RU2806970C1 - Method for healing effects on myofacial pain dysfunctions, muscle blocks and trigger points on human body - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: methods for healing effects on the human body through special effects on myofascial pain dysfunctions, muscle blocks and trigger points on the human body. The stage of palpation of muscle tissue is carried out. Points and areas on the body that have signs of either a muscle block, or signs of a trigger zone, or signs of myofascial syndrome are identified. The impact is carried out using hand tools in the form of sticks of various diameters with ends rounded at the striking part in two successive stages. At the first stage, the expert presses the rounded striking part of the instrument into a predetermined area and strikes the opposite part of the instrument with his fingers, an open palm or the edge of his fist. At the second stage, the expert applies vertical pressure with his hand for a duration of 20 to 60 with the rounded part of the tool.

EFFECT: method ensures an increase in the efficiency of health improvement, and also expands the scope of technical solutions for methods of health-improving effects on the human body.

2 cl, 2 ex

Description

The invention relates to the field of medicine, namely to methods of healing effects on the human body through special effects on myofascial pain dysfunctions, muscle blocks and trigger points on the human body.

From the generally available level of technology in the field of medicine, various methods and techniques are known for healing effects on the skin, subcutaneous fat, muscles, fascia, ligaments, spine and its elements, joints, blood vessels, internal organs of a person by manual manipulation (directly with the hands, as well as in some cases with the use of hand tools) by a qualified specialist - massage therapist, chiropractor, osteopath.

These effects can improve blood supply and nutrition of tissues, reduce or stop pain syndromes, eliminate congestion, normalize muscle tone and strengthen the muscle corset, restore joint function, mobility of the vertebrae and joints, eliminate deformities of the spinal column, pinched nerves and compression of blood vessels, and form correct posture , and they also have a beneficial effect on a person’s general health, well-being and mood (website “NEUROCEL Medical Center” // What is the difference between a massage therapist and a chiropractor, and how to choose a good specialist? // Electronic resource URL: https://nevrocel .ru/blog/chem-otlichayutsya-massazhist-i-manualnyj-terapevt (access date 02/22/2023) ; website "HELLO! Healthy Spine Clinic" // MASSAGE AND MANUAL THERAPY: WHAT IS THE DIFFERENCE // Electronic resource URL: https: //zdravclinic.ru/stati/massag-i-manualnay-terapiy-raznica/ (access date 02.22.2023) ; Website “Center for Restorative Medicine” // Osteopathy and manual therapy: what is the difference? // Electronic resource URL: https http://cvmmed.ru/article/osteopat-i-manualnyy-terapevt-v-chem-raznitsa (accessed 02.22.2023).

The specified methods and techniques of health effects were also patented or were declared as inventions, for example, Russian patents for inventions No. 2099028, 2434626, 2411930, 2724407, 2401655, 2423962, 2698069, foreign patents for inventions No. TW202233153A, US2013296748A1, Russian application for invention No. 2009131967, etc.

At the same time, the solution to the Russian patent for invention No. 2401655 “METHOD FOR MANUAL INSTRUMENTAL NON-SURGERY CORRECTION OF THE HUMAN SPINE” is characterized by the presence of stages of palpation of the spine to determine its deformation and the use of a rubber hammer with a cutting angle of the striker of 45° for location in the area of the costal surface of the transverse process with application to it strikes with another plastic or rubber hammer.

The decision on the Russian patent for invention No. 2724407 “Method of healing effects on the human body” includes diagnosing the patient and straightening the spine using manual techniques by striking the spinous processes of the spinal column until they are evenly distributed both along the length of the spinal column and relative to the longitudinal axis, characterized by that recovery is carried out in three successive stages.

However, the methods of manual and instrumental influence on the spinous processes of the spine proposed in these inventions are not without significant drawbacks: the spinous processes of the spine are quite thin and can break from such a fairly harsh impact. Also, this effect is very painful for the patient and has many contraindications associated with diseases of the spine, such as osteoporosis.

To overcome these shortcomings, it seems more effective to use healing methods not on the spinous processes of the spine, but on the muscles, fascia, ligaments and trigger points on the human body. The basis for specialists in this field is the work “Myofascial pain and dysfunction” by the authors David G. Simons, Janet G. Travell ( Electronic resource URL: https://djvu.online/file/DOQ2ZShtRqTf2 (accessed 02.26.2023 ). In this The work formulates a new approach regarding the nature of the origin of myofascial trigger points and reveals the hidden relationships that arise between myofascial trigger points and articular (functional) disorders.

