medial aspect to avoid the sural nerve.

    • @kellys_sunny
      @kellys_sunny 2 года назад

      @@JeffreyPengMD Great!! Thanks a lot :)

  • @Knud451
    @Knud451 2 года назад +2

    Thanks a lot for sharing these stories! This sounds very similar to own story.
    I wonder about a couple of things. Why don't you start out with dry needling? And if that has no effect you go wet needling. What are the long term outcomes? Clearly, if someone has been injected with a local anesthetic, you would expect an immediate relief. Are their symptoms also significantly improved three months after?

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад +2

      Great question. In my opinion, wet needling or dry needling doesn't matter. You gotta get the twitches. Doesn't matter what you inject (saline, lidocaine, botox, etc etc), what really matters is the physical disruption of the dysfunctional muscle unit. In my experience, if we get all the trigger points, symptoms are gone for 6-12 months. They can recur so it's important to keep stretching and treating the area for maintenance.

  • @chrisholmes434
    @chrisholmes434 Год назад +1

    You just described the last 4 years of my life

  • @monaliceke
    @monaliceke 11 месяцев назад

    I’m 53 and had a 2-level ACDF surgery last November but still suffer from shoulder joints pain after surgery. I was prescribed dry needling, but I had much more pain than prior to my surgery for up to 1 week after the dry needling session. Do you know why?

  • @dplj4428
    @dplj4428 10 месяцев назад

    27:51 Does acupuncture have possible benefits? Thinking back to mentions of dry needles, refered pain, trigger points?

  • @166bobbys
    @166bobbys 7 месяцев назад +1

    Is the remedy you’re suggesting regular dry needling, or trigger point injections with anesthetic/corticosteroid? For rhomboid/trap pain 2.5 years

  • @garyyung1297
    @garyyung1297 2 года назад +1

    Dr.Peng I also wanted to ask what depth are you going with that syringe when you fan around that area in and out technique / dry needling. Thanks

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад +3

      As deep as it takes to get the twitches! Knowing anatomy is key.

    • @garyyung1297
      @garyyung1297 2 года назад

      @@JeffreyPengMD great info thanks Dr. Peng

  • @sbawttd20
    @sbawttd20 8 дней назад

    Can trigger points in traps cause nerve irritation? Is that what causes the referred pain?

  • @jasminem.6644
    @jasminem.6644 Месяц назад

    This has pretty much been my exact experience in livlfe thus far. It is so exhausting seeking 2nd, 3rd, 4th, 5th opinions because insurance won't cover anything by poly pharmacry.

  • @joshuaapple1322
    @joshuaapple1322 2 года назад

    How do you know if to do trigger point injections or PRP or a different treatment

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад

      Depends on the indication! PRP has not been studied for the use of myofascial trigger points. I often use trigger point injections to treat the muscles that are often involved (usually due to compensation) in osteoarthritis as well as tendinopathies.

  • @foreversoaps5
    @foreversoaps5 8 месяцев назад

    Unfortunately, trigger point injections didn't work for me and made the pain worse in my trap area of my upper back. A D.O. gave the injections.

  • @AlysiaPacione
    @AlysiaPacione 6 месяцев назад

    Can you recommend a doctor in New York who can treat trigger points the way you do?

  • @williamdenton6317
    @williamdenton6317 Год назад

    Dr. Peng, do you have any leads for a good sports medicine doctor in the Fort Lauderdale, Florida area. I am looking for one that has experience with trigger points and knows how to do trigger point injections. I have a chronic issue that does not respond to myofascial massage or any other kind of massage.

  • @israfilanick9375
    @israfilanick9375 9 месяцев назад +1

    Hello dr. I am from bangladesh. I am suffering since 3 years. I have gone through more than 20 doctors and took acupuncture, prolo therapy, shock wave and all but nothing worked. I have too many trigger point on my back muscle. Can you please tell me what is a trigger point injection. Is it just the needle or you push some medicine in it? Please let me know. My quality of life gas been decreased just for this issue. Please let me know doctor

  • @azeemjamil6655
    @azeemjamil6655 Год назад

    What you injecting trp session, its only dry needling or injectioning

  • @John-996
    @John-996 Год назад

    I Found out found I have myofascial pain syndrome I get radiating pain sitting for to long is awful. I got From Really High Volume training at the Gym Which I used to do along side powerlifting. Had for 6 years now. Really Helpful Video I can relate to the exsample person you used.

