Myofascial Trigger Point Release with Ed Wilson

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Length

2 days

Cost

£237.00

CPD hours

14

Summary

'This course will change your whole approach to treatment and challenge prior thoughts. I have seen results straight away and the patients love it. So do I'

This ‘hands on' practical clinically based course is ideal if you want to expand your knowledge of trigger point assessment and treatment from a manual therapy, non-needling perspective.

By attending, you will firstly enhance your understanding and management of pain - then continue to explore a variety of ‘light touch' treatment techniques - so, very easy on the hands AND perfect for those patients that are irritable and unable to tolerate more direct hands on manual treatment modalities.

Led by Ed Wilson, a specialist in this area, the course emphasises good clinical reasoning and is underpinned throughout using case examples and problem solving - so you are ready to apply what you have learnt immediately.

The course consists of a mixture of short lectures and practical sessions. Participant numbers are limited to a maximum of 20.

Tutor

Objectives

On completion of this course you will be able to:

  • Discuss the debate surrounding the onset and treatment of T.P

  • Describe and discuss the mechanisms behind patient pain and dysfunction/disability in relation to T.P

  • Conduct an effective assessment for the presence of T.P

  • Discuss and demonstrate effective treatment of T.P using manual therapy

  • Discuss and demonstrate the effective use of T.P therapy in conditions as diverse as pathoneurodynamics, muscle weakness, joint stiffness, complex regional pain syndromes etc

  • Understand and appreciate the importance of the roles of  body chemistry in pain production - for example, the roles of endorphins, serotonin, blood oxygenation, viral illnesses etc

This course differs from traditional T.P courses as aggressive techniques are not used. If there is no rationale for strong techniques but there is good evidence to support less aggressive ones, then the more gentle ones should be taught and used. This philosophy emerged from the tutors long exposure to Mulligan's painfree articular techniques.

Content

This course will firstly enhance your understanding and management of trigger points for pain relief throughout the whole body. The impact on trunk and lower limb biomechanics will be covered and ultimately self treatment by the patient.

An emphasis on good clinical reasoning is underpinned throughout by using case examples and a problem solving approach. The therapist who would most benefit from this course would be those treating musculoskeletal, neurologically-compromised, post-op, frail or elderly patients or children. It provides an excellent alternative for those needle-phobic patients presenting with trigger points.

Day 1 

Trigger Points: The debate surrounding their aetiology and diagnosis

Mechanisms of pain production:

  • Radicular
  • Somatic
  • The influence of facilitated cell bodies i.e wide dynamic range cells
  • The significance of the automatic nervous system‘

Mechanisms of pain sedation recruiting predominantly A beta and A delta stimulation

Palpation for trigger as part of overall musculoskeletal assessment.

Palpation practice:

  • Below knee - calf, tibialis ant
  • Above knee - VM, ITB
  • Shoulder girdle - infraspinatus, pect major

Treatment technique practise - soft touch and ice

  • Below the knee
  • Above the knee
  • Shoulder Girdle  

Treatment practise - clinical

  • Below the knee
  • Above the knee

Day 2

Points around the trunk: Anterior and Posterior

  • Palpation
  • Clinical uses including static posture, trunk movements, relation to lower limb
    biomechanics and function

Points in relation to pathoneurodynamics

  • Changes in SLR
  • Discussion of cause and effects ‘Cascade'

Failure of effects

  • Referred form other sites
  • Other treatments considered e.g. CTM, spinal mobilisations
  • Onward referral considered

Palpation and treatment of other areas with particular emphasis on shoulder girdle muscles

Palpation and treatment: Cervical spinal and head

Self Treatment

Problem Solving and Summary

N.B Depending on numbers and interests of participants the schedule may vary slightly

Course preparation

There is currently no recommended pre course preparation for this course.

Restrictions

We advise participants to have professional liability insurance to cover them for the techniques covered on the course.

For any participant that is or maybe pregnant when attending any of our courses with a practical component we advise they email us to let us know.

Audience

This course is aimed at all level of HPC Registered Chartered Physiotherapists, Osteopaths and Sports Massage Therapists.

Participant feedback

  • "Really changes the way you assess, treat and feel about pain"

  • "Ed Wilson is an excellent tutor. Many thanks to him"

  • "Nice blend of theory and practical. Ed was most helpful and geared the pace to his audience. He had a great feel for the group i.e. he was in tune with tiredness etc. He did a first class job!"

  • "The course was very well executed, everyone was friendly and I particularly enjoy Ed's style of teaching"

  • "Excellent course, definitely has influenced my practice as a physiotherapist to further enhance my skills and knowledge and confidence"

  • "Enhances skills as a physiotherapist regarding hands on skills and the importance of effective communication with the patient..."

  • "The course added a new perspective to MSK physiotherapy as I have practised it for the last 30 years which was very refreshing"

  • "It has been surprising how much the patients have enjoyed the treatment & the end results.  I attended Ed Wilsons NAGS/SNAGS course last March and he touched on a few things from the trigger point course which sparked an interest to learn more. Really liked his teaching style and practical emphasis of the course."

  • "Really consolidated and tied everything together that I have learnt so far since graduating. Great practical course meant that I can apply straight into practice."

  • "I really didn't expect to go into the physiology of pain in such detail but it was fascinating."

  • "Provided an introduction to techniques but also an interesting clinical reasoning perspective, emphasising thinking in physiological terms rather than purely mechanical terms."

  • "Very interesting and practical based course that gives greater understanding of pain mechanisms and complex chronic pain type patients. Gives you light touch treatment techniques ideal to use on patients who are in too much pain for other treatment techniques e.g Manipulation, acupuncture. Really helps you to adapt a more holistic and open minded approach to patient assessment and treatment."

  • "A better understanding of pain mechanisms. A completely different and more understandable and preferable way of treating trigger points."

  • "On the course I learnt a completely new way of approaching trigger point therapy which I found very interesting and I'm sure will be of much benefit when treating soft tissue pain."

  • "It challenges the mechanical model we have been brought up with and makes you question' what are we actually doing with our techniques."

  • "Ed Wilson is a compelling presenter and he provides a framework for understanding symptoms and clinical presentations which goes beyond a purely mechanical model so you learn a good deal more than simply the techniques taught."