This video depicts the BENEFITS of Chamomile Lavender Herbal tea benefits.

About the BLUE TEA brand:
BLUE TEA is an India based PREMIUM TEA BRAND which provides WORLD'S FRESHEST HERBAL TEA from farms to cups in just 2 weeks.

Our Tea has HEALTH BENEFITS like it helps in
• Weight loss,
• Detoxification,
• Reducing cholesterol,
• Fighting against stress levels, anxiety, depression
• Promoting Anti-ageing, Premature Greying etc

We have our customers in 12 COUNTRIES including US, UK.
BUY Blue Tea products from Amazon, Flipkart and Bigbasket.

• Website: https://bluetea.co.in/
• LinkedIn: https://www.linkedin.com/compa....ny/blue-tea-india/?o
• Instagram: https://www.instagram.com/blueteaindia/?hl=en
• Facebook: https://www.facebook.com/BlueTeaIndia/

For more such HEALTHY TEA, SUBSCRIBE OUR CHANNEL:
https://www.youtube.com/result....s?search_query=bluet

#blueteaindia #chamomilelavendertea #benefitsoflavenderchamomiletea #promotessleep #musclerelaxation #sleepaid #herbaltealovers #blueteadaily #blueteaeveryday #healthytea #lavenderteabenefits #herbalteabenefits #herbaltearecipes #chamomileteabenefits #unitedstatesofamerica #india #uk #herbaltea #healthylife #fitlife #flowertea #colorfultea #colorchanging

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Uses of chamomile tea,
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Health benefits of lavender tea,
benefits of lavender tea,
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Help muscle soreness,
Promotes sleep,

Als ich von diesem Cache das erste mal gehört hatte war ich von der Story als auch der Lokation total fasziniert. Vorort bestätigte sich alles - ein Cache zum verlieben.

Geocaching-Code:
Lost: GoPro! - GC6WJ7B


🎵Verwendete Musik: ES_Humbot - Wave Saver, ES_Our Final Mission - Christoffer Moe Ditlevsen, ES_Ridges - Harbours & Oceans


T5 YouTuber denen ich folge:
Ollis_Welt https://www.youtube.com/result....s?search_query=Ollis
Dietrich Beck https://www.youtube.com/result....s?search_query=Dietr
Dr. Taylor https://www.youtube.com/result....s?search_query=dr.+t
Habanero75 https://www.youtube.com/result....s?search_query=Haban

Mein erster Klettersteig. Der Ostrachtaler Klettersteig liegt am Jochpass und ist mit 300m länge sehr überschaubar und war für mich als Einstieg in diese kletterei super gut geeignet.

GC-Code:
Gesprengtes Tor - GC7VX34

🎵Verwendete Musik:
You Tube Mediatek: Bella Bella Beat - Nana Kwabena, Moons - Patrick Patrikios, Oceans, Rivers, Canyons - ELPHNT


T5 YouTuber denen ich geren zuschaue:
Ollis_Welt https://www.youtube.com/result....s?search_query=Ollis
Dietrich Beck https://www.youtube.com/result....s?search_query=Dietr
Dr. Taylor https://www.youtube.com/result....s?search_query=dr.+t
Habanero75 https://www.youtube.com/result....s?search_query=Haban
CanEOS https://www.youtube.com/result....s?search_query=caneo

Dieses Video dient rein der Unterhaltung und soll keinen animieren etwas nachzumachen.

We we are back in my kitchen for a special treat. Eggpant / Zucchini Parmesana! Straight up Yard to Table! Come along with me as we pick the veggies, cook the veggies, and eat the veggies! This was a first time making and eating this dish and it was delish! I used my home grown eggplant, zucchini, basil, and Malabar Spinach.

Thank you to all the you tubers that inspire me like
"The Italian Grandma" https://www.youtube.com/user/SuperWarp3
"Six Sisters Stuff" https://www.youtube.com/user/SixSistersStuff
"Roots and Refuge Farm" https://www.youtube.com/result....s?search_query=roots
"The Frugal Gourmet" https://www.youtube.com/watch?v=vZ3i_PaK3Wg&list=RDvZ3i_PaK3Wg&start_radio=1&t=68&t=0

Thank You so much for stopping by and visiting my Channel. If you LIKE it give it a THUMBS UP and don’t forget to SUBSCRIBE! I have so much fun doing these videos for you all. I try to upload 2 videos a week.

You can also FOLLOW ME ON INSTAGRAM @steady.as.she.grows
https://www.instagram.com/stea....dy.as.she.grows/?hl=

NOW GET OUT AND GROW SOMETHING!

**My theme song is written by Eric Peterson. Lyrics written and sang by Yours Truly!
All my videos are shot on my Samsung Galaxy S10. I am also using a DJI Mobile 3 gimbal. I edit my videos using the CYBER LINK POWER DIRECTOR App.

