Medical Papers

Neuropathic Myofascial Pain Syndromes

The term “myofascial pain syndrome” is presently used in a vague and indiscriminate way to denote any regional musculoskeletal pain syndrome without regard to cause or source. Careful examination of these syndromes often reveals them to be a product of neuropathy. Clinical diagnosis and effective treatment is explained.

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Prespondylosis and some Pain Syndromes following Denervation Supersensitivity

Doctors now recognize that pain need not follow injury but can be caused by abnormal sensitivity in the nervous system. The important concept of pain following neuropathy (“neuropathic pain”) was first presented in this paper.

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What is Pain?

Pain not only follows injury, but also can originate from Misperceptions in Neuropathways. If you are in chronic pain, you should read this paper, written in plain language.

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Acupuncture and the Peripheral Nervous System: A Radiculopathy Model

It is generally believed that acupuncture is affected primarily through endorphins. This paper explains how the spine and peripheral nervous system are critically involved. Integrated functioning of the body depends on good neural connections. Without appreciating this, one cannot begin to understand acupuncture.

Acupuncture and the Peripheral Nervous System: A Radiculopathy Model(PDF)

Intramuscular Stimulation: The Technique

“Intramuscular Stimulation” is a term introduced by Dr. Gunn to describe his total system for the diagnosis and treatment of chronic myofascial pain syndromes.

Intramuscular Stimulation: The Technique (PDF)

Radiculopathic Pain: Diagnosis and Treatment of Segmental Irritation or Desensitization

Doctors now recognize that pain need not follow injury but can be caused by abnormal sensitivity in the nervous system. The important concept of pain following neuropathy (“neuropathic pain”) was first presented in this paper.”Medical diagnosis traditionally presumes that pain is a signal of tissue injury conveyed to the central nervous system via a healthy nervous system, but…”

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Muscle Shortening in Paraspinal Muscles Must Be Treated

Treatment, when only limited to painful peripheral muscles, can fail if shortening in paraspinal muscles are not released.

Muscle Shortening in Paraspinal Muscles Must Be Treated (PDF)

Tennis Elbow and the Cervical Spine

The upper limb is anatomically part of the neck. Therefore, pain in the shoulder, elbow, arm, wrist and hand are almost always derived from the neck. The neck is also always tender. When this paper was first published, it was not known if all tennis elbows originate from the neck, but two decades later we now know it for a fact.

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Dry Needling of Muscle Motor Points for Low Back Pain

This important study was done before we developed the capability to diagnose, treat and determine the effects of IMS by examination for physical signs of neuropathy.

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‘Fibromyalgia’- “What have we created?”

`Fibromyalgia’ has recently become a popular diagnosis, and many doctors now apply the American College of Rheumatology (ACR) 1990 criteria for the classification of fibromyalgia (Wolfe et al. 1990). Regrettably, this has brought hopeless despair to countless individuals. I have witnessed many patients who suffer from chronic musculoskeletal pain, designated and treated as `fibromyalgia’. However, when their pain failed to respond to popular fibromyalgia treatment (such as tricyclic medications), they were abruptly abandoned, as the condition is commonly viewed as a life-time disorder, even worthy of life-long compensation (Wolfe 1993).

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Tenderness at Motor Points

It is often difficult, if not impossible, to establish the cause of disability and to assess its degree in patients with low-back pain. While in some patients the diagnosis can be made with no difficulty on the basis of the clinical history and physical examination, in others additional diagnostic tests including myelography and electromyography may be required. As a general rule, however, such tests are reserved for patients whose diagnosis is not clinically apparent or who are expected to require surgery. There remain, therefore, many patients with no localizing physical findings for whom ancillary tests are not considered necessary. The injuries in these patients are conveniently labeled “low-back sprain.”

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Treatment of Neuropathic Pain by Intra-Muscular Stimulation

Neural injury or malformation causes NP. The population prevalence in the US is approximately 2.4%, increasing with age to 8%. NP responds poorly to opioids and non-steroidal anti-inflammatory drugs. Drugs such as amitriptyline, carbamazepine and gabapentin have been used with some success but the outcome of treatment is unpredictable while relapses are frequent and side effects are common.

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