Travell and simons' myofascial pain and dysfunction. PDF
Preview Travell and simons' myofascial pain and dysfunction.
TRAVELL, SIMONS SC SIMONS’ Myofascial Rain and osfunctln THE TRIGGER POINT MANUAL THIRD EDITION Joseph M. Donnelly César Fernéndez-de-las-Pefias Michelle Finnegan ¢.Wolters Kluwer Jennifer 1.. Freenmn TRAVELL, SIMONS 8C SIMONS’ Myofascial Pain and Dysfunction THE TRIGGER POINT MANUAL IIIIIIIIIIII Editor in Chief Joseph M. Donnelly, PT, DHS Board-Certified Clinical Specialistin OrthopaedicPhysicalTherapy (OCS) Fellow oftheAmericanAcademy ofOrthopaedicManual PhysicalTherapists (Honorary) Clinical Professor and Director ofPostprofessional Education DepartmentofPhysicalTherapy, College ofHealthProfessions,MercerUniversity Atlanta, Georgia Editorial Board CésarFernéndezdelasPefias,PT,MSc,PhD HeadDivision ofthe Department ofPhysicalTherapy, OccupationalTherapy,Rehabilitation andPhysical Medicine Catedra de InvestigacionyDocencia enFisioterapia:Terapia ManualyPuncion Seca Universidad ReyJuan Carlos Alcorcon,Madrid, Spain MichelleFinnegan,PT,DPT Board-Certified Clinical Specialistin OrthopaedicPhysicalTherapy (OCS) Fellow oftheAmericanAcademy ofOrthopaedicManual PhysicalTherapists Certified Cervical andTemporomandibularTherapist SeniorInstructor,MyopainSeminars Bethesda,Maryland JenniferL.Freeman,PT,DPT Board-Certified Clinical Specialistin OrthopaedicPhysicalTherapy (OCS) IntownPhysicalTherapy,LLC Adjunct ClinicalAssistantProfessor DepartmentofPhysicalTherapy, College ofHealthprofessions,MercerUniversity Atlanta, Georgia Photographyby Christynne Helfrich,PT,DPT Board-Certified Clinical Specialistin OrthopaedicPhysicalTherapy (OCS) Illustrations by Barbara D Cummings TRAVELL, SIMONS SC SIMONS’ Myofascia] Pain and Dysfunctlon THE TRIGGER POINT MANUAL THIRD EDITION Joseph M. Donnelly Cesar Fernéndez de las Pefias Michelle Finnegan Jennifer L. Freeman QIWolters Kluwer Philadelphia*Baltlmore NewYork' Landon uennsAires* HongKong-Sydney -Tnkyn AcquisitionsEditor:MichaelNobel ProductDevelopmentEditor:AmyMillholen Editorial Coordinator:John Larkin MarketingManager: Shauna Kelley Production ProjectManager: David Saltzberg Design Coordinator:TerryMallon Manufacturing Coordinator: Margie Orzech-Zeranko Prepress Vendor: S4Carlisle PublishingServices Thirdedition Copyright©2019WoltersKluwer. Allrightsreserved.Thisbookisprotectedbycopyright.Nopartofthisbookmaybereproducedortransmittedinanyformorbyany means,includingasphotocopiesorscanned—inorotherelectroniccopies,orutilizedbyanyinformationstorageandretrievalsystem withoutwrittenpermissionfromthecopyrightowner,exceptforbriefquotationsembodiedincriticalarticlesandreviews.Materials appearinginthisbookpreparedbyindividualsaspartoftheirofficialdutiesasUS.governmentemployeesarenotcoveredby theabove—mentionedcopyright.Torequestpermission,pleasecontactWoltersKluweratTwoCommerceSquare,2001 MarketStreet, Philadelphia,PA 19103,viae—[email protected], orviaourwebsiteatlww.com(products andservices). 