Upper Body and Lower Extremities

This workshop is designed for health practitioners, massage therapists, bodyworkers, and fitness professionals who would like advanced training in Trigger Point theory, protocol, and palpation/treatment techniques.

 

It is typically presented over 5 days; however, this may be shortened to accommodate host or attendee requirements.

Whats Covered

Day 1:

 

Trigger Point theory; 4.0 hours

  • Myofascial Trigger Points are real
  • Causes of trigger point formation
  • Trigger points refer pain in predictable patterns
  • Trigger points affect muscle, fascia and ligaments
  • Other symptoms that trigger points produce (e.g. autonomic/proprioceptive phenomena)
  • Susceptibility to trigger points
  • Vitamins and minerals; their relationship to muscle health
  • How to carry out basic “trigger points” assessment of your client
  • How to physically train/rehab the client when trigger points are suspected
  • The Trigger Point Therapy Workbook: by Clair Davies, N.C.T.M.B.
  • Travell and Simons, M.D. and their contributions to Trigger Point

 

Lunch 1.0 hour

 

Hands-on; 2.5 hours

  • TMJD and related issues.
  • Practicing location/palpation techniques on sternocleidomastoid, levator scapula, masseter (NCBTMB workshops – external palpation only), temporalis, lateral pterygoid (NCBTMB workshops – external palpation only), medial pterygoid (NCBTMB workshops – external palpation only), digastric, pectoralis and trapezius muscles.

 

Questions 0.5 hour

 

Day 2:

 

Review Day 1. 0.5 hour
TMJD and related issues

 

Hands-on; 3.0 hours
Treating headaches, neck pain, vertigo, migraine.

  • detailed palpation techniques of muscles for trigger points, treatment techniques, post-treatment protocol, latent/active TrPs, contraindications.
  • explain how TrPs play a major role in vertigo, neck pain, headache issues and migraine.
  • discuss the muscles that play a causal role in these issues – and how to deactivate their trigger points.

Some muscles we will treat are: sternocleidomastoid, suboccipital, trapezius, temporalis, and others.

  • demonstrate how exercise affects trigger points in these muscles.
  • protocol for rehabilitating the TrP affected muscle.
  • how TrPs always affect muscle strength and performance and why muscle performance always improves when trigger points are removed.
  • the effects of heat/ice on TrPs.
  • how stress, medications, over-use, trauma and skeletal abnormalities affect TrPs.

 

Lunch 1.0 hour

 

Hands-on; 3.0 hours
Shoulder issues, including Frozen Shoulder.

  • detailed palpation techniques of muscles for trigger points, treatment techniques, post-treatment protocol, latent/active TrPs, contraindications.
  • explain how TrPs play a major role in Frozen Shoulder, shoulder pain, stiffness, rotator cuff injuries, and range of motion issues.
  • discuss the muscles that play a causal role in these issues – and how to deactivate their trigger points.
  • Some muscles we will treat are: trapezius, rhomboid, infraspinatus, supraspinatus, teres minor, subscapularis, and others.
  • protocol for rehabilitating the TrP affected muscle.
  • how TrPs always affect muscle strength and performance and why muscle performance always improves when trigger points are removed.

 

Questions 0.5 hour

 

Day 3:

 

Review Day 2. 1.0 hour

 

Hands-on; 2.5 hours
Arm pain, CTS, tennis/golfer’s elbow, hand pain/numbness.

  • detailed palpation techniques of muscles for trigger points, treatment techniques, post-treatment protocol, latent/active TrPs, contraindications.
  • explain how TrPs play a major role in arm pain, CTS, tennis/golfer’s elbow, hand pain/numbness.
  • discuss the muscles that play a causal role in these issues – and how to deactivate their trigger points.
  • Some muscles we will treat are: triceps, scalenes, biceps, hand extensors/flexors and others.
  • demonstrate how exercise affects trigger points in these muscles.
  •  protocol for rehabilitating the TrP affected muscle.
  • how stress, medications, over-use, trauma and skeletal abnormalities affect TrPs.

