By Peter Baldry
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Extra info for Acupuncture, Trigger Points and Musculoskeletal Pain, 3rd Edition
If the pain spreads into the muscles … this is muscular rheumatism … an obvious muscular rheumatism can transform itself into a true neuralgia. … Despite his belief that neuralgia can turn itself into muscular rheumatism and vice versa, he must be given credit for recognizing that the pain in muscular rheumatism emanates primarily from focal points of neural hyperactivity, and also that it travels some distance from its source. He was wrong, however, in believing that this is because it is ‘propagated along neighbouring nerves’.
Moreover, the insertion of dry needles into these nodules helps to relieve this pain (Ch. 8). Palpable bands Unlike nodules which only develop in muscles in the lumbar and cervical regions, palpable bands are liable to develop in any muscle of the body. Like nodules, however, they are only discovered if conscientiously and skilfully looked for. When these elongated bands are carefully palpated they are found to contain one or more focal points of exquisite tenderness, now known as TrPs, but which Kellgren and others before him called tender points.
He then proceeds to give three cogent reasons for his incredulity: 1. The very form of the needle is a barrier to the escape of air; 2. the cure is often performed before the needles are withdrawn; and 3. the cure is often performed by causing acute pain in the act of introducing them. His first observation, being self-explanatory, needs no further comment; his second may sound farfetched to anyone who has not practised acupuncture but on occasions it is surprising how rapidly pain is relieved in response to needle stimulation; and his third is in line with the currently held view that for acupuncture to be successful in the relief of chronic pain the needling itself has to be such as to produce a brief intensely painful stimulus (see Ch.