9 8 7 6 5 4 3 2 1 PrintedinChina LibraryofCongressCataloging-in-PublicationData Names: Donnelly,JosephM.,editor. |Precededby(work): Simons,DavidG. Travell&Simons’ myofascialpainanddysfunction. Title: Travell,Simons&Simons’ myofascialpainanddysfunction: the triggerpointmanual/[editedby] JosephM.Donnelly; editorialboard, Ce’sarFernandez—de—las—Pefias,MichelleFinnegan,JenniferL.Freeman; photographybyChristynneHelfrich;illustrationsbyBarbaraD. Cummings. Othertitles: Travell, SimonsandSimons’ myofascialpainanddysfunction| Myofascialpainanddysfunction Description:Thirdedition. |Philadelphia:WoltersKluwerHealth, [2019] | Precededby:Travell&Simons’ myofascialpainanddysfunction: the triggerpointmanual/DavidG. Simons,JanetG.Travell,LoisS. Simons; illustrationsbyBarbaraD. Cummings,withcontributionsbyDianeAbeloff andJasonLee. 2nded. 1999— |Includesbibliographicalreferencesand index. Identifiers: LCCN2018024798 |ISBN9780781755603 (hardback) Subjects: |MESH: MyofascialPainSyndromes Classification: LCCRC925.5 |NLMWE550|DDC616.7/4—dc23LCrecordavailableathttps://lccn.loc.gov/2018024798 Thisworkisprovided“asis,” andthepublisherdisclaimsanyandallwarranties,expressorimplied,includinganywarrantiesasto accuracy,comprehensiveness, orcurrencyofthecontentofthiswork. Thisworkisnosubstituteforindividualpatientassessmentbaseduponhealthcareprofessionals’ examinationofeachpatientand considerationof, amongotherthings, age,weight,gender,currentorpriormedicalconditions,medicationhistory,laboratory data, andotherfactorsuniquetothepatient.Thepublisherdoesnotprovidemedicaladviceorguidance,andthisworkismerelya referencetool.Healthcareprofessionals, andnotthepublisher, aresolelyresponsiblefortheuseofthiswork,includingallmedical judgmentsandforanyresultingdiagnosisandtreatments. Givencontinuous,rapidadvancesinmedicalscienceandhealthinformation,independentprofessionalverificationofmedicaldiagnoses, indications, appropriatepharmaceuticalselectionsanddosages, andtreatmentoptions shouldbemadeandhealthcareprofessionals should consultavarietyofsources.Whenprescribingmedication,healthcareprofessionalsareadvisedtoconsulttheproductinformationsheet (themanufacturer’spackageinsert)accompanyingeachdrugtoverify,amongotherthings,conditionsofuse,warningsandsideeffects andidentifyanychangesindosagescheduleorcontraindications,particularlyifthemedicationtobeadministeredisnew,infrequently usedorhasanarrowtherapeuticrange.Tothemaximumextentpermittedunderapplicablelaw,noresponsibilityisassumedbythe publisherforanyinjuryand/ordamagetopersonsorproperty,asamatterofproductsliability,negligencelaworotherwise,orfromany referencetoorusebyanypersonofthiswork. LWW.com To David G. Simons (fume 7, 1922-Apri15, 2010) and Lois S. Simons (Marc/0 6, 1934-]uly 3, 2004), whoseguidingspirits are ever with us. This third edition ofTheTrigger Point Manual has been a labor oflove and is dedicated to the memory of David G. Simons,who devoted his post-military medical career to advancing myofascial pain and trigger point scientific and clinical research. His passion, commitment, and dedication to expanding