or muscles are known as trigger points (Wittink & Michel, 2002). Trigger points are typically found at the bony attachments and are more common within the muscles of the neck, shoulder and the pelvic girdle. Myofascial trigger points are commonly found in patients with musculoskeletal pain (Kalichman & Vulfsons, 2010). They signify the distribution of sarcoplasmic reticulum of the muscle fibres (Bron & Domerholt, 2012). Cummings & White (2001) have defined Myofascial trigger points as “pain arising
This is a 54-year-old male with a 1/17/2012 date of injury. A specific mechanism of injury has not been described. 01/04/15 Pain Management Report indicated that the patient has a right middle trigger finger and left knee pain. He is requesting injection for it. It is achy and occasionally stabbing. The pain is aggravated by prolonged sitting and sitting. There is associated crepitus. He is requesting an injection. Previous treatment included PT, bracing, taping and anti-inflammatory medications
Triggger Point:Acupuncture and Myofascial Trigger Point Therapy for Upper Back Pain | Literature Review Introduction This chapter is the review of the available literature concerning the theoretic content that is necessary to understand the trapezius muscle and its role in the symptoms associated with upper back pain. Particularly the issues about the types of trigger points, including a discussion of myofascial trigger point therapy and acupuncture trigger point therapy. More importantly the awareness
exposed to, or experiences a trigger. The response to the trigger results in a malfunction of components of the nervous system that regulate heart rate and blood pressure (5). The vagus nerve in conjunction with the thoracic ganglia, are responsible for the parasympathetic innervation of the heart, and therefore the lowering of the heart rate (E wiki vagus nerve). A multitude of events and health imbalances can trigger a vasovagal response. The long list of triggers includes: stress, prolonged standing
case was also reported. Reidun whose fetus was defective similarly rejected it deliberately and perceived it as a serious burden. Listening to the sonographer for her was not consolation, but torture. “We knew there wasn’t much hope. He has five fingers and five toes. And forget about that, it’s not important.”. In Reidun’s case, the sonographer increased the vulnerability for Reidun. These evidence reveal immediate effects of sonographers on pregnant
way to express commentary on and examine societal issues. Today’s social commentary becomes even more dynamic as we now also use visual mediums such as television and movies as ways to convey these stories and they often work in conjunction with literature via adaptations. Perhaps the greatest illustration of this cross market, storytelling are comic book adaptations as seen with the Marvel Cinematic Universe, which spans across not only movies, but has expanded to also include multiple television
The literature agrees that these policies are not helping and are too extreme in response to student’s behaviors. According to Heitzeg (2009), The GFSA mandates that all schools that receive federal funding must 1) have policies to expel for a calendar year any
I Am the Grass is a short story written by Daly Walker, who has also written other short stories for The Sewanee Review and The Sycamore Review. Born in Winchester, Indiana in 1924, Daly Walker is a surgeon by trade and started to write after he was forty. Daly also served in the Vietnam War from 1967-1968, it serves as an inspiration for I Am the Grass. The story details a mans struggle of life after the war in Vietnam, and returning to Vietnam. This includes painful psychological trauma, the feeling
Literature Review Packaging: Packaging can be understood in various definitions and provide many functions within itself. In terms of marketers, it is the brand image, packaging represents the worth of the brand and how the brand wants consumer to perceive their products. An attention seeker, stealing the fame on the shelf full of competitors. Packaging also acts as protection for the product. Some are more protected if they’re fragile where as some may only be under a clear plastic wrap. High
Introduction The use of Mobile applications in healthcare is rapidly proliferating. Mobile technologies have expanded to include applications for patients and healthcare providers. A subset of mobile technologies, Mobile health (mHealth), is defined as "mobile computing, medical sensor, and communication technologies ' that can enhance chronic disease care beyond the traditional outpatient physician-patient encounter " (Eng & Lee, 2013). This technology is used increasingly in the management of such