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Extra resources for Acupuncture, Trigger Points and Musculoskeletal Pain, 3rd Edition

Example text

For example, in studies involving the gluteus medius muscle the skin of the buttock was first anaesthetized with Novocain at three sites. Then intramuscular needles were inserted through these anaesthetized areas until they impinged upon the gluteal fascia. An injection of hypertonic saline into this fascia produced localized pain. The needles were then advanced into the muscle itself and a further injection into this produced a diffuse pain felt at some distance from the injection site in the lower part of the buttock, the back of the thigh, and on occasions as far down as the knee (Fig.

An injection of hypertonic saline into this fascia produced localized pain. The needles were then advanced into the muscle itself and a further injection into this produced a diffuse pain felt at some distance from the injection site in the lower part of the buttock, the back of the thigh, and on occasions as far down as the knee (Fig. 1). Injections into the fascia enveloping the tibialis anticus (anterior) muscle and into the muscle itself produced similar findings (Fig. 2). 1 The distribution of diffuse referred pain (hatched area) produced by injecting 6% saline into three points in the gluteus medius muscle.

Another reason was that by the 1950s specialists in the field of physical medicine were of the opinion that there is no such disorder as muscular rheumatism and that the pain, said to be associated with it, occurs as the result of disorders in the vertebral column with, in particular, degenerative discs impinging upon nerve roots (Cyriax 1948, de Blecourt 1954, Christie 1958). Fortunately, there were physicians in other parts of the world who were sufficiently perspicacious to recognize the merits of Kellgren’s observations.

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