the scientific body of knowledge ofmuscle pain in order to help decrease the pain and suffering ofhuman beings was unparalleled. David G. Simons was a true pioneer, both as one ofthe most highly respected scientists in the field of myofascial pain and in the treatment ofpatients with chronic pain. His wife and coauthor, Lois S. Simons, used her expertise in muscle anatomy and kinesiology as well as her outstanding clinical skills to build on the solid physician-oriented clinical foundation laid byJanet G.Travell (1901-1997) in the first edition. For those ofus who knew David and Lois, we have tried to respect their goals for this third edition and are pleased to have had the opportunity to complete the task they were unable to finish. Contributors IngridAllstromAnderson,PT,DPT AnaI.de-la-Llave-Rincén,PT,MSc,PhD Board—CertifiedClinicalSpecialistinOrthopaedicPhysicalTherapy DepartmentofPhysiotherapy,OccupationalTherapy,Rehabilitation, Principal,IntownPhysicalTherapy,LLC andPhysicalMedicine Atlanta,Georgia CatedradeInvestigacionyDocenciaenFisioterapia:TerapiaManual yPuncionSeca JoséL.Arias-Buria,PT,MSc,PhD UniversidadReyJuan Carlos DepartmentofPhysiotherapy,OccupationalTherapy,Rehabilitation, Alcorcon,Madrid,Spain andPhysicalMedicine CatedradeInvestigacionyDocenciaenFisioterapia:TerapiaManual Jan Dommerholt,PT,DPT,MPS,DAAPM yPuncionSeca President UniversidadReyJuan Carlos MyopainSeminars Alcorcon,Madrid,Spain Presidentand Owner BethesdaPhysiocare AmandaBlackmon,PT,DPT Bethesda,Maryland Board—CertifiedClinicalSpecialistinOrthopaedicPhysicalTherapy ClinicalAssistantProfessor ThomasEberle,PT,DPT DepartmentofPhysicalTherapy Fellow oftheAmericanAcademy of Orthopaedic Manual Physical College ofHealthProfessions,MercerUniversity Therapists SeriesInstructor,MyopainSeminars Director,FloridaPhysicalTherapyAssociation Atlanta,Georgia AssistantProfessor UniversityofSt.AugustineforHealth Sciences DeannaHortmanCamilo,PT,DPT Miami,Florida Board—CertifiedClinicalSpecialistinOrthopaedicPhysicalTherapy MotionStabilityPhysicalTherapyGroup JeffreyGervaisEbert,PT,DPT Atlanta,Georgia Board—CertifiedClinicalSpecialistinOrthopaedicPhysicalTherapy ClinicalAssistantProfessor ThomasL.Christ,MS,DPT DepartmentofPhysicalTherapy DepartmentofPhysicalTherapy College ofHealthProfessions,MercerUniversity College ofHealthProfessions,MercerUniversity Atlanta,Georgia Atlanta,Georgia SethJasonFibraio,PT,DPT,MTC,CSCS CorineS.Cicchetti,MD CertifiedCervical andTemporomandibularTherapist Board—CertifiedinPhysicalMedicine andRehabilitation Owner/ChiefExecutive Officer Buffalo SpineandSportsMedicine,PLLC CornerstonePhysicalTherapy,Inc Buffalo,NewYork Asheville,North Carolina DerekClewley,PT,DPT,PhD TimothyFlynn,PT,PhD Board—CertifiedClinicalSpecialistinOrthopaedicPhysicalTherapists Board—CertifiedClinicalSpecialistinOrthopaedicPhysicalTherapy FellowoftheAmericanAcademyofOrthopaedicManualPhysical FellowoftheAmericanAcademyofOrthopaedicManualPhysical Therapists Therapists AssistantProfessor FellowoftheAmericanPhysicalTherapyAssociation