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The Continuing Education You Want. Quality Content, Live Near You, or Online 24/7/365
3 Key Trigger Point Treatments to Enhance Core Activation
Presented by Brian Trzaskos, PT, LMT, CSCS, CMP, MI-C
Learning Objectives1. Examine the rationale and trigger point treatment of core musculature including handling techniques.
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3‐Key Trigger Point Treatments to Enhance Core Activation
Brian Trzaskos PT LMT CSCS CMP MI‐C
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Brian Trzaskos
• Lives in the Adirondack Mountains of Upstate NY
• Graduated from SUNY@Buffalo
• Has owned and operated two holistic wellness centers and an international training institute
• Certified in both Eastern & Western healing modalities
• Loves skiing, paddling, and rock climbing!
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Learning Objective
• Examine the rationale and trigger point treatment of core musculature including handling techniques
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Course Outline
• Physiology review of trigger points
• 3 Key trigger point treatments
• Improving sensory‐perceptual function to improve work, sleep, and cognition
• Core activation initiation techniques
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Travel and Simons define trigger points as, “a highly irritable localized spot of exquisite tenderness in a nodule in a palpable taut band of muscle tissue.”
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Trigger Point Physiology & Symptoms
• Local and Remote Inflammation• Acidic environments
• Hypoxia• Tissue Sensitization
• Referred pain – Active TP’s
• Stiffness / Tightness – Latent TP’s
• Compression of Vessels and Nerves• Sensation changes (numbness, tingling, burning)
• Autonomic Effects• Eye redness, blurred vision, nasal secretions, respiratory changes, nausea, etc…
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Referral Patterns
• Somatic to somatic• Erector spinae to gluteal
• Somatic to visceral• Iliopsoas to testicle
• Visceral to somatic• Heart to shoulder, jaw, back
• Visceral to visceral • Lungs to stomach, esophagus
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Trigger Point Formation
• Physical Trauma• Slow – overwork, repetitive movement, poor posture
• Fast – MVA
• Emotional Trauma• Abuse, anxiety, depression, stress, etc…
• Exposure to Harsh Climates• Cold drafts, dehydration, heat stroke
• Metabolic Disorders• Hypoglycemia, thyroid inadequacies, anemia, etc..
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Trigger Point Treatment
• Ischemic Compression• Mechanical pressure releases acidic “bubble”
• Capillary vasodilation flushes chemicals and normalizes circulation
• Nervous system threshold normalization
• Static• Hold 6‐10 seconds x 3 repetitions• 5‐7 intensity rating level
• Dynamic• Do warm up strokes
• 6‐12 short, slow, deep, repeated “milking” strokes in direction of fibers
• 5‐7 intensity rating level
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3 Trigger Point Treatments
• Erector Spinae• Spinalis, Longissimus, Iliocostalis
• Quadratus Lumborum
• Multifidus
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Erector Spinae
Spinalis Thoracis
‐Spinous process to spinous process
Longissimus (Lumbar)
‐ Ilium to L1‐5 transverse processes
Iliocostalis Lumborum
‐Sacrum, Iliac Crest, TL Fascia to L1‐4 transverse processes, ribs 5‐12
Tips
Superficial spinal muscle TP’s cause more diffuse type referral
Chronic back stiffness/tightness is sign of latent TP’s in superficial spinal mm
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Quadratus Lumborum
Iliac crest, iliolumbar ligament to transverse processes of L1‐4 and inferior border of rib 12
TipsReferral can occur in hips, buttocks, SI joint, groin, and anterior thigh.
Referral symptoms commonly mistaken for spinal arthritis, disk problems, sciatica, hip bursitis
Coughing and sneezing can cause stabs of intensity
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Iliac crest and transverse process to spinous processes 2‐5 segments above.
Bilateral spinal extension
Unilateral lateral flexion, contralateral rotation
TipsTP’s can misalign vertebrae restricting motion in all directions
TP’s can compress vertebrae causing foraminal stenosis and subsequent symptoms
Referral can be local, to abdomen, or buttocks
Multifidus
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Improving Sensory‐Perceptual Function
• Work• Low back pain is the leading cause of work relateddisability, 577 million people affected
• Sleep• 58.9% of chronic low back pain sufferers have disturbed sleep
• Cognition• 45‐55% prevalence of anxiety and depression in people with chronic low back pain
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SENSATIONS
THOUGHTS
WORDS
ACTIONS
Sensation‐Based Motivation Pyramid
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Core Activation Techniques
• Supine Stabilizers• Supine/knees bent• Conscious breathing• Pelvic floor contractions• Contract / Exhale• Relax / Inhale
• Coordinate movement• Contract/Exhale/Lift• Relax/Inhale/Neutral
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Core Pumping (Standard AB)
Exhale‐Contract Inhale‐Relax21
Reducing Chronic TensionFREE Resource
https://www.sensationbasedmotivationcoaching.com/triggerpoint
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The Continuing Education You Want. Quality Content, Live Near You, or Online 24/7/365
Any opinions, findings, recommendations or conclusions expressed by the author(s) or speaker(s) do not necessarily reflect the views of Summit Professional Education. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering legal, accounting or other professional service. If legal advice or other expert assistance is required, the services of a competent professional person should be sought.
© Copyright 2020 Brian Trzaskos & Summit Professional Education. No part of this workbook may be reproduced in any manner without the expressed written consent of Instructor/Credentials and Summit Professional Education.
From a Declaration of Principles jointly adopted by a committee of the American Bar Association and a committee of Publishers.
Workshop Manual ID: 6072
