Acupuncture, Trigger Points and Musculoskeletal Pain, 3rd by Peter Baldry

By Peter Baldry

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

Example text

H. qxd 11*10*04 10:15 Page 35 Some basic observations leading to its development It should be noted from this that Kellgren made a clear distinction between certain ‘spots’ in muscle so exquisitely tender that palpation of them makes the patient wince; and diffuse rather ill-defined areas of referred pain which on palpation are only slightly tender. Also, that he realized that such ‘spots’ as he called them, or trigger points as they are now termed, are the cause of this referred pain with it being possible to alleviate the latter by de-activating these acutely tender ‘spots’ or trigger points by infiltrating them with Novocain (Fig.

He says the latter were all so impressed with the result as to pronounce them as being magical! He, like Churchill, was unwilling to commit himself as to how inserting needles into the body could have a therapeutic effect, but he clearly thought that the Chinese were wrong in believing that it was due to noxious air being released from the tissues for he says: I shall not hazard a hypothesis of the modus operandi of acupuncturation but at the same time I am free to confess myself sceptical on the creed, that its effects are produced by the escape of air from the cellular membranes through the punctures made by needles.

Thus, in 1938 and again in 1940, under the name of M Gutstein, he wrote about what he called muscular or common rheumatism. In 1940 under the name of Gutstein-Good he called the disorder idiopathic myalgia. Then, a year later, by which time he had changed his name yet again to Good, he wrote about rheumatic myalgias! In 1950 he called it fibrositis, and in 1951 non-articular rheumatism. To add to the confusion, there was at about the same time an R. R. Gutstein (1955) calling this disorder myodysneuria!

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