For others several treatments are needed before their pain starts to diminish. Many patients experience pain relief during the first treatment.
TRAVELL AND SIMONS FROZEN SHOULDER MANUAL
David Simons have co-authored trigger point books used by many manual therapists. Travell’s research demonstrated that each trigger point in a muscle has a specific pattern of referred pain. She relieved his severe and chronic back pain. Kennedy’s personal White House physician. Travell, MD, was a pioneer in the development of trigger point pain treatment. Disc pain (bulge/rupture/herniation) and radiculopathy.Trigger Points can be the root cause of any of the following symptoms: indicates that “trigger points prevent muscles from contracting correctly, making them seem weak,” and adds that “by clearing our trigger points, we can return the full ability of our muscles to provide strength, balance and faster recovery from exercise.” It is important to release adhesions and trigger points not only because they shorten the muscle and cause pain, but over time, a reduced use of a muscle leads to muscle weakness. You may think you have angina, painful back, injured arm or hand when the real problem is the muscle in the side of your neck.
![travell and simons frozen shoulder travell and simons frozen shoulder](https://www.jospt.org/cms/10.2519/jospt.2009.2916/asset/images/medium/jospt-135-fig003.jpg)
![travell and simons frozen shoulder travell and simons frozen shoulder](https://images-na.ssl-images-amazon.com/images/I/41Fqv8e7CNL._SX258_BO1,204,203,200_.jpg)
An example is when the muscle in the side of your neck (the scalenes) has a trigger point it can refer pain down the side of your arm, around the border of your shoulder blade in the middle of your back, into your chest, and into your hand. However, a trigger point also refers pain to another part of the body.
![travell and simons frozen shoulder travell and simons frozen shoulder](https://painassessment.files.wordpress.com/2015/01/img_1091.jpg)
An adhesion and a trigger point shorten muscle fibers and can be painful when touched. I would like to note the difference between an adhesion (tender/sore spot) and a trigger point. Trigger points may develop due to muscle strain from repetitive movements, postural strain from standing or sitting improperly for long periods, emotional stress, anxiety, allergies, nutritional deficiencies, inflammation, and toxins in the environment. Trigger points are adhesions of tissue that develop when muscles are stressed or injured or over time and the trigger point begins to refer pain to other parts of the body.