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1.1 Work related or occupation related pain is called repetitive stress injuries (RSI) or cumulative trauma disorders (CTD). They are usually caused by poor posture while working, poor work place accessories such as inadequate chair and table height, tension related due to work, working more than scheduled hours etc.
1.2 According to a Cochrane review
1. Incidence: In the USA, cumulative trauma disorders account for between 56 and 65% of all occupational injuries.
2. Prevalence: Overall, the estimated prevalence of these injuries is approximately 30% and the incidence is rapidly increasing.
1.3 Interventions: Conservative interventions such as physiotherapy and ergonomic work-place adjustments play a major role in the treatment. Research input suggests:
1. That there is positive effect of exercise when compared to massage
2. Adding breaks during computer work helps
3. Massage adds to the treatment out come of manual therapy, manual therapy as add-on to treatment by exercises
4. Changing work place accessories such as some keyboards in people with carpal tunnel syndrome when compared to placebo helps.
5. In addition to endurance exercises light strength training can be added in office attached gym hours of the corporate protocols.
6. Ergonomic consultancy is an invaluable asset for reducing work hour loss due to occupation related hazards.
1.4 However the Cochrane review mentioned in 1.2 mentioned following things:
1. There is conflicting evidence concerning the efficacy of exercises over no treatment (eight studies) or as add-on treatment (three studies), and no differences between strength and endurance exercises can be found yet (four studies).
2. Conflicting evidence about the effectiveness of ergonomic programs over no treatment (two studies). No adverse effects were mentioned in the studies.
3. The most important limitations of the included studies are the heterogeneity of the participants, interventions and outcome measures used.
4. No clear definition of 'work-relatedness' could be found in the majority of the studies. Methodological flaws and low power in many of the studies may have influenced the results.
NB: readers and clinicians in physiotherapy especially in work related diseases are cautioned that research conclusions are based on the data discussed in that study. Hence clinical effectiveness is an entirely issue. The clinician is advised to with clinical effectiveness rather than research inputs at times.

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So you're renewing your commitment to losing weight, feeling great and shifting your energy into high gear.

While it's easy enough to head to the gym for a sweat-inducing run or elliptical training circuit, yoga is another way to reach your fitness goals.

Yoga is no longer reserved for the tree-hugging masses; you might already have found a few yoga studios and yoga classes cropping in your neighborhood in recent months.

If you're ready to ramp up your workout routine with a fresh new activity, yoga may be the ideal match for your exercise lineup.

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Posted on August 9, 2008
Filed Under Leg pain | Leave a Comment
Back pain can be a weird ailment.  You can have a bad back and the pain is in the legs.  By a bad back I mean there’s a problem with the spine that’s been identified as the cause of your problems.  But back pain can actually be more like butt pain, leg pain or even foot pain. That’s because the sciatica nerve runs from the spine to the toes.  Anywhere the nerve gets pinched, it’s going to send shooting pain down the length of the nerve.  It’s like an electrical cord that’s been plugged into the wall.
Many times surgery seems to be the best option when pain is running down both of your legs.  That indicates a problem in the lower back that starts in the spine which can be a bulging disc for example.  The important thing to remember is that you have to give the spine time to heal using other treatments before you can decide if the last resort surgery is justified.  It would be terrible to go through surgery on the spine only to find out you didn’t need it.

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Kill Pain with a Trigger Point Injecting

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Posted on August 9, 2008
Filed Under Leg pain | Leave a Comment
Back pain can be a weird ailment.  You can have a bad back and the pain is in the legs.  By a bad back I mean there’s a problem with the spine that’s been identified as the cause of your problems.  But back pain can actually be more like butt pain, leg pain or even foot pain. That’s because the sciatica nerve runs from the spine to the toes.  Anywhere the nerve gets pinched, it’s going to send shooting pain down the length of the nerve.  It’s like an electrical cord that’s been plugged into the wall.
Many times surgery seems to be the best option when pain is running down both of your legs.  That indicates a problem in the lower back that starts in the spine which can be a bulging disc for example.  The important thing to remember is that you have to give the spine time to heal using other treatments before you can decide if the last resort surgery is justified.  It would be terrible to go through surgery on the spine only to find out you didn’t need it.