🌟 Join the Reset Academy! 🌟
https://bit.ly/3Iu9yzB
OPEN ME 👇 FOR RESOURCES MENTIONED

►Dutch Test: https://bit.ly/dutch-test-ytc
►Gut Zoomer: https://bit.ly/gut-zoomer-ytcom
►Metabolic Clearing Kit- Liver: http://kaerwell.com/go/drmindypelz
►Liv-Better Oil (USE CODE PELZ FOR A 10% DISCOUNT): https://www.restorehopeoils.com/digestionfasting/45-livbetter-blend-10ml-?search_query=liver&results=14
►Castor Oil Pack: https://drmindypelz.com/product/castor-oil-pack
►Coffee Enema Kit: http://www.purelifeenema.com/?aff=166
►Resetter Podcast with Gavin: https://drmindypelz.com/overco....ming-chronic-conditi
►Resetter Podcast YT Channel: https://www.youtube.com/c/TheResetterPodcast
►Fast Training Week Schedule: https://drmindypelz.com/fasting
►LMNT: https://bit.ly/3kXTlWJ
►Keto Mojo USA: https://drmindypelz.com/product/keto-mojo
►Keto Mojo Europe: https://drmindypelz.com/product/keto-mojo-europe
►Nutrisense Continuous Glucose Monitor: https://bit.ly/3scT8WN

TIMELINE:

00:00 Intro
01:22 Can liver problems stop you from losing weight?
01:51 What does your liver do
02:25 What other organ works with the liver?
03:27 Signs that your liver needs help
05:46 Liver tests
07:11 Liver hacks to clean your liver
09:20 My favorite supplement protocol for liver congestion

NOTES:

Liver's Team:
-Gallbladder
-Common Bile Duct
-Small Intestine

Signs that Your Liver Needs Help:
*Hormone Problems
*High Cholesterol
*SIBO
*Trouble losing weight
*Trouble getting into ketosis
*Sensitive to foods, smalls, etc.

Liver Hacks to Clean Your Liver
*Stop the influx of toxins
*Eat more cruciferous and bitter foods
*Castor Oil Packs
*Coffee Enemas


#Fasting #FastingLifestyle #FastingTips
****
Dr. Mindy's Website: https://drmindypelz.com

Reset Academy:
https://resetacademy.drmindypelz.com

Dr. Mindy's Facebook Page:
https://www.facebook.com/drmindypelz

Dr. Mindy's Facebook Group:
http://bit.ly/Resetters

Resetter Podcast:
https://drmindypelz.com/resetter-podcast

Dr. Mindy's Tiktok
https://www.tiktok.com/@drmindypelz

Affiliate Disclaimer
https://drmindypelz.com/affiliate-disclosure/

*****
Please note the following medical disclaimer: By viewing this video you understand that this video is for educational purposes only. It is not intended to substitute for professional medical advice and should not be relied on as health or personal advice. Always seek the guidance of your doctor with any questions you may have regarding your health or medical condition. You also understand and agree that the terms of our Privacy Policy and Terms of Service apply to your interaction with us.

Mahitaji

Siagi kikombe kasoro ¾ /170gms
Sukari kikombe kasoro ¾ /156gms
Unga wa self raising kikombe 1 ½ - 156gms
Mayai 3
Arki ya vanilla kjk 1 ½

Robo ¼ unga wa kokoa
Kjk 1 kikubwa sukari
Maziwa vjk 2 vikubwa

Ganache
Vikombe 2 chocolate chips
Kikombe 1 heavy whipping cream

AU
Vikombe 2 chocolate chips
Maziwa ½ kikombe



Aroma of Zanzibar social media
https://www.instagram.com/fathiya.ismail/
https://www.facebook.com/aromaofzanzibar/

Video intro Zanzibar Spice Market by Farhat Abbas https://www.youtube.com/result....s?search_query=farha

Video Intro Mombasa spice market by Chef Farouk Amboka
https://www.instagram.com/faroukamboka/?hl=en


Music courtesy https://soundcloud.com/beatoj/....contemplative-middle

This is English and Kiswahili channel where you will find cuisine from around the world

Der Besuch einer Höhle mit ewigem Eis hat mich auf den Untersberg gelockt um diesen besonderen Ort zu besuchen.