Doctor of Physical Therapy Division, Duke University School of Owner,Colorado inMotion Medicine Principle,EvidenceinMotion Durham,NC Professor, Doctor of Physical Therapy Program, South College, Nashville,TN N.BethCollier,PT,DPT Board—CertifiedClinicalSpecialistinOrthopaedicPhysicalTherapy LynneM.Fries,PA-C,MPAS,DPT FellowoftheAmericanAcademyofOrthopaedicManualPhysicalTherapists DoctorofPhysicalTherapy ClinicalAssistantProfessor PhysicianAssistant DepartmentofPhysicalTherapy UBMD Internal Medicine College ofHealthProfessions,MercerUniversity Buffalo Spine andSports Medicine,PLLC Atlanta,Georgia Buffalo,NewYork CarolA.Courtney,PT,PhD,ATC StellaFuensalida-Novo,PT,MSc FellowoftheAmericanAcademyofOrthopaedicManualPhysicalTherapists DepartmentofPhysiotherapy,OccupationalTherapy,Rehabilitation, Professor andPhysicalMedicine DepartmentofPhysicalTherapy CatedradeInvestigacionyDocenciaenFisioterapia:TerapiaManual DepartmentofRehabilitationSciences yPuncionSeca CollegeofAppliedHealthSciences,UniversityofIllinoisatChicago UniversidadReyJuan Carlos Chicago,Illinois Alcorcon,Madrid,Spain vi Contributors Vii MargaretM.Gebhardt,PT,DPT SavasKoutsantonis,PT,DPT Board—CertifiedClinicalSpecialistinOrthopaedicPhysicalTherapy Oneon OnePhysicalTherapy FellowoftheAmericanAcademyofOrthopaedicManualPhysical SeriesInstructor Therapists MyopainSeminars Fit CorePhysicalTherapy Atlanta,Georgia Adjunct ClinicalAssistantProfessor DepartmentofPhysicalTherapy JoshuaJ.Lee,PT,DPT College ofHealthProfessions,MercerUniversity OrthopaedicPhysicalTherapyResident LabInstructor DepartmentofPhysicalTherapy MyopainSeminars College ofHealthProfessions,MercerUniversity Atlanta,Georgia Atlanta,Georgia KathleenGeist,PT,DPT AnnM.Lucado,PT,PhD,CHT Board—Certified Clinical Specialist in Orthopaedic Physical Board—CertifiedHandTherapist Therapists AssociateProfessor FellowoftheAmericanAcademyofOrthopaedicManualPhysical DepartmentofPhysicalTherapy Therapists College ofHealthProfessions,MercerUniversity AssistantProfessor Atlanta,Georgia DepartmentofRehabilitationMedicine EmoryUniversitySchool ofMedicine SophiaMaines,PT,DPT,CSCS Atlanta,Georgia Board—CertifiedClinicalSpecialistinOrthopaedicPhysicalTherapy Owner,SunPhysicalTherapy RobertD.Gerwin,MD,FAAN Austin,Texas AssociateProfessorofNeurology School ofMedicine,JohnsHopkinsUniversity OrlandoMayoraldelMoral,PT,PhD Baltimore,Maryland PhysicalTherapist Hospital ProvincialdeToledo EnriqueLluchGirbés,PT,PhD AcademicDirector AssociateProfessor SeminariosTravellySimons DepartmentofPhysicalTherapy Toledo,Spain FacultyofPhysiotherapy UniversityofValencia,Valencia,Spain JohnsonMcEvoy,BSc,MSc,DPT,MISCP,PT CharteredPhysiotherapist LauraGold,PT,DPT UnitedPhysiotherapyClinic Board—CertifiedClinicalSpecialistinOrthopaedicPhysicalTherapy Limerick,Ireland Adjunct ClinicalAssistantProfessor David GSimonsAcademy DepartmentofPhysicalTherapy Winterthur,Switzerland College ofHealthProfessions,MercerUniversity MyopainSeminars Atlanta,Georgia Bethesda,Maryland BlakeA.Hampton,PT,DPT,CSCS