  • @yileiyilei5616
    @yileiyilei5616 3 месяца назад

    How far apart should the injections be for vastus lateralis? In the 16yo example you have you did once a week, but the research paper you cited did once a month. Which is better?

  • @esraguler5831
    @esraguler5831 Год назад

    Thanks so much

  • @savimalik3676
    @savimalik3676 2 года назад

    I’m suffering from trigger point pain for 2.5 years in my scapula. Did 50 sessions of Physio out of which 21 sessions were of dry needling but all in vein. The problem is still as it was😢. My scapula also experiences grinding sound when I move it.

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад

      Sorry to hear that! I hope you are able to figure things out with your health care providers. Best of luck

    • @loversofthepark5668
      @loversofthepark5668 Год назад

      I have same issue. Could be your posture

  • @Ff-qq5gl
    @Ff-qq5gl Месяц назад

    I don,t understand why do them have referred pain by MPS 😢

  • @fang-penlin4482
    @fang-penlin4482 9 дней назад

    I wonder if the trigger point injection has anything to do with the Acupuncture from ancient China. I recall there's a map on body showing different points. Maybe that's a very interesting direction to look into? 🤔

  • @gl8743
    @gl8743 Год назад

    Good morning Dr,
    If I have trigger points in my forarms do to golfers elbow and myofasciitis, will the trigger points be automatically healed if we treat the golfers elbow, or do the trigger points now become their own diagnosis that needs to be cured once the golfers elbow is healed?

    • @JeffreyPengMD
      @JeffreyPengMD  Год назад +1

      That's the million dollar question. Do we treat the tendon or do we treat the muscles? I recommend treating both! I've found only treating one or the other is usually not sufficient and can cause symptoms to recur.
      Untreated tendinopathy can lead to myofascial trigger points. Myofascial trigger points can also lead to tendinopathy. It really doesn't matter which came first, both need to be treated.

    • @gl8743
      @gl8743 Год назад

      @@JeffreyPengMD So would the muscles be dry needled and the tendons PRP'd ? Or would it be something else?

    • @JeffreyPengMD
      @JeffreyPengMD  Год назад +1

      @@gl8743 Yup

    • @gl8743
      @gl8743 Год назад

      @@JeffreyPengMD Thank you!

  • @azeemjamil6655
    @azeemjamil6655 Год назад

    Hi its a dry needling only or you inject something for trigger point,trp using kindly guide

  • @invisibles362
    @invisibles362 5 дней назад

    I went to the same trouble for 12 to 15 years, running to doctors, spécialiste. Massage therapist, acuponter, a lot of drug. It took me all of that to get to à pain clinic, and the doctor from the pain clinic was so made wend he firts work on me , that he said, a lot of baid doctors out there and pills pusher. He said if he would of seen me in the firts years of my injuries, he could of fix my problem for good. Now it's cronic and I need my injection avery 3 weeks, in boot traps, around my shoulder blades , going down my spine, and in the shoulder. Presently him on a burn out and I have to take some head médication. And finally getting 4 to 5h sleep à night.
    With the pain I never sleep more than 2 h à night, for many many years. That pain clinic doctor safe my life and help me not to get insane........

  • @JavierSanchez-si5sj
    @JavierSanchez-si5sj 3 месяца назад

    Where do you get injections?

  • @dorianachaval3170
    @dorianachaval3170 Год назад

    Hello doc
    In regards to dry needling, do you think ultrasound guidance would provide additional benefit?

    • @JeffreyPengMD
      @JeffreyPengMD  Год назад +1

      IMO, the benefit of ultrasound when it comes to needling is to avoid blood vessels and nerves. Otherwise, it's hard to "feel" the muscle twitch and respond to treatment. It's as much art and technique as it is science.