This effect is also presented in patented solutions. For example, a method of healing effects on the human body according to Russian patent for invention No. 2698069 includes manual effects on tissues and peripheral nerves, characterized in that the effect is carried out in two stages, each of which consists of 3-4 repeated effects, in the first stage each effect involves applying manual pressure to the muscle, ligament, or fascia passing over the nerve, followed by stretching the muscle, ligament, or fascia within the elastic tissue barrier proximally and distally, and displacing the muscle, ligament, or fascia within the elastic tissue barrier clockwise and counterclockwise , holding the tissues until they relax, and then re-displacing the tissues clockwise and counterclockwise; and at the second stage, pressure is applied to the nerve and stretched in the distal direction within the elastic barrier of the tissues with one hand while holding the tissues surrounding the nerve with the other hand until they relax.

However, to correct all pinched nerve endings, muscle blocks, and exposure to trigger points, often exclusively manual, rather than instrumental, influence is not enough.

For a more targeted effect on the muscles, joints and areas of nerve endings, the solution “HEALTH MASSAGE OF THE SPINAL AREA” was proposed according to the Russian patent for invention No. 2423962 (priority date 07/01/2009), accepted as the closest analogue (prototype). Wellness massage of the spine area includes examination of the spine and palpation, characterized in that after the examination, acupressure of the spine with disorders is carried out using various-sized wooden instruments, shock-absorbing on top with a hammer, and the wooden instruments are made of pine in the shape of a spatula.

The disadvantages of the prototype include the use of impact on the joints and areas of the nerve endings of the spine, which makes this impact, especially considering the use of wooden instruments with a hammer, very painful for the patient, and also this impact is obviously contraindicated in the presence of a number of diseases of the spine, for example for osteoporosis.

The purpose of the present invention is to eliminate the above-mentioned disadvantages of the prototype, namely to propose a method for effective painless health effects on the human body, excluding the impact directly on the spine, its spinous processes, joints and nerve endings, with minimal contraindications to its use.

The goal is achieved by the fact that in the proposed method, the healing effect is carried out only on muscles, fascia (including muscle blocks and trigger points) and ligaments on the human body using hand tools in the form of sticks of various diameters with ends rounded on the striking part in three consecutive stage, which allows the effect not only to be targeted, but also gradually, in doses and practically painlessly, while limiting the use of the method only to general contraindications for regular massage.

Accordingly, the technical result of the proposed technical solution “METHOD OF HEALTH IMPACT ON MYOFACIAL PAIN DYSFUNCTIONS, MUSCLE BLOCKS AND TRIGGER POINTS ON THE HUMAN BODY” is as follows.

The proposed method provides an effective painless healing effect on the human body while limiting its use only to general contraindications for conventional massage due to the implementation of a gradual, dosed effect only on muscles, fascia (including myofascial pain dysfunctions, muscle blocks and trigger points) and ligaments on the body a person using hand tools in the form of sticks made of any solid material of various diameters with ends rounded at the striking part in three successive stages. Also, the claimed invention generally expands the arsenal of technical solutions for methods of healing effects on the human body.

The technical result is achieved in that the method of healing effects on myofascial pain dysfunctions, muscle blocks and trigger points on the human body includes diagnosing the patient’s condition by palpation of muscle tissue and influencing the muscles, fascia and ligaments on the human body using hand tools, characterized in that that the stage of palpation of muscle tissue is aimed at identifying points and areas on the body that have obvious signs of either a muscle block, or signs of a trigger point (zone), or signs of myofascial syndrome, and the effect is on myofascial pain dysfunctions, muscle blocks and trigger points on the body a person using hand instruments in the form of sticks made of any solid material of various diameters with ends rounded at the striking part in two successive stages, in the first of which a specialist, depending on the size and location of myofascial pain dysfunctions, muscle blocks and trigger points identified at the palpation stage selects an instrument of the appropriate diameter and rests the rounded striking part of the instrument in a predetermined area and strikes the opposite part of the instrument with fingers, an open palm or the edge of a fist with force in direct proportion to the degree and severity of the patient’s pain identified at the palpation stage, and at the second stage the specialist with the hand, applies vertical pressure for a duration of 20 to 60 seconds with the rounded part of the instrument on myofascial pain dysfunctions, muscle blocks and trigger points identified at the palpation stage. Also, to work with patients with an acute phase of pain syndrome, porous or soft rubber can be glued to the striking part of hand instruments in the form of sticks to alleviate pain at the initial stage of the healing effect.