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If you have decided to obtain sport massage, you may be wondering how you go about selecting the best sport massage practitioner for your needs. There are some important considerations that you will want to keep in mind when it comes to selecting a sport massage practitioner.
Perhaps the most important factor that you need to keep in mind when it comes to selecting a sport massage practitioner is experience. Because sport massage is such a specialized type of massage, you definitely will want to make certain that you obtain a practitioner that has definite experience in this area.
Along these same lines, it is now possible to obtain special certification in sport massage. Therefore, as you consider different practitioners, you will want to look for those individuals that have experience in the realm of sport massage.
Finally, there are sport massage practitioners that focus on preventative massage – sport massage designed to prevent injury and prepare you for your activities. Moreover, there are sport massage practitioners that focus on people with injuries and on people who need assistance in managing pain. You will want to select a sport massage practitioner that has the focus that is most appropriate to your needs.

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If you are like many people the world over you find yourself dealing with pain. If that is the case, you will want to consider seriously obtaining trigger point massage therapy. Time and time again individuals just like you have enjoyed great relief from pain through trigger point massage therapy.
Trigger point massage therapy is rather like acupressure massage treatment. In this regard, trigger point massage therapy focuses on muscles, ligaments and other connective tissues. The underlying concept (in simple terms) is that by appropriately massaging these areas through the use of trigger point massage therapy, relief from pain is triggered.
Because this is a highly specialized type of massage therapy, if you are seeking relief from pain through massage you definitely will want to engage an experienced professional with training specifically in trigger point massage therapy.
In the final analysis, many people who have not been able to experience relief from chronic pain have been able to find such relief through trigger point massage therapy. In point of fact, innumerable people from all walks of life have come to consider trigger point massage therapy nothing less than a godsend when it comes to relief from chronic pain.

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Nights were long in Iceland winters of long ago. A whole family sat for hours around the fire in the middle of the room. That fire gave the only light. Shadows flitted in the dark corners. Smoke curled along the high beams of the ceiling. The children sat on the dirt floor close by the fire. The grown people were on a long narrow bench that they had pulled up to the light and warmth. Everybodys hands were busy with wool. As the family worked in the red fire-light, the father told of the kings of Norway, of long voyages to strange lands, of good fights. And in farmhouses all through Iceland these old tales were told over and over until everybody knew them and loved them. Men who could sing and play the harp were called and they called their songs Eventually these stories were written down on sheepskin or vellum so that we can enjoy them today. We follow the fortunes of Harald from the time he is acknowledged by his father as a baby and given his own thrall at the cutting of his first tooth, through his exploits as a viking adventurer, to his crowning as King of Norway. It is when Harald is King of Norway that population pressures at home and eagerness for adventure and booty from other lands combine to drive some of the bolder Vikings to set forth from their native land. Sailing ever westward across the Atlantic, they hop along the chain of islands that loosely connects Norway with America-Orkneys and Shetlands, Faeroes, Iceland, and Greenland. It is from link to link of this chain that the characters in our story sail in search of home and adventure. Discoveries are made by accident. Ships are driven by the wind into unknown ports, resulting in landings and settlements in Iceland, Greenland, and America. The crude courage of these men and strangeness of their adventures appeal strongly to children, while their love of truth, hardy endurance, and faithfulness to the promised word make them characters to emulate. Suitable for children ages 9 and up to read to themselves and for children as young as 6 as a read-aloud.
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From Stretching Inc.
Right now, Ive got five self massage tools, four of them recommended by therapists: a foam roller, various rubbery balls from sports that I dont play, a plastic roller encased in a handy grip, a vibrating heat pad for car/chairs (not recommended by anybody including me) and the theracane. The theracane is the most effective, period. It is easy to use. The foam roller is an OK. The roller is good for large areas like my back but awkward for many other areas. Unfortunately, it takes such a long time to roll out cramps in my back that I start to pick up cramps in my arms and legs from supporting myself. I compromise by loosening up with a bit of rolling and using the cane for the heavy duty work. The cane lets you really use your muscles to hit spots, even the ones you can reach with your hands, so it is much more effective plus it saves wear and tear on your hands.
I received the theracane and started using it immediately with the help of the enclosed booklet. My stiff knee started to loosen with the first session and six days later I noticed I had stopped limping. I had ordered the Trigger Point Therapy Workbook by Clare and Amber Davies to go with the cane. It arrived 3 days later because of a long weekend. The book was very helpful. I had a vague idea of which points to start with because I could feel the knot in the big muscle in the calf but the workbook is very precise and now Im working on some of the smaller hidden muscles.
Overall, the theracane massager with the workbook is better than the run-of-the-mill masseuse. Youll need someone very well-trained to do a better job.

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How many times have you heard someone say, “as soon as you hit 30 your metabolism slows down”?
Maybe you’ve said it. I know I hear it all the time and I got tired of hearing it so I did a little research and found that the metabolism does NOT slow down significantly due to aging but DOES due to a lack of muscle. And, you don’t lose muscle quickly due to aging either but due to a decrease or lack of physical stress.