  • @rachelbarclay9481
    @rachelbarclay9481 2 года назад

    Wow, your video is so informative! I think I have myofascia pain in my shoulder/upper back/neck. Iv had the pain for 2 years now. I believe the cause is repetitive motions over the years ( i do housekeeping / cleaning for work ) i got put to physio for a year which made no difference, I got put on different pill like naproxen, pregabalins, high strength co codomols from the doctors, Nothing helped . I seen about 3 physios who all just gave me exercises to try which none helped. I seen a chiropractor who didn't find anything nor really tried. I then seen another chiropractor who iv had 6 sessions with for realignment and getting things moving but still no difference. She's now started me on dry needling , I felt a big difference after 1 session so I'm hoping by the end of the 6 sessions I will be more pain free. Is dry needling the same as trigger point injections?
    Thanks for your video x

    • @JeffreyPengMD
      @JeffreyPengMD  2 года назад

      Dry needling is very similar to trigger point injections. The key is technique and to make sure you get muscle twitch responses.

  • @ronnie-lynn
    @ronnie-lynn 24 дня назад

    I’m not sure if I’m just an unfortunate case, but I have had myofascial pain in my rhomboid, underneath my armpit and in my trap muscles with chronic migraines and scapular, winging as a result. I have been doing dry needling and trigger point injections for six years out of eight years that I’ve had mild facial pain syndrome. I get a couple of weeks relief if I’m lucky 2-3 weeks tops. In conjunction with pain medication, trigger point injection Therapy has an continues to be ongoing treatment that I need to manage my pain Unfortunately. I did not get results like these people that after three sessions were back to dancing and biking, etc., but trigger point therapy gives me a relief from the months of constantly being so tense and excruciatingly painful. I was on long-term disability unable to work for seven years. I had to go back to school and retrain to do a sedentary desk job because the job I injured myself at was too physical for my permanent restrictions and limitations. 😞

  • @antohill2516
    @antohill2516 2 дня назад

    Do you think PRP injections could help this ?

  • @Charles.3
    @Charles.3 9 месяцев назад

    how do u do ur trigger point injections? dry, steriods, botox, etc...

  • @vibrantbutterflybeau
    @vibrantbutterflybeau 9 месяцев назад

    Fantastic video! Thank you! Saving to watch again later and subscribed! Side note, do you speak on a Bible teaching on you tube? I listen to several videos and your voice sounds just like one of the narrators. 😊

  • @EAKS_TWEAKS
    @EAKS_TWEAKS 11 месяцев назад

    Hey doc,
    I have two questions. You mentioned doing the injections once a week. Is there an advantage to doing them at closer intervals intervals vs every six weeks? That’s all my provider will do so I’m trying to understand the difference in treatment protocol.
    Second question is why do injection help but regular massage and direct pressure to the trp site really irritates/aggravates the contraction cascade. I’m trying to improve my situation as quickly as possible but am having trouble understanding why some things work and some things really seem to cause regression. Is the trp just too sensitive or does direct pressure hit the wrong muscle group and cause worsening symptoms?
    I am not looking for medical advice. Just education as this field is extremely limited in evidence-based practice. Any clarification will be helpful.
    Thank you :)

  • @andybrice2711
    @andybrice2711 Год назад +7

    This seems absurd to me. It's like there's an epidemic of people suffering from chronically contracted bands of muscle tissue. Which should be possible to detect through methodical palpation. But instead they get repeatedly sent for radiography, and told "everything _looks_ normal".

    • @laurentheriot6010
      @laurentheriot6010 6 месяцев назад +1

      It sucks

    • @patriciarhymer6929
      @patriciarhymer6929 2 месяца назад

      Honestly its one of THE most frustrating things to deal with.

    • @TimeWobblers
      @TimeWobblers Месяц назад

      That's literally my case. Having a shoulder (deltoid) pain since february, got an mri+ultrasound, and doctors are like "looks good to me, you're being hypochondric", like wth, who's the medical professional here?