To obtain a technical result, the invention can be implemented in the following preferred manner, which does not exclude other methods of implementation within the framework of the claimed claims.

The proposed method of healing effects essentially consists of three successive stages, the first of which consists in diagnosing the patient by palpation of muscle tissue, aimed at identifying points and areas on the body that have obvious signs of either a muscle block (characterized by the presence of a spasmodic area of muscle tissue, recently formed and not yet bringing discomfort and pain to the patient), or signs of a trigger point (zone), which are compactions localized in muscle tissue, when pressed on which an acute pain syndrome immediately occurs, or signs of myofascial syndrome, which is the final stage of the process of blocking and spasming muscle tissue and differs from trigger zones by the presence of chronic, constant pain in the affected area, regardless of the pressure applied or the impact on it.

At the second and third stages, a number of tools are used, which are smoothly ground sticks of different diameters, made of any hard material (wood, metal, hard plastic, etc.) and with ends rounded at the striking part. And also for working with patients with an acute phase of pain syndrome, the same sticks can be used, but with porous or soft rubber glued to the striking part to alleviate pain at the initial stage of the healing effect.

At the second stage, a specialist working within the framework of the proposed method selects the appropriate instrument depending on the degree and severity of the patient’s pain, presses the rounded striking part into a predetermined place with signs of spasms and pain, and with the palm of the second hand delivers a series of blows to the upper end of the instrument. The force of the blow should vary clearly depending on the patient’s pain. And if in the first sessions this can be light tapping with the fingers, then in subsequent sessions, when a lasting healing effect occurs and in the absence of pain on the part of the patient, blows on the instrument can be applied significantly more powerfully and, both with an open palm and with an edge fist. In this case, it is necessary to ensure that the percussion instrument does not touch the spine, its spinous processes or other bone structures. The therapeutic effect is achieved with this method of exposure due to the fact that at the moment the blow is struck, the spasmodic area relaxes and, as a result, the pain syndrome decreases.

Typically, a pronounced healing effect is achieved after the first session, and patients who come with acute pain feel significant relief after the first session.

To achieve a stable and long-lasting healing effect, as a rule, three to ten sessions are required, with intervals between sessions of one to three or five days, to restore tissue after impact.

The third stage of the healing effect according to the proposed method is that vertical pressure is applied to the same pre-identified areas with pathological dysfunction with varying degrees of intensity using the same tools as in the second stage. The pressure should be applied strictly in time, and in each specific case the specialist varies this time from 20 to 60 seconds. At this stage, the therapeutic effect is achieved due to the fact that the flow of blood into the problem area is blocked for a short period, and the muscle is faced with a choice: either die or relax. Since any living organism is programmed to survive, when it finds itself in conditions of limited access to oxygen or blood, a reflex relaxation of muscle tissue occurs.

The second and third stages of the healing effect according to the proposed method can be carried out by specialists both within the same session and separately on different days.

Specific examples of the application of the proposed method implemented by the applicant in practice.

Example 1.

A 39-year-old man presented with chronic pain in the lumbar region, often exacerbating and developing into an acute phase. At the time of treatment, an exacerbation of MFS (myofascial syndrome) was diagnosed.

In the first session, the muscle fibers and fascia of the lumbar and lower thoracic spine were worked. Since the healing effect in the proposed method is achieved by the force of influence at the lower threshold of the patient’s pain, and in the acute phase, even a slight touch brings acute pain, an instrument with porous rubber glued to the striking part was chosen for the first session. The blows were applied along the spinal column with emphasis on trigger zones and areas with pronounced MFS, lightly tapping the instrument with the fingers, until persistent relief of the patient’s condition was achieved.

After the first session, the pain was largely dulled and the next session was scheduled the next day.

In the second session, the first half of the allotted time, the problem areas were worked on in the same way as in the first session, using a tool with porous rubber glued to the striking part, and in the second half of the session a tool without a rubber tip was taken. The blows and subsequent pressure were significantly stronger and the degree of impact was constantly correlated with the patient’s sensations. Let us repeat that in order to achieve a therapeutic effect, the force of influence must be carried out at the lower limit of the patient’s pain sensations. If the effect does not cause mild pain, then the therapeutic effect will be minimized, and if the effect causes unbearable pain, then the harm from damage to muscle tissue will be much greater than the expected benefit from relaxing the clamps.

