portable pain reliever DO YOU SUFFER FROM: • Headaches • Neck aches and pains • Mid and Lower back pain and stiffness • Pain in between the shoulder blades • Referred pain down the legs and arms • Generalised muscle pain and stiffness • ITB pain (especially in runners) • Tennis elbow • Pain under the feet Rehabilitation and Exercise Products Tel : +27 (0)11 704 0002 Fax : +27 (0)11 704 4999 www.htherapy.co.za www.triggerstick.co.za WARNING: While every care has been taken in the design of the Triggerstick and in preparing these instructions, the proprietor of the Triggerstick cannot be held responsible for any loss or injury caused by, or during its use or arising from any other cause. portable pain reliever A BRIEF HISTORY The triggerstick is the brainchild of a Durban based Chiropractor, Dr Francois Botha. Dr Botha recognised the need for his patients as well as the general public to have access to a simple and effective way of relieving themselves of the aches and pains caused by muscular trigger points. This device has now revolutionised the lives of many of his patients, friends and family.... and now it’s your turn! Q1: What is the triggerstick ? The triggerstick is a tool that allows you to gain access to trigger points that are difficult to locate and treat by yourself.The triggerstick can be used in the comfort of your home or office and help provide effortless relief of the aches and pains accociated with muscular trigger po ints. Q2: What is a trigger point? lnfamously known to most people as a KNOT!! Trigger points are hyper irritable spots in muscles and are responsible for a large variety of aches and pains all over the body. These spots are associated with nodules that can be "palpated" or felt in the affected muscles. These spots can either be "latent", and produce pain and discomfort in a localized area around the trigger point, or they can be "active" and refer pain and discomfort into other areas of the body. Trigger points are caused by a whole host of factors and include stress, poor posture, long hours in front of a computer, middle to long distance driving and certain sports that place strain on muscles. Q3: How do we get rid of trigger points? One very effective way of getting rid of trigger points is by lschemic Compression. lschemic compression can be defined as the application of slowly increasing, non-painful pressure over a trigger point until a barrier of tissue resistance is felt. Contact is then maintained until the tissue barrier releases, and pressure is increased to reach a new barrier to eliminate the tenderness as well as the tension in the trigger point. (Travell, Simons and Simons 1999 1:8). In essence what this means is that we need to apply pressure to the tender nodules in our muscles. How exactly this is done will be discussed in Question 4 below. Q4: How do I use the triggerstick ? The triggerstick allows you to reach the trigger points in some of the most hard to reach muscles in the body. The back is home to many muscles that work day in and day out to allow us to perform our daily activities. In this manual you will find simple diagrams which will show you a few of the common “problem” muscles that are known to contain trigger points, as well as how to hold the triggerstick in being able to access these trigger points. Once you have located the trigger point that you would like to treat simply follow the guidelines in this manual: Pressure needs to be applied to the trigger point, to a point where a mild discomfort is felt. Once the mild discomfort eases after a few seconds, pressure needs to be increased gradually to the point where the mild discomfort returns. After repeating this process a number of times the tension as well as the pain caused by that trigger point may start to dissipate.This process can be repeated several times throughout the day on several trigger points for maximum results. portable pain reliever NECK PAIN • Sitting or standing with the neck in the flexed position Causes of (e.g. prolonged computer work, reading, writing, sewing etc.) trigger points • Poor posture in the car or on the couch in the neck • Incorrect posture when using a telephone • Stress Problem areas. Apply downward pressure with inside of right forearm. When applying pressure with the Triggerstick, ensure that the trigger head is positioned 90º to surface of the affected area. Keep right hand still, while applying pressure with the left hand. Pull down with the right hand and holding tight with the left. Pressure direction 90º Trigger point/knot When applying pressure with the Triggerstick, ensure that the trigger head is positioned 90º to surface of the affected area. Warning: While every care has been taken in the design of the Triggerstick and in preparing these instructions, the proprietor of the Triggerstick cannot be held responsible for any loss or injury caused by, or during its use or arising from any other cause. portable pain reliever MID BACK PAIN Causes of trigger points in the mid back • Continuous tension in the shoulders (commonly caused by stress) • Incorrect posture when using a telephone • Working on a computer without correct elbow support • Whiplash injury • Tight bra straps in ladies • Generalised poor posture Problem areas. Use both hands to pull forward to apply pressure to the trigger point. Use both hands to pull slightly downward and forward to apply pressure to the trigger point. LOW BACK PAIN Causes of trigger points in the lower back • • • • • Lifting heavy objects incorrectly Pregnancy Obesity Leg length differences Walking/jogging / running on uneven terrain • Twisting torso in unusual positions Problem areas. Use both hands to apply pressure into the trigger point. Support Triggerstick with the left hand while pulling forward with the right arm. portable pain reliever SHOULDER PAIN AND TENNIS ELBOW Causes of trigger points in the shoulder • Sports injuries • Injection into trigger points • Exertion Causes of trigger points in the elbow • Activities that require constant, tight, gripping of an object TENNIS ELBOW Problem areas. Support Triggerstick on upper leg, as shown and use left hand to apply pressure to the trigger point. When applying pressure with the Triggerstick, ensure that the trigger head is positioned 90º to surface of the affected area. Hook the Triggerstick around opposite leg and hold Triggerstick as shown above and apply pressure to the trigger point. Hook the Triggerstick under the opposite leg as shown above and apply a downward pressure on the arm being treated. Pressure direction 90º Trigger point/knot When applying pressure with the Triggerstick, ensure that the trigger head is positioned 90º to surface of the affected area. Warning: While every care has been taken in the design of the Triggerstick and in preparing these instructions, the proprietor of the Triggerstick cannot be held responsible for any loss or injury caused by, or during its use or arising from any other cause. portable pain reliever LOWER LIMB PAIN Causes of trigger points in the leg • Running long distances • Running on uneven surfaces • Direct impact to the muscles Hook the Triggerstick around opposite leg and apply pressure to the trigger point in front of the shin as shown. Seated on the ground support Triggerstick as shown and apply downward pressure to the calf onto the trigger points. Hook Triggerstick around opposite leg and hold Triggerstick. Apply downward pressure with right hand onto the trigger point. ITB Use both hands to apply force onto the trigger points. Hold Triggerstick horizontally and move knees apart to apply pressure to the trigger points. Hold Triggerstick upright and apply pressure with a downward force from the foot. Hold Triggerstick and use left hand to support the Triggerstick and right to apply pressure into the trigger point.
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