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positions need to be ascertained and changed. Another actor that may predispose to creating TrPs is systemic acidity. Eating too much meat and/or grain should be alted, and eating more fruits and vegetables and possibly their juices should be considered. Excess salt may also help create TrPs. Travell also created her "spray and stretch" methodology to yield longer-lasting relief and to try to eep TrPs from recurring. Ice or a vapocoolant spray is irst applied to the muscle, which is then stretched in a precise way. Fluoromethane was first used as the spray, and may still be, but newer sprays may now be used because fluoromethane is a chlorofluorocarbon. allergic or porphyric reactions. Some pain-treating positions need to be ascertained and changed. Another physicians consider pure procaine as almost inert or actor that may predispose to creating TrPs is systemic incapable of causing adverse reactions. I must illustrate acidity. Eating too much meat and/or grain should be hat this is far from the case. alted, and eating more fruits and vegetables and Dr Harry Philibert’ firmly believed that four injections possibly their juices should be considered. Excess salt into the TrPs in the infraspinatus muscle were sufficient may also help create TrPs. o cure asthma permanently in 92 per cent of people. He Travell also created her "spray and stretch" claimed that this was the figure he found from decades of | methodology to yield longer-lasting relief and to try to doing this. I saw a local physician who worked with Dr eep TrPs from recurring. Ice or a vapocoolant spray is Philibert's methods, and I received some temporary irst applied to the muscle, which is then stretched in a benefit with the first two procaine treatments. On the precise way. Fluoromethane was first used as the spray, hird treatment on this point, the physician also wanted and may still be, but newer sprays may now be used o treat many other points. He wanted to inject my — because fluoromethane is a chlorofluorocarbon. onsillectomy scar and | allowed this, but I had a retching, gagging reaction. Manual Trigger Point Therapy He wanted to inject deep into my If the "mother" of injectable trigger prostate for urinary frequency, but | point therapy is Janet Travell, then the woe “he an. Win i ect _ ve te So while the Pe ny be. ny Nie Pru i ‘en procaine, and I refused. On the drive anaesthetic Prudden learned about TrP therapy lome I experienced asthma, which was injections may rom going to Dr Travell for her pain ikely a reaction to the procaine— and injuries from falls during rock and despite having the appropriate TrP have the greatest mountain climbing in the 1950s. injected. Perh if | had allowed th . Prud ht to find f procaine Wit ‘vould have “sverloaded potential for manually releasing Nps without using my body's defences and it might have long-lasting drugs, and in which people could treat "cured all my allergies permanently'—if TrP relief hemselves. Perhaps the importance you catch my drift. So while the ler, of TrP therapy can be gathered anaesthetic injections may have manual or other from the longevity of these two he greatest potential for long- grandes dames of TrP therapy. asting TrP relief, manual or other methods may Travell was 95 when she passed in methods may be far safer for be far safer for 1997, and Prudden was 97 when people who are very reactive. | she passed in 2011. never had a fourth injection into people who are Prudden called her system of manual release of TrPs Myotherapy®, and_ taught seminars on her methods and wrote books as well. I took a course on Prudden's methods in hat TrP, but | do work on it as needed or | have others do this. You can buy a curved body tool hat is used to work on points on your back. This will not be as good as having a true myofascial Tucson, Arizona, in 2003, which release expert working on it, but it was primarily taught by her is readily available once you have it. certified graduates. Though 89, she briefly attended and Travell delineated her findings on factors that can be = went around and greeted everyone. She was still as causative in creating TrPs. These include injury, incorrect sharp as a tack. | was a bit startled when, after speaking posture, nutritional deficiencies, underlying medical — with me for but a few seconds, she took my copy of her illnesses, parasitosis, obesity and other factors. In book and inscribed it: "To Steve, who wants to know NEXUS 19/02, I stated a new factor. As mast cells — everything and will probably succeed." While I treasure surround blood vessels, (hidden) mast cell disease this, I know of course that this is impossible on both (MCD), which can trigger both vasoconstriction and __ practical and theoretical (epistemological) grounds. I do vasodilation, may create TrPs. MCD can be activated by recommend trying to ascertain the earliest cause of a monosodium glutamate (MSG), heat, cold, stress and health problem and learning all possible paths to a cure individual allergy-like reactions. Earlier | hypothesised — or improvement. that porphyria's known pain symptoms may also be TrP Prudden's myotherapy involves specific techniques to related. I also think that sleep apnoea can be caused by __ release the TrP? A steady deep pressure is held on the TrPs and can cause them as well. Sleeping on amemory _ TrP, which is usually in the centre of the taut band of foam mattress or overlay, after it has outgassed, maybe a muscle. It is not massaging or rubbing. Press into the good idea. Faulty sleeping, sitting, standing and walking — point deeply and hold for 20 seconds or so. Then, for very reactive. So while the anaesthetic injections may have the greatest potential for long-lasting TrP relief, manual or other methods may be far safer for or improvement. Prudden's myotherapy involves specific techniques to release the TrP.* A steady deep pressure is held on the TrP, which is usually in the centre of the taut band of muscle. It is not massaging or rubbing. Press into the point deeply and hold for 20 seconds or so. Then, for NEXUS ¢ 27 people who are very reactive. AUGUST - SEPTEMBER 2012 www.nexusmagazine.com