After the second session, the patient was able to independently bend down and tie his shoelaces, although during treatment he could not bend his back at the waist even slightly.

In the third and fourth sessions, taking place at intervals of 2-3 days, the force of the instrument increased and by the fifth session the blows and pressure became significantly stronger, and the patient’s sensations were characterized as pleasant. And from the third session, in order to achieve a large-scale healing effect, the specialist began working on the upper thoracic and cervical spine.

After the fifth session, according to the patient, he did not feel any pathological pain in his back and completely returned to his normal rhythm of life. But to achieve a lasting healing effect, two additional sessions were also prescribed and the total number of sessions was thus brought to seven.

Since most people do not want to change everyday habits, working postures and loads on the back, as well as sleeping devices in the form of pillows and mattresses, which together lead to myofascial syndrome, or do not have such an opportunity, it is recommended to stop further exacerbations repeated healing sessions according to the specified method at intervals from several weeks to several months, depending on the need.

Example 2.

A 35-year-old woman complained of pain and tightness in the cervical-collar area with radiating pain to the left shoulder and long-term, persistent headaches. Against the background of the formed persistent block in the trapezius and splenius muscles, on the back surface of the cervical spine, in the area of the vertebra prominens (C7), a compaction of the surface tissues, the so-called “widow’s hump,” has formed.

At the first session, when palpating the problem area, areas with the most pronounced blockage were identified, and it also became obvious that any, even slight, impact on this area causes unbearable pain. In this regard, it was decided to use a so-called “soft” instrument with porous rubber on the striking part during the first two sessions. In all sessions, a combination of both stages of healing effects was used, that is, both shock and static pressure were applied to trigger points with varying degrees of intensity from 20 to 60 seconds, depending on the patient’s pain.

After the first session, the patient noted a significant reduction in headaches, and after the second session, the headaches stopped bothering her completely. It should be noted here that the etiology and origin of headaches has many different causes and treatment with the proposed method is not always able to have a healing effect on headaches, but quite often the cause of headaches is a blockage of the muscles, fascia and ligaments of the cervical-collar area, resulting in the formation persistent compression of the blood vessels supplying the brain, which, in turn, is a common cause of pathological headaches. When using this healing method, there is a fairly rapid relaxation of spasmodic and constricted areas and restoration of free blood flow in the bloodstream.

Starting from the third session, instruments without soft tips were used and the level and force of impact gradually increased. By the eighth session, carried out at intervals of 3-5 days, the force of the blows and static pressure became quite strong, but they no longer caused pain to the patient. A total of ten sessions were carried out, the result of which was the complete absence of headaches, pain and discomfort in the cervical-collar area and left shoulder, the softening and then complete disappearance of the so-called “widow’s hump,” as well as the complete restoration of neck mobility in different areas. planes.

Thus, the novelty and inventive level of the claimed invention lies in the fact that the implementation of the proposed method provides an effective painless healing effect on the human body while limiting its use only to general contraindications for conventional massage due to the implementation of a gradual, dosed effect only on muscles, fascia (in including myofascial pain dysfunctions, muscle blocks and trigger points) and ligaments on the human body using hand tools in the form of sticks made of any hard material of various diameters with ends rounded at the striking part in three successive stages.

The applicant is currently applying this method in his health practice.

Claims (2)

1. A method of healing effects on myofascial pain dysfunctions, muscle blocks and trigger points on the human body, characterized by the fact that it includes diagnosing the patient’s condition by palpation of muscle tissue and influencing muscles, fascia and ligaments on the human body using hand tools, characterized in that the stage of palpation of muscle tissue is aimed at identifying points and areas on the body that have signs of either a muscle block, or signs of a trigger zone, or signs of myofascial syndrome, and the impact is carried out on myofascial pain dysfunctions, muscle blocks and trigger points on the human body using hand instruments in the form of sticks of various diameters with ends rounded at the striking part in two successive stages, in the first of which the specialist rests the rounded striking part of the instrument in a predetermined area and strikes the opposite part of the instrument with fingers, an open palm or the edge of a fist, and in the second stage, the specialist applies vertical pressure with his hand for a duration of 20 to 60 with the rounded part of the instrument on myofascial pain dysfunctions, muscle blocks and trigger points identified at the palpation stage. 2. The method of healing effects according to claim 1, characterized in that to work with patients with the acute phase of pain syndrome, hand tools in the form of sticks with porous rubber glued to the striking part are used.