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Therapies for Myofascial Pain, Neuropathy and Arthritis
There are as many therapies for pain and injury as there are
therapists. Every doctor has his own opinion about approaches to treatment. I generally
recommend a combination treatment system but definitely
recommend the patient choose the program that best suits their needs. The
following are suggestions of what may be incorporated into a rehabilitation
program for most people. Of course it is recommended that
all persons first
check with their physician and therapist before embarking on any treatment
program.
- A good, safe stretching program
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Dr.
Lamb, of course, recommends his
Lamb Program® of Resistance Stretching™ but suggests persons investigate
stretching well before beginning any program.
Heat Therapy- Heat is very helpful in increasing blood flow within a
muscle thereby reducing muscle spasm and scar formation. Therapists often
recommend cold therapy, however I believe cold should only be used
for two to three days and usually only for acute injuries and not for chronic pain. Cold therapy will make a muscle tighten even more causing more
myofascial pain in the long term.
Physiotherapy and Chiropractic- Both are well described in public and
medical literature. It is important to acquire a therapist who is responsive
to your needs. Often a combination of physiotherapy and chiropractic
are helpful.
Injection therapy- There are several forms of injection therapy
available including traditional acupuncture, nerve block
therapy, cortisone injection, saline or salt water
injection, trigger point injection and
intramuscular stimulation (IMS). I perform all of the above and often incorporate a
combination of methods. IMS or "dry needling" is an exciting new
technology that is showing great promise for reversal of myofascial pain.
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