Geocaching-Code:
Kolowratshöhle - GC1G1AB
Kaliber ? - GC18VY1


🎵Verwendete Musik: ES_Too Fast - Ooyy, ES_Boogie Moogie - Martin Landstrom, ES_Haystack - Biddy Sullivan, ES_Deepfake - Bureaucrap


T5 YouTuber denen ich folge:
Ollis_Welt https://www.youtube.com/result....s?search_query=Ollis
Dietrich Beck https://www.youtube.com/result....s?search_query=Dietr
Dr. Taylor https://www.youtube.com/result....s?search_query=dr.+t
Habanero75 https://www.youtube.com/result....s?search_query=Haban
CanEOS https://www.youtube.com/channe....l/UCjbkn_N2C5IlLvlno

It’s hard to describe to someone what it feels like to have fibromyalgia. but in this video are 5 scenarios that might help you to understand. And I’ll share the good news about fibro. Let me know what you think!
I am a psychologist and my passion concerns EVERYTHING fibromyalgia. I also have fibromyalgia and share information about this chronic illness.
Thank you for watching!

Find me on Pinterest: https://www.pinterest.com/drpammiejean
Find me on Instagram: https://www.instagram.com/pjfech/

https://www.healthline.com/hea....lth/how-to-understan
Organization YouTube videos that I like:
https://www.youtube.com/c/OrganizedClutterbug
https://www.youtube.com/c/AtHomeWithNikki
https://www.youtube.com/c/ButFirstCoffee
https://www.youtube.com/result....s?search_query=minim
https://www.youtube.com/c/DanaKWhite

🔴🎵 Subscribe: http://bit.ly/SubscribeAstrix
Buy: http://btprt.dj/1pm33DA
Buy CD: http://www.psyshop.com/shop/CDs/hom/hom1cd092.html
Here is the Full Album Mix from my 4th album "He.art"

Track list:
01. Astrix - Shamanic Tales https://www.youtube.com/watch?v=dlaSdG5gMBY&t=0s
02. Astrix - Deep Jungle Walk https://www.youtube.com/watch?v=dlaSdG5gMBY&t=781s
03. Astrix - Alien Turned Human https://www.youtube.com/watch?v=dlaSdG5gMBY&t=1336s
04. Astrix & Ace Ventura - Valley of Stevie https://www.youtube.com/watch?v=dlaSdG5gMBY&t=1824s
05. Astrix - He.art https://www.youtube.com/watch?v=dlaSdG5gMBY&t=2345s
06. Astrix & Ritmo - Agate https://www.youtube.com/watch?v=dlaSdG5gMBY&t=2826s
07. Astrix - Sapana (Album Version) https://www.youtube.com/watch?v=dlaSdG5gMBY&t=3349s
08. Astrix & Tristan - Awake the Snake https://www.youtube.com/watch?v=dlaSdG5gMBY&t=3866s
09. Juno Reactor - Conquistador (Astrix Remix) https://www.youtube.com/watch?v=dlaSdG5gMBY&t=4369s
10. Continuous Mix https://www.youtube.com/watch?v=dlaSdG5gMBY&t=4952s

Release Note:
Astrix is a unique phenomenon in the trance world, a leading DJ & Producer, who came from the underground psychedelic scene, performing in the biggest festivals and venues, and yet, chose to always stay true to the underground trance movement.
Devoted to his art and a true perfectionist, Astrix is known for his massive hypnotic explosive sets on the dance floor and for his precise detailed production in the studio. Both always laced with tons of feel and musicality. His music has been topping the charts and his albums are considered milestones.
After a long period of hard work, Astrix 4th studio album – HE.ART is out. This unique masterpiece is like taking a journey into Astrix cosmic world with the tracks leading you through the plot.
The album includes original tracks and collaborations with Ace Ventura, Ritmo, Tristan and a magical remix for Juno Reactor.
Released on Hommega Productions.

Also check out:
Astrix @ Boom Festival 2018 (Full Set Movie): http://bit.ly/2UcdCZy

The only official Astrix & Shamanic Tales Merch Shop:
https://shamanictales.store/

Follow Astrix:
Instagram: https://www.instagram.com/astrixofficial/
Soundcloud: https://soundcloud.com/astrix-official
Mixcloud: https://www.mixcloud.com/AstrixOfficial/
Twitter: https://twitter.com/astrixofficial
Facebook: https://www.facebook.com/Astrix.Official
Beatport: https://pro.beatport.com/artist/astrix/7873


Astrix has been one of the leading PsyTrance producers & DJs in the world for more than a decade, carrying his musical message of psychedelic emotional uplifting trance to every corner of the world, to huge festivals (EDC, Burning Man, Tomorrowland, Ozora, Universo Paralello, XXXperience), to the biggest urban clubs & underground events.

Devoted to his art and a true perfectionist, Astrix is known for his massive hypnotic explosive sets on the dancefloor & for his precise detailed production in the studio. Both always laced with tons of feel & musicality. His music has been topping the charts and his albums are considered milestones.

His debut album ‘Eye to Eye’, defined him as a trance music anthems producer and was followed by succesful albums Artcore, Red Means Distortion & other compilations and EPs.

Astrix fourth studio album, “He.art” was released on February 2016.

