Myofascial Trigger Point Therapy (MTPT) is a unique treatment protocol for the treatment of myofascial pain and dysfunction.
The protocol is based on the seminal works of Janet G. Travell, MD and David G. Simons, MD, co-authors of Myofascial Pain and Dysfunction, The Trigger Point Manual, Volumes I and II, and integrates current scientific concepts and research.
This protocol includes the following:
Comprehensive patient history
Range of motion evaluation
Identification of perpetuating factors
Correction of perpetuating factors
Manual techniques to treat myofascial pain and dysfunction
Personalized self-care program including self-treatment techniques and muscle re-education.
It is this protocol that makes myofascial trigger point therapy a comprehensive form of pain relief therapy, allowing Indy Myopain Relief Center to be able set a goal of permanent pain relief.
How Will I Feel?
Many patients experience relief from pain after 1 or 3 treatments. For others, several treatments are needed before their pain starts to diminish. It is not uncommon for patients to experience some soreness for one to three days after treatment. This usually resolves after the first few treatments.
You may experience fatigue as the chronically held musculature is allowed to relax and return to a normal tone, however some patients experience an increase in energy.
You may notice your pain pattern changing. This is a temporary and positive sign that you're making progress. It's a good idea to keep a pain journal. We find that when one pain area is eliminated, patients tend to forget it was ever there. A pain journal will allow you to track your progress from day-to-day. If soreness or a new pain pattern is causing you concern, contact your therapist immediately and he/she will talk you through ways to reduce or eliminate it.
It is not uncommon for people to experience relief from symptoms they were not seeking treatment for, such as chronic hand and forearm pain clearing up after being treated for a stiff neck.
Returning to normal activities without pain is accelerated by following the self-care program provided by your therapist.
This will include self-treating your trigger points and re-educating your muscles. Lasting results will be achieved by working with your therapist to eliminate underlying perpetuating factors.
Your rate of improvement can depend on many conditions:
- Type of injury and length of time since it occurred.
- Overall physical health and level of fitness
- Perpetuating factors
- Underlying skeletal abnormalities
- Quality of sleep
- Depression or anxiety
- Patient compliance with self-care and eliminating or reducing perpetuating factors.
- Other medical conditions (for example, allergies, diabetes, thyroid dysfunction, etc.)
- Good communication, patience, trust, and a positive attitude are essential.
What to expect on your first appointment?
We encourage you to print the health history form sent to you and complete it prior to your first visit. It is a very good idea to drink plenty of water prior to arriving. The initial evaluation starts with targeted questioning and listening to your breathing patterns. This is followed by a physical examination for posture and movement. Various factors are also considered into our evaluation such as ergonomics, sleep habits, nutrition, environment, stress and attitude to pain. From the information derived from the examination, a treatment strategy is formulated and agreed upon.
The hands-on part of the treatment involves occasionally, partial undressing to allow access to the involved parts. This is similar to conventional massage therapy. The therapy we use is a combination of dry techniques and lubricated glides and is dynamic, targeted and well tolerated. Techniques used will include skin rolling, trigger point identification, some instrument-assisted techniques, stretching, and movement retraining.
Finally, you will be shown a home care activity and reassessed at your next visit. If you have a health care provider, we would love to collaborate with them.
What is the length of an appointment?
The first visit is usually scheduled for 2-3 hours, allowing for the initial evaluation, treatment and self-care training.
Subsequent treatments are often scheduled weekly for 60-90 minutes.
When patients travel long distances to visit Indy Myopain Relief Center, we prefer to schedule for a longer, less frequent session.
Charge for Missed Appointments
A minimum charge of $ 75.00 will be billed for confirmed appointments when the patient does not cancel within at least 24 hours of the appointment time. Please do let us know if a conflict or emergency arises so that we can reschedule you for a better time.