Lunch 1.0 hour

 

Hands-on; 3.0 hours
Chest pain, breast pain, and upper back pain.

  • detailed palpation techniques of muscles for trigger points, treatment techniques, post-treatment protocol, latent/active TrPs, contraindications.
  • explain how TrPs play a major role in chest pain, breast pain, and upper back pain.
  • discuss the muscles that play a causal role in these issues – and how to deactivate their trigger points.
  • Some muscles we will treat are: pectoralis major/minor, serratus anterior, serratus posterior superior, scalenes, rhomboids, and others.
  • demonstrate how exercise affects trigger points in these muscles.
  • protocol for rehabilitating the TrP affected muscle.
  • how stress, medications, over-use, trauma and skeletal abnormalities affect TrPs.

Questions 0.5 hour

 

Day 4:

 

Review Day 3. 1.0 hour

 

Hands-on; 3.0 hours
Lumbar, hips, buttocks and groin issues.

  • detailed palpation techniques of muscles for trigger points, treatment techniques, post-treatment protocol, latent/active TrPs, contraindications.
  • explain how TrPs play a major role in lumbar pain, hips, buttocks, and groin issues.
  • discuss the muscles that play a causal role in these issues – and how to deactivate their trigger points.

 

Some muscles we will treat are: gluteus maximus/medius/minimus, quadratus lumborum, erector spinae, piriformis, iliopsoas*, rectus abdominis* and others.

 

* NCBTMB workshops will only include treating TrPs in the abdominal area above ASIS.

  • demonstrate how exercise affects trigger points in these muscles.
  • protocol for rehabilitating the TrP affected muscle.
  • how stress, medications, over-use, trauma and skeletal abnormalities affect TrPs.

 

Lunch 1.0 hour

 

Hands-on; 2.5 hours.
Bladder, IBS, genital pain, dysmenorrhea, abdominal, and autonomic/proprioceptive phenomena issues.

  • detailed palpation techniques of muscles for trigger points, treatment techniques, post-treatment protocol, latent/active TrPs, contraindications.
  • explain how TrPs play a major role in bladder*, IBS*, genital pain*, dysmenorrhea*, and abdominal* and autonomic phenomena issues.

 

* NCBTMB workshops will only include treating TrPs in the abdominal area above ASIS.

  • discuss the muscles that play a causal role in these issues – and discuss how to deactivate their trigger points.
    Some muscles we will treat are: abdominal obliques, rectus abdominis, adductor magnus/ longus/ brevis**, pectoralis major and sternocleidomastoid.

 

** NCBTMB workshops will only include treating TrPs in the distal 2/3 of the thigh.

  • demonstrate how exercise affects trigger points in these muscles.
  • protocol for rehabilitating the TrP affected muscle.
  • how stress, over-use, trauma and skeletal abnormalities affect TrPs.

 

Questions 0.5 hour

 

Day 5:

 

Review Day 4. 1.0 hour

 

Hands-on; 2.5 hours

 

Thigh, (includes hamstring issues) knees, legs and feet. This will include sciatic pain, plantar fasciitis, heel spurs, and shin splints.

  • detailed palpation techniques of muscles for trigger points, treatment techniques, post-treatment protocol, latent/active TrPs, contraindications.
  • explain how TrPs play a major role in thigh, knees, legs and feet; this will include sciatic pain, plantar fasciitis, heel spurs, and shin splints.
  • discuss the muscles that play a causal role in these issues – and how to deactivate their trigger points.

Some muscles we will treat are: biceps femoris, semitendinosis, semimembranosus, hip adductors, quadriceps, extrinsic/intrinsic foot muscles.

  • demonstrate how exercise affects trigger points in these muscles.
  • protocol for rehabilitating the TrP affected muscle.
  • how stress, over-use, trauma and skeletal abnormalities affect TrPs.

Lunch 1.0 hour

 

Hands-on; 2.5 hours

Review – location and treatment techniques

 

Questions/Summary/Certificates/Evaluations 1.0 hour

 

NCBTMB – 35 CE Hours
CSEP – 35 CE Hours (Category G)

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