M.
quadratus lumborum
“The Joker of back pain” from Travell + Simons „Handbuch der Muskeltriggerpunkte
© Kosub/Thieme 2004
M. quadratus lumborum
© Kosub/Thieme 2004
M. glutaeus minimus
1
from Travell + Simons „Handbuch der Muskeltriggerpunkte
© Kosub/Thieme 2004
M. glutaeus minimus
© Kosub/Thieme 2004
M. glutaeus medius
from Travell + Simons „Handbuch der Muskeltriggerpunkte
© Kosub/Thieme 2004
M. glutaeus medius
© Kosub/Thieme 2004
M. iliopsoas
from Travell + Simons „Handbuch der Muskeltriggerpunkte
© Kosub/Thieme 2004
M. iliopsoas
© Kosub/Thieme 2004
M. piriformis
from Travell + Simons „Handbuch der Muskeltriggerpunkte
“Double Devil”
© Kosub/Thieme 2004
M. piriformis
• examination:
© Kosub/Thieme 2004
M. piriformis
• palpation:
© Kosub/Thieme 2004
M. piriformis
• anointment:
© Kosub/Thieme 2004
Anointing of the Skin
Unction with Solum-Oel (Moor-Lavender oil)
(company: Wala)
© Kosub/Thieme 2004
M. piriformis
© Kosub/Thieme 2004
M. piriformis
• Spray:
© Kosub/Thieme 2004
Spray and Stretch
• Stretch:
© Kosub/Thieme 2004
M. piriformis
• Taping:
© Kosub/Thieme 2004
Risks and adverse effects
Sistermann & Katthagen (1996): “…all worldwide performed
Shockwave Treatments in Urology and Orthopaedics …. No serious
complications could be found.”
absolute Contra-indications relative Contra-indications
Applic. over lungs or thorax Sick sinus syndrome, stenosis of the carotis
Coagulation dysfunctions Medication with Acetylsalicylacid
Anticoagulants therapy Cervical pain syndrome, tinnitus duriing
prone-position
Applic. over vascular or nerval structures Rotator cuff rupture
Pregnancy Aneurysm
Height< 140 cm, Weight> 135 Kg Local anaesthesia or analgetics allergy
Osteomyelitis, infected pseudarthrosis cardiac pacemaker
Bone tumors cardiac arrhythmia
Shelling the epiphysis Insulin-, or analetics-Pump
© Kosub/Thieme 2004
Reactive Hyperaemia
© Kosub/Thieme 2004
Thank You!
© Kosub/Thieme 2004
