Відео

Very nice explanation. Y’all two did great.

Thank you Dr. Conwell for such a remarkable comprehensive instructive video series! I am currently doing my residency in neurology and your videos offer such an immense help in refining my skills, and refreshing and deepening my knowledge

Thanks Dr!

I start to fall on all three of these test.

I can't understand dyssynergia

Usually psych is caused by the physical. Will doctors ever actually help people.

Sometimes I have a stiff neck or hurts back I go to chiropractor for that sometimes about every 5 months

Chiropractor helps some too❤

Thanks to share Conwell. can i take the capture of this video? i want to make the blog for my patients. if you okay, it will be helpful using patients education. thank you-!

I had back surgery and it is a struggle to get out of bed don’t know why he thinks that is imaginary

Thanks for the cheat codes, Doc. 😂😂😂😂😂😂

Exactly! You can't push on my head when my back hurts, make me lift my head or twist... Like wth? All of that crap hurts and I'm not faking!!!

LMMFAO how he whispered and told her to "SCREAM BLOODY MURDER" to funny i know he just showing examples of what to look for but just was too funny

My neck hurts just watching this 😅😅

Val Kilmer??????

Non-anatomic sensory changes or Regional sensory changes. What if the patient doesn't feel anything when you poke them on the leg? Is that a positive sign?

When my trigger points are at their worst you better bet you can't put any pressure whatsoever on them or I'll be reacting like that! And how do you figure people in real pain with severe back issues aren't going to have a problem going from standing to sitting? You're basically saying even if they're not lying if they react too much they need psychological help? What kind of bs is this, doctors trying to play behavior analysts

Lol, if she wasn't really hurting before 05:58 she would be after my hearing came back.🤣

Mine started in my throat then moved to my chest horrendous in clavicle.2 years now moved shoulders armpits 2 years.u do have heal pain on awakening 10 years.some tingling in my shin.syre it's related to autism Asperger's hypomobility mineral defiency us thus a usual presentation what I have.going in ldn shortly saw rhumo hadn't a clue in this.

Hey Dr great video, I believe I have upper trapezius tp caused from playing the guitar and having over used muscles. I also get headaches and have poor posture. My question is: I’ve been feeling pain almost like my tongue hurts but all dentists and ents say there’s nothing serious with it. Yet I feel maybe the tightness of muscles in my neck/trap can cause this pain to feel like it’s my tongue or in the red area outlined by the jaw in the upper trap tp picture. I know you can’t diagnose but is this possible? Have you had a client with a similar problem?

Thank you sir its very helpful for evaluation

You deserve a million subs Doc! you're so helpful! Thank you! 💓

I have a positive Romberg Test and i always Fall on the left side also i had a MRT of my Brain just some Medullary Lesions but my Doctor said its not because of them i think its the Vestibular System or can it be of Disc Prolaps with Myleopathie on the BWS because i have this also and Scoliosis also if i hear a Loud Sound my Arms getting Spasms first i had Spasms in my one eye on my neck and left arm and i was always falling on the left side at night its more worse i cant hold my Balance at night rly good but now i only have it on my left arm when i hear a loud sound or when i try to sleep right or left i feel Dizzy i dont understand whats the cause ? The said its not the ear or spinal cord ? For me it can be the Vestibular System but why does my left arm get spasm when i hear a loud Machine Sound ? It can be only a ear problem or spinal ?

Kudos to both 🙂

Can used this when a person is intoxicated. Please tell how do perform it and any article or reference for further understanding. Thanks in advance.

I have this same pain but i had a neck surgery where they put in a cage and 2 disc i had neck Pain before surgery and now the pain is worse with the burning and tingling i had trigger points injections but it still hurt and 2 weeks after i was in bad pain i just found out i believe they did an echo guide for biopsy injection trigger points i was wondering if that means they did w biopsy and i never knew it

Looks like Jim Bakker

They did that all to me when my back was broke and it showed on the x-rays that my back was broke

Thanks

Thanks , great job

Can any of these trigger point cause d

Gonna Pass my sea exam for sure

Thank you doctor and thank you deb

Well said. It’s always important to recognize that they aren’t mutually exclusive!

I need a pair of spectacles like that

What kind of doctor is he ?I don't no if I have that

Can you translate in urdu or Hindi please

Very useful. Thank you from Italy

What's the difference between myofacial pain syndrome and fibromyalgia?