TimothyJ.McMahon,PT,DPT Owner/ChiefExecutive Officer Board—Certified Clinical Specialist in Orthopaedic Physical PracticalPainSolutions,LLC Therapy AdjunctFaculty Fellow oftheAmericanAcademy ofOrthopaedic Manual Physical DepartmentofPhysicalTherapy Therapists College ofHealthProfessions,MercerUniversity ClinicalAssistantProfessorandDirector,MercerPhysicalTherapy Atlanta,Georgia Clinic DepartmentofPhysicalTherapy DhinuJ.Jayaseelan,DPT College ofHealthProfessions,MercerUniversity Board—CertifiedClinicalSpecialistinOrthopaedicPhysicalTherapy Atlanta,Georgia FellowoftheAmericanAcademyofOrthopaedicManualPhysical Therapists CarolynMcMakin,MA,DC AssistantProfessor Fibromyalgia andMyofascialPain Clinic ofPortland Program in Physical Therapy, School of Medicine and Health Portland,Oregon Sciences,The GeorgeWashingtonUniversity Washington,DistrictofColumbia OscarSanchezMéndez,PT,MSc PhysicalTherapistandProfessor MichaelKaregeannes,PT,MHSc,LAT,MTC SeminariosTravellySimons CertifiedCranio—FacialSpecialty Madrid,Spain CertifiedCervical andTemporomandibularTherapist Owner,FreedomPhysicalTherapyServices,S.C. AmirMinerbi,MD,PhD FoxPoint,Wisconsin Board—CertifiedinPain Medicine andFamilyMedicine InstituteforPainMedicine,RambamHealth Care Campus VisnjaKing,PT,DPT,MTC,CSCS BruceRappaportFacultyofMedicine,Technion Board—CertifiedClinicalSpecialistinOrthopaedicPhysicalTherapy Haifa,Israel ResearchPhysicalTherapistandAdjunctInstructor—Musculoskeletal DepartmentofFamilyMedicine,ClalitHealth Services Curriculum Haifa andWesternGalileeDistrict,Israel DepartmentofPhysicalTherapy UniversityofPittsburgh JenniferMarieNelson,PT,DPT,DScPT Pittsburgh,Pennsylvania FellowoftheAmericanAcademyofOrthopaedicManualPhysicalTherapists Owner/President/ClinicalDirector MyopainSeminars KingPhysicalTherapyNorthHuntingdon PhysioPartners NorthHuntingdon,Pennsylvania Chicago,Illinois Viii Contributors RicardoOrtega-Santiago,PT,MSc,PhD LeslieF.Taylor,PT,PhD,MS DepartmentofPhysiotherapy,OccupationalTherapy,Rehabilitation, AssociateDeanandProfessor andPhysicalMedicine DepartmentofPhysicalTherapy CatedradeInvestigacionyDocenciaenFisioterapia:TerapiaManual College ofHealthProfessions,MercerUniversity yPuncion Seca,Universidad ReyJuan Carlos Atlanta,Georgia Alcorcon,Madrid,Spain PaulThomas,PT,DPT MariaPalacios-Cefia,PT,MSc,PhD Board—CertifiedClinicalSpecialistinOrthopaedicPhysicalTherapy DepartmentofPhysiotherapy,OccupationalTherapy,Rehabilitation, FellowoftheAmericanAcademyofOrthopaedicManualPhysical andPhysicalMedicine Therapists CatedradeInvestigacionyDocenciaenFisioterapia:TerapiaManual ImpactPhysicalTherapy yPuncionSeca Chicago,Illinois UniversidadReyJuan Carlos Alcorcon,Madrid,Spain MarI'aTorres-Lacomba,PT,PhD FullProfessor LeighE.Palubinskas,PT,DPT Headofthe“PhysiotherapyinWomen’sHealthResearch Group” Board—CertifiedClinicalSpecialistinOrthopaedicPhysicalTherapy PhysicalTherapyDepartment PerformancePhysicalTherapy UniversityofAlcala Stockbridge, Georgia Alcala deHenares,Madrid,Spain GustavoPlaza-Manzano,PT,PhD DerekL.Vraa,PT,DPT,CSCS