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First visit includes:
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- Patient history - patient history is taken to determine what causal factors are
responsible for the condition of the patient.
- Differential diagnosis - medical history is necessary to determine what
medications or current existing conditions are present in the patient before
treatment begins.
- Pain mapping - patient will circle the area of pain on their body. The
therapist will document the pain on a session sheet to use for comparison.
- Postural evaluation - muscles with trigger points are shortened and
tightened, they will pull on the bones that they attach to. This becomes apparent
when bony landmarks of the body are compared to one another and then
mapped on an intake form.
- Perpetuating factors identification - perpetuating factor is something
that keeps pain ongoing. It can be mechanical, nutritional, or systemic.
- Range of motion testing - based on the patient's pain complaint, the pain
map, and any verbal clues the therapist will then look for shortened muscles that
are influencing the patient's condition by checking their range of motion.
- Myofascial Trigger Point Therapy
- Personalized patient stretch rehabilitation program - specific
muscle stretch retraining will be recommended. A muscle will want to revert
back to its contracted, shortened state within one to two hours so frequent
stretching will retrain the muscle to stay relaxed.
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