Columbia Advanced Chiropractic, LLC

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Dry Needling Support Models (2 of 4): The Trigger Point Model

Dry Needling Support Models (2 of 4): The Trigger Point Model

In the last blog, we discussed the first model (The Radiculopathy Model) that helps explain why Dry Needling works.  Now we will continue with the second of four models.   This one is probably the most well-known one and there is a plethora of medical literature supporting it.  Again, we will try to explain any concepts that are a little difficult to understand.  These models really shed light into how our bodies work and they are great to learn about.

The Trigger Point Model

Myofascial Trigger Points (MTrPs, or TrPs for Trigger Points) are defined as ‘hyper-irritable spots in skeletal muscle that are associated with a hypersensitive palpable nodule in a taut band’ (Travell and Simons).  The resultant pain/discomfort that one gets due to such points is referred to as myofascial pain syndrome (MPS).  Simply put, MPS is defined as ‘sensory, motor, and autonomic symptoms caused by myofascial trigger points’ (Travell and Simons).  Sensory symptoms refer to what you feel, motor symptoms refer to how the muscles work, and autonomic symptoms refer to the things that you do not realize.  This seems a little odd, but consider what happens when you bang your arm really hard.  You will feel the pain (sensory), the muscle might be painful and not contract properly (motor), and your heart rate goes up as does your respiration due to the ‘adrenaline rush’ (autonomic) of the injury. Continue Reading →

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Oxidative Stress and Low Back Pain

Oxidative Stress and Low Back Pain

A new study in the high impact orthopedic journal Spine discusses what we have seen for some time with patient care but have not been able to validate in the literature: oxidative stress contributes to low back pain.

This is a topic of huge importance.  As our patients know, we use a Raman Spectrometer (Biophotonic Scanner), not unlike the one Yale uses in their studies,  to determine the oxidative stress of our patients through means of a dermal carotenoid scan.  The Raman Spectrometer (RS) has been determined in many studies to offer clinicians the optimal way to analyze oxidative stress as the test is not costly to perform, is not invasive, and it makes it easy to track changes in diet/nutrition/supplementation.  This is important for all healthcare providers.  Being a sports chiropractor, I find the RS to be an absolute necessity for all of us who work in the neuromusculoskeletal fields.  Simply put, if we cannot assess oxidative stress, we have no idea if our patients are healthy and this directly affects clinical outcomes.  This is not only limited to low back pain.  We are not what we eat, but what we absorb. Working with unhealthy patients reduces the effectiveness of our treatments and we should know this before we commence treatment.  This is only fair to the patient. They need to know if they have hindered healing ability or not.

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