So, the major cause of a slowing metabolism is three fold…
1. you lose muscle due to the lack of physical stress
2. your body cannibalizes muscle when it needs energy but you won’t supply any because you are “dieting” and skipping meals
3. your activity levels tend to decrease as you get older.
So now we know the problem… what’s the solution?
Address those 3 issues! I’ve found with years of experience in helping hundreds of people, that increasing your metabolism and getting rid of that excess body fat can often times be quite easy!
Yet you’ll hear of all these experts telling you how hard it is and why you need to buy their new diet program, supplement, or fitness contraption.
It’s not that hard, it doesn’t have to be confusing, and you don’t need any of that crap! All you need is an understanding of how your body works and the willingness to make some small changes.
Here’s my basic formula for jump starting your metabolism:
Step 1 - Stop the storage of new fat
It doesn’t make any sense to start an exercise program if you just end up adding new fat later that day. This is a problem that is very common among people who start an exercise in an attempt to lose weight.
See the problem is this…We don’t get fat due to a lack of exercise – we get fat because we supply the body with more calories than it needs at a given time.
So the solution has nothing to do with exercise – it’s all about your eating! And I’m not saying you have to eat low-fat, super clean and healthy diet consisting of salad and tofu only. You can still eat the foods you like IF you can give the body just the amount it needs.
The key is to give the body the energy it needs, but just that amount not a bunch extra because extra is extra is extra, it doesn’t matter what it’s from. Salad can be stored as fat, celery can be stored as fat – if it results in extra it can be stored as fat. I should also note that not all extra energy is stored in the fat cells and I will touch on that later.
So forget about trying to burn off any fat unless you can first stop storing new fat! Again, you do that by matching your eating to your activity level. This means small, balanced meals or snacks every 2-3 hours and the amount of calories in each feeding should depend on how active you are at that time of day.
Step 2 – Attack the existing fat
This requires a combination approach consisting of stable blood sugar/energy levels, and progressive cardiovascular/aerobic exercise and strength training.
We already talked about how important stable blood sugar and energy levels are and how to match you eating to your activity level so now I’d like to cover the exercise part of the equation.
In order for the exercise to even be worth your time you must be sure it’s progressive. Just because you run on the treadmill for 30 minutes three times a week, that doesn’t mean your body has to burn off that unwanted body fat!
You have to force the body makes changes and improvements and the ONLY way to do that is to consistently provide a stimulus or stress that is greater than what the body is used to.

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Buy this odd-looking, yet extremely handy device if you have a hard-to-reach spot that needs constant attention. Especially useful for the back or if you need to apply a good amount of pressure on spots such as the bottom of the foot. Things I like best about it include:
-its lightweight

-handles positioned so you can keep pressure on a spot while rubbing

-is in the shape of a so virtually no spot is out of reach
Intended for those who need to regularly massage out tense areas in the muscles, its a very useful tool- and cheaper than therapy! Also recommend The 5-Minute Plantar Fasciitis Solution if you suffer with this most annoying foot condition. Fast shipping means fast relief.

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Editorial Review:
The first edition of this workbook is regarded as a classic in its field, and was the first book to introduce trigger point therapy to the general public as a self-care tool for alleviating chronic pain caused by a variety of conditions, including arthritis, back pain, carpal tunnel syndrome, fibromyalgia, headache, muscle ache, and repetitive strain injuries. As the author makes clear, all such conditions are related to lack of oxygen in exhausted or injured muscle tissue. Trigger point therapy has been used for decades by doctors, pain specialists, and massage therapists to quickly stimulate the flow of oxygen and promote rapid pain reduction. This book makes the same techniques available to the general public with instructions that are easy to follow, and abetted by an extensive collection of charts and corresponding illustrations.
The author's interest in trigger point therapy began when he used it to successfully treat his frozen shoulder. Since that time, he has dedicated himself to teaching others the same techniques. That dedication is obvious throughout his writing and the care he takes to make the therapy understandable to the lay public. Also included in this new edition is updated information that should be of great interest to pain specialists and bodyworkers, as well as useful instruction in a variety of relaxation techniques. Overall, this book is an excellent self-care resource for anyone interested in pain relief.--Larry Trivieri Jr.
Trigger point therapy is one of the most intriguing and fastest-growing bodywork styles in the world. Medical doctors, chiropractors, physical therapists, and massage therapists are all beginning to use this technique to relieve formerly undiagnosable muscle and joint painconditions that studies have shown to be the cause of nearly 25 percent of all doctor visits. The technique involves applying short, repeated massage strokes to trigger points, tiny contraction knots in muscle tissue where restricted circulation and lack of oxygen cause referred pain. Trigger points create pain throughout the body in predictable patterns characteristic to each muscle, producing discomfort ranging from mild to severe. Trigger point massage increases circulation and oxygenation in the area and often produces instant relief. This dynamic technique has made a huge impact among health professionals and the public alike, becoming an overnight classic in the field of pain relief. The book has sold over 145,000 copies since the release of the first edition in 2001. The second edition is a complete update and includes a new chapter specifically for massage professionals, as well as a chapter on systematic muscle relaxation techniques that can reinforce the therapeutic power of trigger point work.

