To Stewart and Dr Siff,
I agree with you guys... sometimes what you perceive is happening could
perhaps be something else. However, I guess this applies for almost all the
techniques that we use as physiotherapists; whether you are affecting the
structure involved is always difficult to say. As I said, I have only been
learning this for the past 9 months and I am still looking up research
articles for more evidence, because I want to convince myself that what I am
doing is evidence based. I will be getting the research articles that I lent
to a few colleagues of mine back, so once I get them, I will pass them on to
you. With your questions, I will call Aileen Jeffirees, who has had 30 years
experience with trigger points (and this is all she use - she does not do
any joint mobilisations at all), and I will tell you what she says.
To Anna,
there is actually 10 times more cold receptors on the skin than heat
receptors, and this is why I favour the use of cold. However, I sometimes
still would use heat and DTM, especially on those who have injured other
structure rather than muscles. U/S I use on muscle trigger points, but only
on pulsed and low intensity (0.5W/cm2).
Henry***
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