In the vein of "no downside" approaches to terminate afib, I thought I'd repost on two that Jackie originally posted on several years ago. Here is her original post: [
www.afibbers.org]. Specifically I'm referring to d-ribose and to trigger points.
In a follow up post, I describe the location of the arrhythmia trigger point.
<[
www.afibbers.org]> as well as an experiment where I asked other afibbers to see if they had this point: <[
www.afibbers.org]>
I have subsequently played with trigger points a lot. I've been able to help many with various pains, though I've not tried to stop an afib attack by massaging this point. I do find it unusual that this spot is tender on me. Since my afib is very well controlled, I don't have to opportunity to try this technique out very often & have forgotten about it when the occasional breakthrough happens. I've also learned to "reset" trigger points in 90 seconds (described below), however I have not figured out how to do this on points on the front of the chest.
However, I have learned that the "referred pain" element of trigger points is very real. For example, my wife had an issue with her thumb. In the book by Davies noted below, he lists, in order of probability, places to look for trigger points associated with a specific pain. Amazingly the first six locations were nowhere near the thumb - the first in the bicep & then various neck & shoulder muscles. When I released (described below) trigger points I found in the biceps, neck & shoulder, her thumb felt immediately better. Another recent example, my daughter complained of a very sore elbow from a rugby injury. With the exception of the triceps, all of the trigger point locations were in various pectoral muscles. When these were treated, the elbow felt better.
This referred pain is the only way I can explain why a muscle overlying the ribs on the right side of the body can effect the heart on the left side.
In any case, I strongly suggest you lean about trigger points if you have body pains and also experiment with them for afib.
The text of an email I recently sent a friend about trigger points for general pain is below. The release technique is very hard to do by yourself, but is fairly easy with a partner. The massage technique can be used by all.
George
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I happened on to Trigger Point Therapy about two years ago. After playing around with it, Ive really improved some long-standing structural complaints on my knees (over ten years in existence), hips, shoulder and arms. Subsequently Ive lent my book to associates from aged from 25 to 75 whove also had very positive results with long standing complaints. So I decided to pass it on.
Here is a description of trigger points: "a palpable nodular or band-like hardness in the muscle, a highly localized spot of extreme tenderness in the band, reproduction of the patient's distant pain complaint by digital pressure on that spot [referred pain], and relief of the pain by massage or injection of the tender spot." The distant or referred pain is an important concept. Many times the trigger point is not near where the pain is. An example, for pain in the thumb and web of the hand, the most likely spot for trigger points is in the bicep area. The next most likely spot are in the scalens muscles, which are in the neck.
This technique was developed by Janet Travell, MD, White House physician under Kennedy. Her treatment of his back pain was the reason he was able to even campaign for President. For a biography on Dr. Travell, see: "Janet G. Travell, MD, A Daughter's Recollection, Virginia P. Wilson. [
www.pubmedcentral.nih.gov]
This workbook, "The Trigger Point Therapy Workbook: Your Self-Treatment Guide for Pain Relief, by Clair Davies" summarizes her approach, and how to self treat. The authors' website is here:
Amazon link:
[www.amazon.com]
Dr. Travell used an injection of local anesthetic to calm the trigger point. Clair Davies shows how to use self-massage. This can give immediate relief, but can take days/weeks/months to get the trigger point to settle down for good. Davies also organizes his book, listing the most probable locations for trigger points for a specific pain. This is especially important in the case of referred pain.
Recently, an osteopath (DO) friend told me about an osteopathic technique to immediately get the trigger point to settle down. Basically, you find the trigger point, then, while holding it, put the muscle in a position where it relaxes & the trigger point is no longer sore. Then hold there for 90 seconds to two minutes. Here is a good explanation from Jones who discovered this approach:
[www.jiscs.com]
Jone's contribution are serveralfold:
1. Trigger (tender) points are 4 or more times more tender than the surrounding tissue, with the same pressure.
2. When you get the muscle in the "release" position, the pain diminishes by 2/3's or more.
3. Finding a "release" position and holding for at least 90 seconds will "reset" the spasm.
4. When bringing the muscle out of the "release" position, do it very slowly.
5. 50% of the time, there will also be a Tp on the opposing side
I tried it with my wife with her hip. I would find a Tp, then with on hand on the Tp, I would move her into a position of comfort - at this position the Tp was no longer tender. I would hold for 90 seconds - 2 minutes. Then I would find the next Tp & repeat. It was a great success.
I've found that many times women do not have the hand strength to find and work on trigger points. In this case a hard ball or other instrument such as the Back Buddy can be useful:
[www.amazon.com]
In summary the approach really is a one-two punch. The Trigger Point Therapy Workbook tells you, in order of probability where to look for trigger points for a specific pain. Jones' Strain & Counterstrain is a way to get an "instant release" of the Trigger Point. Together it is a great combination.