DepartmentofRadiology,RehabilitationandPhysiotherapy Board—CertifiedClinicalSpecialistinOrthopaedicPhysicalTherapy Universidad ComplutensedeMadrid FellowoftheAmericanAcademyofOrthopaedicManualPhysical InstitutodeInvestigacionSanitariadelHospitalClinicoSanCarlos Therapists Madrid,Spain SeniorFaculty,UnitedStatesAirForceTacticalSportsandOrthopaedic ManualPhysicalTherapyFellowship Program RyanReed,PT,DPT United StatesAirForceAcademy Board—CertifiedClinicalSpecialistinOrthopaedicPhysicalTherapy Colorado Springs, Colorado FellowoftheAmericanAcademyofOrthopaedicManualPhysical Therapists MatthewVraa,PT,DPT,MBA Instructor,DPTProgram Board—CertifiedClinicalSpecialistinOrthopaedicPhysicalTherapy UniversityofSt.AugustineforHealthSciences FellowoftheAmericanAcademyofOrthopaedicManualPhysical Miami,Florida Therapists ProgramDirector SusanH.Rightnour,PT,MTC PhysicalTherapistAssistantDepartment Certified Cranio—Facial Specialty Rasmussen College NovaCare Rehabilitation BrooklynPark/Maple Grove,Minnesota Bowie,Maryland PhysicalTherapist,Orthology,Inc Maple Grove,Minnesota JaimeSalom-Moreno,PT,PhD DepartmentofPhysiotherapy,OccupationalTherapy,Rehabilitation, SimonVulfsons,MD andPhysicalMedicine Board—CertifiedSpecialistinInternalMedicine CatedradeInvestigacionyDocenciaenFisioterapia:TerapiaManual Board—CertifiedSpecialistinPainMedicine yPuncionSeca President,TheInternationalFederationofMusculoskeletalMedicine UniversidadReyJuan Carlos Director,TheInstituteforPainMedicineandtheRambamSchool Alcorcon,Madrid,Spain forPainMedicine Rambam Health Care Campus, the Bruce Rappaport Faculty of IsabelSalvat,PT,PhD Medicine FullProfessor Technion—IsraelInstituteforTechnology Department of Medicine and Surgery, Faculty of Medicine and Haifa,Israel HealthSciences RoviraiVirgiliUniversity WesleyJ.Wedewer,PT,DPT,CSCS Reus,Spain Board—CertifiedClinicalSpecialistinOrthopaedicPhysicalTherapy Board—Certified ClinicalSpecialistinSportsPhysicalTherapy TimothyDouglasSawyer,BSPT FellowoftheAmericanAcademyofOrthopaedicManualPhysical National CenterforPelvicPain Therapists PelvicPainTechnologies AthleticoPhysicalTherapy StanfordUrologyResearchTeam Chicago,Illinois Owner,SawyerPhysicalTherapy Los Gatos,California DeborahM.Wendland,PT,DPT,PhD,CPed AssociateProfessor JohnSharkey,MSc DepartmentofPhysicalTherapy ClinicalAnatomist (BACA),ExercisePhysiologist (BASES) College ofHealthProfessions,MercerUniversity SeniorLecturer Atlanta,Georgia Medicine,DentistryandLifeSciences UniversityofChester/NationalTrainingCentre BrianYee,PT,DPT,MPhty Dublin,Ireland Board—CertifiedClinicalSpecialistinOrthopaedicPhysicalTherapy FellowoftheAmericanAcademyofOrthopaedicManualPhysical GabrielSomarriba,PT,DPT Therapists AssistantProfessor Owner,MotionStabilityPhysicalTherapyGroup AssistantProgramDirector Adjunct ClinicalAssistantProfessor CampusDirector DepartmentofPhysicalTherapy UniversityofSt.AugustineforHealth Sciences College ofHealthProfessions,MercerUniversity Miami,Florida Atlanta,Georgia
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