Trigger Point Therapy with Sarapin

Venturis Trigger Point Therapy with Sarapin

 

Trigger point therapy involves insertion of fine needles into specific localized tender regions on the body. These injections and needle insertions will relieve the pain associated with overly tense muscle areas.



What are trigger points?

Trigger points are localized tender regions in the muscles. These areas are often detected as “knots” or lumps. Chronic inflammation in the muscle, along with emotional and physical stress, can contribute to these knots and formation of scar tissue. Trigger points also form by wear-and-tear of the muscle. These points occur when perpendicular, normal muscle fibers get distorted and tangled out of their uniform pattern. In addition, trigger points are palpated as taut bands of inflamed muscle fiber and they are painful when pressed upon.

What conditions are related to trigger points?

Most patients who develop trigger points have myofascial pain syndrome or fibromyalgia. In addition, trigger points form from chronic neck and back pain syndromes, such as degenerative disc disease, lumbar stenosis, and bulging discs. Trigger point injections are also used for tension headaches, cervical neuralgia, migraine pain, and stress syndromes.

How are trigger point injections given?

When you come to our Venturis office, the doctor will perform a physical examination, applying pressure over various parts of your body. Once trigger points are identified, they are marked with a surgical marker. The injections involve inserting a fine gauge needle (connected to a syringe) into the trigger point. When the needle is in the muscle, the solution is injected into the region.

What is Sarapin?

Some trigger point injections are given using a natural solution called Sarapin. This solution is a natural plant botanical that has a history of being safe and nontoxic. Sarapin has been used for over 70 years, and has no known side effects. This trigger point injection will improve circulation, stimulate tissue healing, and offer muscle tightness relief. Sarapin is derived from the Pitcher plant of the Nepenthaceae and Sarraceniaceae families.

How does Sarapin work?

Sarapin works by stopping pain signal transmission from the spinal nerves where they exit the spinal column. It does not affect motor or nerve function, and has an anti-inflammatory effect on the body. Because Sarapin is a biological product, it cannot be patented.

Do trigger point injections with Sarapin help pain?

Pain from myofascial trigger points responds to dry needling and injection with Sarapin. In a recent study, direct dry needling was found to be superior to no therapy. In addition, lidocaine trigger point injections were found to be significantly superior to placebo injections. Evidence from many studies show that trigger point injections yielded highly heterogeneous results, with pain reduction and long-term symptom relief.

How does trigger point injection therapy work?

Needling is thought to cause a local release of intracellular potassium. Release of the potassium will depolarize and disrupt nerve conduction. In addition, the mechanism of needling is thought to inactivate the trigger points, due to disruption of contracted muscle fibers. This involves a sensory and motor feedback loop, which is responsible for trigger point pain. Injecting Sarapin is thought to dilute nerve-sensitizing substances, which reduces irritability of the neural feedback mechanism. In addition, a local anesthetic added can provide a vasodilation effect that improves blood flow to the trigger point.

Resources

Kietrys DM, Palombaro KM, Azzaretto E, Hubler R, Schaller B, Schlussel JM, et al. Effectiveness of dry needling for upper-quarter myofascial pain: a systematic review and meta-analysis. J Orthop Sports Phys Ther. 2013 Sep. 43(9):620-34.

 

Tough EA, White AR, Cummings TM, Richards SH, Campbell JL. Acupuncture and dry needling in the management of myofascial trigger point pain: a systematic review and meta-analysis of randomised controlled trials. Eur J Pain. 2009 Jan. 13(1):3-10.

 

Travell J, Simons D, Simons L. Myofascial Pain and Dysfunction. 2nd ed. Philadelphia: Lippincott Williams & Williams; 1999

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