Acupuncture, Trigger Points and Musculoskeletal Pain. A by P.E. Baldry, MB BS FRCP, and John W. Thompson, PhD MB BS

By P.E. Baldry, MB BS FRCP, and John W. Thompson, PhD MB BS FRCP (Auth.)

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Additional resources for Acupuncture, Trigger Points and Musculoskeletal Pain. A scientific approach to acupuncture for use by doctors and physiotherapists in the diagnosis and management of myofascial trigger point pain

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British Journal of Physical Medicine and Industrial Hygiene 14: 1–7 Gowers W R 1904 Lumbago: Its lessons and analogues. British Medical Journal 1: 117–121 Gutstein M 1938 Diagnosis and treatment of muscular rheumatism. qxd 44 11*10*04 10:15 Page 44 ACUPUNCTURE, TRIGGER POINTS AND MUSCULOSKELETAL PAIN Gutstein M 1940 Common rheumatism and physiotherapy. British Journal of Physical Medicine 3: 46–50 Gutstein R R 1955 A review of myodysneuria (fibrositis). American Practitioner 6: 570–577 Gutstein-Good M 1940 Idiopathic myalgia simulating visceral and other diseases.

He had clearly been in the habit of using the technique for many years because Harvey Cushing (1925) in his book The Life of Sir William Osler refers to an unfortunate experience the great man had when he was a physician at the Montreal General Hospital. qxd 26 11*10*04 10:12 Page 26 ACUPUNCTURE, TRIGGER POINTS AND MUSCULOSKELETAL PAIN It would seem that early in Osler’s career at that hospital a certain Peter Redpath, a wealthy Montreal sugar refiner and member of the hospital’s board, having suffered from intractable lumbago for some time, had high hopes that the newly appointed physician might be able to cure him.

He also thought that the reason why his contemporaries tended to deny the existence of nodules and palpable bands was because they did not bother to look for them conscientiously, unlike masseurs who, according to him, had no difficulty in detecting them from palpating muscles systematically and then treating them appropriately. A similar state of affairs prevails today, with physiotherapists being far more practised in the art of palpating muscles than many doctors. Nodules By the beginning of this century doctors in Britain were being taught to regard the presence of nodules as essential for the diagnosis of what was then called fibrositis.

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