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One of my daughters plays soccer and has suffered for years with the pain of Plantar Fasciitis (there are a few causes but this condition is basically the tightening of the connective tissue that runs from the heel to the toes which pulls on one or the other end) but wasn't diagnosed until a couple of years ago because her foot pain was nearer the balls of her feet (thank you soccer cleats for that one). Anyway, she was finally diagnosed and we paid for all the podiatrist visits, two sets of orthotics (one for normal shoes, one for soccer), and night splints. She got really good at her routine of rolling a frozen water bottle under her feet before soccer and after soccer, as well as doing her morning foot stretches as prescribed. She still had miserable pain during games to the point of having to sit out for long periods during games. Then, one day she decided to take a break from soccer and her feet stopped hurting her but I knew that, eventually, she'd want to play again. Well, she is playing again and I'm happy to report that her Plantar Fasciitis episodes have been few this time. Want to know why? Read on. Having learned about Dr. Janet Travell's Trigger Point Release therapy, I made it my business to find out what muscle(s) influence and work the Plantar Fascia. Having all that information, I've made my daughter a test subject, so to say, regarding the effectiveness of Trigger Point therapy for those suffering from Plantar Fasciitis in one or both feet. My daughter and I are extremely happy with the results and have found that even if she gets an episode during a game, she knows how to stop it and get back on the field as soon as possible. This is yet another situation that I think might benefit from a study and it might be a wonderful alternative to surgery or all the money spent on podiatry products. I'm not saying that *poof* Trigger Point Release therapy is the miracle cure nor that my opinion is a substitute for a visit to your doctor but surely some people (like me) are tired of how Western Medicine views symptoms and causes and that there are other alternatives to try before going the traditional way. That's all I'm saying on that for now.

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Trigger point therapy is also termed as “myofascial trigger point therapy”.
This is a body work method that consists of applying the pressure to the tender muscle tissues to get relief from pain and dysfunction in other parts of your body.
Sometimes, massage and trigger point therapy are performed jointly. You will get a doubt that what are the trigger points.
These are basically the areas of tenderness in the muscles. There are two types of trigger points in your body, one is active and the other is latent.
Active trigger points develop muscular pain and when the pressure is applied, they transmit the pain and tenderness to other areas of the body. Besides the pain, active trigger points can cause: muscle weakness, limited range of motions, numbness and tingling.
Latent trigger points exhibit pain only when they are compressed and they do not pass pain to other areas of your body. These points are considered as one of the main causes of stiff joints and limited range of motion of old age.
Trigger points may also link to fibromyalgia or myofascial pain syndromes. These points are very common and are also called as muscle knots.
Various causes are associated with trigger points like accidents, birth trauma, overexertion and poor posture.

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The Trigger Point Therapy Workbook

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Trigger point therapy is one of the most intriguing and fastest-growing bodywork styles in the world. Medical doctors, chiropractors, physical therapists, and massage therapists are all beginning to use this technique to relieve formerly undiagnosable muscle and joint pain—conditions that studies have shown to be the cause of nearly 25 percent of all doctor visits. The technique involves applying short, repeated massage strokes to trigger points, tiny contraction knots in muscle tissue where restricted circulation and lack of oxygen cause referred pain. Trigger points create pain throughout the body in predictable patterns characteristic to each muscle, producing discomfort ranging from mild to severe. Trigger point massage increases circulation and oxygenation in the area and often produces instant relief. This dynamic technique has made a huge impact among health professionals and the public alike, becoming an overnight classic in the field of pain relief. The book has sold over 145,000 copies since the release of the first edition in 2001. The second edition is a complete update and includes a new chapter specifically for massage professionals, as well as a chapter on systematic muscle relaxation techniques that can reinforce the therapeutic power of trigger point work.

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