General Discussion Triathlon Talk » needle treatment for calf trigger points ? Rss Feed  
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2009-06-24 2:12 AM

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Subject: needle treatment for calf trigger points ?

My doctor has been an advocate for a needle / acupuncture treatment of trigger points in the calf. I have given it a try - one or two needles into the hardened lump up (ball) in the calf. It seems to work and reduce the size of the muscle knot, but I am not 100% convinced.

Before I give this another try I wanted to see if anyone else has tried this type of treatment. Or, is this something special that have cooked up in Thailand.

Thanks.



2009-06-24 8:14 AM
in reply to: #2238727

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Subject: RE: needle treatment for calf trigger points ?

Sounds like you have an educated doctor.  One who actually knows what he's doing. 

As you've learned, trigger points are little knots in the muscles.  Mini-spasms, actually.  Mere stretching doesnt get rid of them.  You have to disrupt the spasm before you can stretch it out and retrain the muscle to behave more normally.   Probably the most effective way to disrupt the spasm is by needling it.  This isn't often done because its obviously intrusive and there aren't a large number of people qualified to stick needles into very specific body parts.  It takes a lot of training and knowledge to be able to place it exactly in the knot to disrupt it.

Other treatments that can help disrupt the TP is hands on massage.  Physically working out the knot.  This is the most common treatment form and can be done on yourself.  Another treatment means is ultrasound. 

Trigger point therapy is not mainstream treatment.  Its not taught in med school.  You normally have to go to "alternative" medicine practitioners like massage therapists, physical therapists, chiropractors, accupuncturists, etc. to receive these types of therapies.   Its somewhat ironic; there are no doctor specialties for muscles.  The primary body part used in movement doesnt have a specialty. 

If you're looking for more information, take a look at Travell and Simons' Myofascial Trigger Point works.  Also, Clair Davies has some less expensive, less technical books that might be more hands on.

Your doctor is not cooking up things from Thailand.  He seems very progressive and the type of doctor that wants to find things that work, not what's popular.  Wish I had a doctor like that.

2009-06-24 9:39 PM
in reply to: #2239051

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Subject: RE: needle treatment for calf trigger points ?
Ridgelake - 2009-06-24 9:14 AM

Sounds like you have an educated doctor.  One who actually knows what he's doing. 



Maybe, maybe not.  I haven't looked at everything out there, but is there a legitimate study that shows acupuncture actually works?  One that runs good statistics and has a solid experimental design?  I haven't seen one yet.  If there is then please point me in that direction and I'll take a look.

That said, I agree with you and Travell & Simons.  They're probably the foremost researchers on the subject.  I saw a book by Simons alone the other day for self-treatment of trigger points, so the resources are out there. 
2009-06-25 10:05 AM
in reply to: #2241424

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Subject: RE: needle treatment for calf trigger points ?

chunta - 2009-06-24 10:39 PM Maybe, maybe not.  I haven't looked at everything out there, but is there a legitimate study that shows acupuncture actually works?  One that runs good statistics and has a solid experimental design?  I haven't seen one yet.  If there is then please point me in that direction and I'll take a look.

I'm not commenting on accupuncture in and of itself.  Only the needling treatment option for trigger point therapy.  And you can get that from Travell and Simons.

2009-06-25 2:30 PM
in reply to: #2242289

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Subject: RE: needle treatment for calf trigger points ?
Gotcha.  From what i understand the main difference is the location of the needle insertion.  Dry needling is placed into a trigger point, and acupuncture is placed based on meridians of the body, etc.  It's a difficult thing to control in an experiment.  To me, the TP needling seems a little more likely to work than regular acupuncture since you're directly stimulating the muscle.  I'd give it a try...nobody said mainstream medicine knew best.
2009-06-25 5:41 PM
in reply to: #2243202

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Subject: RE: needle treatment for calf trigger points ?
I regularly get acupuncture for my injuries - also prolo injections, ART ... just about all the "alternative" treatments ... works AMAZING for me. There IS something to it - IMO based on my experience.

Why just yesterday I had needles sticking out of my psoas muscle - and today I can move pain-free. Hurt like a bugger at the time, but today feels wonderful.


2009-07-16 2:46 PM
in reply to: #2238727

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Subject: RE: needle treatment for calf trigger points ?
Just had to chime in, I recently was refered to a phys therapist by an ortho who told me this dry needling is helpful for pf. I think I had deep dry needling, it hurt like a you know what. On the way home I got ill and almost passed out while driving.  Its been over a week since treatment, and my calf muscles are worse than before the treatment. Actually, I never had any calf pain or tightness before the needling, I was just going to have it done on the premis that it would help the plantar faciitis. Now I have pf, and both calf muscles twitch at night, are very strange feeling, and wake me up several times a night. Could this be nerve damage?
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