Why checking the vest apparatus in head extension , why not to check vestibullar apparatus in straight looking of patient.... If we extend patient head we only check one semicircular canal and not all the three ....

Good explaination and good reply to everyone....

Dry needling is an effective, non-pharmacological treatment of MTrPs which has approached acceptance as the “standard of practice” for deactivating active MTrPs. It may be performed using either a superficial or deep dry needling technique. Elicitation of one or more local twitch responses (LTRs) is a goal of dry needling and often benefits those with pain secondary to MTrPs. Though the mechanism of an LTR is unknown, studies suggest a biochemical component. Five minutes after the induction of a single LTR, our group found a dramatic change in the biochemical milieu of the upper trapezius muscle. Within minutes of the LTR, the initially elevated levels of SP and CGRP within the active MTrP drastically decreased to levels approaching that of normal uninvolved muscle tissue. The reduction of these biochemicals in the local muscle area may be due to a small, localized increase in blood flow and/or nociceptor and mechanistic changes associated with an augmented inflammatory response[17, 18]. Though not designed as a treatment intervention, the results of these studies are provocative in that the substances analyzed are known to be associated with sensitization, persistent pain, and spinal facilitation. In an animal model, it appears that dry needling may, in fact, activate the descending inhibitory pain system and cause local deactivation of the MTrP[35]. New Frontiers in the Matrix of Neuro-musculoskeletal Pain: Integrating Pain Mechanisms with Objective Physical Findings and Needling Strategies Jay P. Shah, MD

Very helpful

Good, thanks

May i ask what kind of dr should i visit with this kind of pain

I have several muscle knots (or atleas I think those are muscle knots) on the left pectoralis major alongside and right next to the chest bone, but your video shows that trigger points tend not to appear here. I noticed those knots after a workout and felt rather sharp pain in particular rpositions (limited range of motion). After massaging for a few days the pain disapeared but the lumps are still there. Those knots behave exactly like knots on my back (they are movable and become red after a massage), but they are not in the spot when chest trigger points appear, and I have them only on my left pectoralis major. Is it a muscle knot or could it be something else?

That's a amazing video.. Please share more

how sensitive/specific is this? i tried the foam romberg test and the dynamic visual and the fast head movement visual ocular test and this (modified) romberg test. doesn't that rule out almost ALL kinds of vestibular/cerebellar balance issues? i have some weird light-headed feelings and feel slightly off balance (i usually have phenomenal balance, i was a wrestler thru highschool and i'm a trail/ultra runner). how can this be? how can i feel off balance and stlightly stumbly but pass all these tests? i woke up one morning a few weeks ago with pretty bad balance and experienced one significant instance of vertigo while brushing my teeth, but my balance slowly got better over the following few days and has continued to improve but slowly at this point. that doesn't make sense to me since the hair cells in the inner ear do not regenerate AT ALL (at least type II ones, which have the most sensors in them, and type I cells seem to have limited regeneration capacity) in mammals. is it possible i had significant hair cell damage, but they were able to repair/recover? i sometimes feel pain/pressure in my left ear ONLY, so could it be maybe that only one side is dysfunctional and the other side is perfect and my body has already adapted to only use the right side vestibular system to balance? (also i may have a good deal of balance-related reserve because of my history as an athlete.) I also have no hearing loss and little to no tinnitus (i have had problems with small bits of tinnitus here and there for many years, it's really not even a big deal and seems to be associated with stress/anxiety) how is this possible? wouldn't i fail some of these tests? i mean i don't fall or anything but i don't feel very sure-footed like i used to. none of this makes sense. i expected to fail a bunch of these tests but i passed just fine. i even saw a website that showed some examples of ppl that failed the tests (vestibular loss due to gentamicin ototoxicity) and i didnt even fail like the moderate ppl did. i don't feel all that steady on the foam block with my eyes shut but i don't really sway too much or fall over either, but... it's not easy for sure. i have to concentrate. i would assume standing perfectly straight on a thick pad with ur feet together isn't exactly supposed to be easy, even if u have perfect balance. this is so confusing i have been reading peer reviewed data for days and i can't figure it out. i took aspirin and amoxicillin (which can cause BVH) so it would make sense for that to be the cause. but why can i pass these tests? i'm so lost. I was thinking viral neuritis from a cold? i woke up one day feeling way "off" and had severe conjunctivitis, but not many other signs.

Mine is positive all three

This helps healthcare students! Thank you so much, I regularly watch your videos to refresh my knowledge.