Trigger Point Therapy / myofascial release

[chewymix]

Hi,

Looking for someone who has good experience in Trigger Point Therapy / myofascial release and if possible has knowledge of male pelvic pain issues. I believe an ongoing issue i have is due to muscular tension around and within my pelvic muscles.

I am in SW London but open to travel if i can find the right person to help me

thanks!

[TigerBee]

have pm'd you.
Tiger
x

[Anahata]

I'm an osteopath, if I can be of any help?

I would say that the most likely scenarios in the male pelvis in order of likelyhood are.

1) Referred pain from the lower lumbar spine. There may not be any pain actually in the low back, but brain is recieving messages that there's pain in the pelvis. You may find more on that in the Back Pain Forum.

2) A sacro-illiac (SI) joint problem, this is usually experienced deep in the pelvis and off to one side. These are the two large weight bearing joints at each side of the sacrum on which the spine sits.

3) Coccydynia or coccyalgia - coccyx pain. This is central & experienced between the sacrum and the rectum. This is usually from direct trauma or can also be referred pain as above. You may find more on this and the above in the Back Pain Forum.

4) Proctalgia fugax ( not sure of the spelling) - this is pain experienced deep in the rectum and is one of those proverbial sypmtms labelled as being on unkown cause.

Andrew.

[chewymix]

Hi - Thanks for the reply regarding this issus and it possibly being referred from my 'back'

In the search for an answer to this issue i have had....

MRI's of back and coccyx - All 'clear'
Facet Joint injections - No difference
Physio on lower spine - No difference
Acupuncture on low back - No difference

I'm leaning towards a muscular cause now as so far everything else has been 'clear' (whatever that actually means) and doing research into this myself there is more evidence appearing that this could actually be a muscle tension disorder as the underlying cause.

My search goes on... However an osteopath is an avenue i have not discounted.

thanks

[Paul Crick]

Hi Chewymix

Welcome to the forum, you might find it helpful to trace your femoral nerve as that starts in the lumber area of your back, runs across your back, down the ingual ligament to the groin and then down to the inside of your thigh to your knee.

This can get tight in a muscular in your groin and cause severe discomfort though this is usually evident in the back, just use a bit of friction down the crease at the top of your leg and work down to the groin, it is often felt on the outer edge of the pubic bone but it can be anywhere in the area, you will know if it is the problem as it will be very painful when you rub over it.

Hope that helps.

[chewymix]

Thanks for the response Paul - Interesting as thinking about it i also have the following symptons...

In my left groin it feels 'odd' If i raise my knee at 90 degrees there seems to be a sort of 'mass' in the crease. Although i can't really find anything, but then again i don't want to root around in there too much.

I get 'prickles' in my inner thigh on the left side - Sometimes these are apparent in my left hip too.

If i run, i'm in training for a 10k run, my left groin feel much tighter than my right even though i stretch. I also get some form of sensory loss, although this is mild and does not happen very often.

I have on 3 occasions ben sat in bed with my left leg raised and bent at the knee and i have realised that my left groin and inner thigh is numb. Like total numb as though i have been given a local in that area. Sensation comes back after about an hour or so although is accompanied by a burning sensation.

When lying flat on my back i often get uncomfortable sensations in the centre of my back - very low spine. To be blunt this would be just above the crack!

I've been thinking this is nero muscular although muscle is tight and restricting a nerve but could never pin it down -

Does this seem like it could be the case? If so what in your opinion is the best approach to treatment,

thanks!

[Paul Crick]

Hi chewymix

If you approach a qualified remedial massage or sports injury therapist then they should be able to sort this out for you but be warned the treatment is very uncomfortable until the dysfunction is sorted, this can take up to four or five treatments depending on how bad the ligaments are affected as they all need breaking down and stretching.

The good new is it gets better :-)

[chewymix]

Thanks Paul - Opening to the forum can anyone recommend an experienced remedial massage or sports injury therapist either in Central or South West (Wimbldeon) London who has experience of identifying Femoral Nerve Entrapment?

[TigerBee]

Hiya
just to let you know...spoke with my chap over that way last night and he should be emailing you today/tomorrow sometime....he has a busy day today but hopefully he will pick up his mail this evening...

T
xx

[happyfingers]

Mr Chewymix,

I just read your thread and I am really interested to hear what has happened since. Did you go and see the remedial massage therapist? Did you found out what was causing your symptoms? How was it treated? I come to you as a recently qualified in remedial massage (June 2003) who loves and hearing about these kinds of experiences.

Kind regards

[Ruth101]

Hiya
I know a therapist in London who has done alot of Myofascial Release courses from John F Barnes in the US.
Her name is Sophie and I have her details if you wouldlike to PM me. or if you need more help.

best wishes

[Nodwell]

Hi, I've also been diagnosed as having a pelvic floor tension disorder and I've read about a methodology developed at Stanford University in the US which treats the condition using a combination of relaxation techniques, stretch exercies, and trigger point release therapy. The problem for meis that there does not appear to be any physical therapists who are acquainted with pelvic floor trigger point release therapy. Does anyone know otherwise?

Cheers