This channel is powered by Trancentral.
Subscribe for updates: http://bit.ly/TrancentralSubscribe

https://www.youtube.com/result....s?search_query=%23Ps https://www.youtube.com/result....s?search_query=%23As https://www.youtube.com/result....s?search_query=%23Ps https://www.youtube.com/result....s?search_query=%23Ps

Benefits of Time-Restricted Feeding. How to get started with intermittent fasting and time restricted feeding
In this Livestream, Mike Cola will go over what the difference is between Intermittent Fasting and Time-Restricted Feeding along with all the health and weight loss benefits. Plus, a Q&A on all your fitness, health, and weight loss questions.

🔵 𝘾𝙊𝘼𝘾𝙃𝙄𝙉𝙂 🔵

👍 You can work with Mike Cola online to lose weight, build muscle and improve your health.

🔴 60-minute Individualized Health and Fitness Consulting with Mike Cola. https://calendly.com/mikecolafitness/60min

🟡 Lose Up to 20 Pounds in Four Weeks with my: 4-Week Low Carb Intermittent Fasting Course https://mikecolafitness.com/fasting/

🔵 30 Day Online Wellness and Fitness Coaching with Mike Cola https://mikecolafitness.com/coaching/

Some YouTube channels I mentioned in the Livestream
📌Andrew Huberman https://www.youtube.com/channe....l/UC2D2CMWXMOVWx7giW
📌Peter Attia MD https://www.youtube.com/result....s?search_query=peter
📌 Dr Satchin Panda https://www.youtube.com/watch?v=MWngLVQg2Os


#intermittentfasting #timerestrictedfeeding

Dr. Robert Cwyes has been a practicing physician since 1987. He did his PHD on the glycemic index, and he discovered that transplanted livers did very poorly when pumped full of sugar (at the time, it was thought more sugar was better when it came to liver function.)

In our interview, Dr. Cwyes explains how the body will not let us overeat protein and saturated fat (when consumed in their natural states) due to complex feedback mechanisms. Unfortunately, when it comes to carbohydrates, we do not have good feedback mechanisms to prevent us from overeating.

We discuss how dangerous the erroneous views around carbohydrates have become for the general public, and we dive into carbohydrate addiction and emotional management skills.

You can follow Dr. Robert Cywes @CarbAddictionDoc
Check out his Youtube: https://www.youtube.com/result....s?search_query=carb+

You can follow me on Instagram @runeatmeatrepeat
Email: dietitiansdilemma.hurn@gmail.com
Please feel free to comment (respectfully) below:

Kletterspaß...

Geocaching-Code:
A33 - drunter oder drüber - GC2BP23
"No Limit´s" B&B VI - GC2N70F
Ein Steinbruch für Zwischendurch- GC295BP


🎵Verwendete Musik: ES_Cause I Am Coming Home (Adua Blaize Remix) - Duty Division, ES_Chelsea Harbour - Yellowbase, ES_Oh My God - Birgersson Lundberg, ES_On The Knife - Future Joust


T5 YouTuber denen ich folge:
Ollis_Welt https://www.youtube.com/result....s?search_query=Ollis
Dietrich Beck https://www.youtube.com/result....s?search_query=Dietr
Dr. Taylor https://www.youtube.com/result....s?search_query=dr.+t
Habanero75 https://www.youtube.com/result....s?search_query=Haban

In this 2 part series of videos, I describe in detail the connection between mouth breathing, forward head posture, and TMJ Disorders. In Part 1 (this video), I focus more on mouth breathing and tongue posture to set the foundation for the rest of the information. Please be sure to watch and stay tuned for Part 2!

If you're unfamiliar with TMJD, common symptoms include: jaw joint noises - clicking, popping, crackling, snapping, episodes of the jaw locking, headaches, jaw pain, tooth pain, neck pain, shoulder pain, specific tooth pain, ear pain, vertigo, stuffy ears, and MORE!

PLEASE DON'T FORGET TO SUBSCRIBE!
-----------
LINKS:

"Breath" by James Nestor:
https://amzn.to/3JHv2qj

PDF - “3 Steps to TMJ(D) Relief”:
https://tmjdentaldoc.com/

Videos:
What is Myofunctional Therapy?
https://www.youtube.com/watch?v=qPPSSZmv6Z4&t=21s

Tongue Tie, Airway, and TMJ Disorders
https://www.youtube.com/watch?v=ezmCHs2rf9s&t=9s

What is a Tongue Tie?
https://www.youtube.com/result....s?search_query=what+

Nasal Breathing vs Mouth Breathing
https://www.youtube.com/result....s?search_query=nasal
-----------
Other links:
TIKTOK: https://vm.tiktok.com/TTPdMpY3wV/
WEBSITE: https://tmjdentaldoc.com/
FACEBOOK: https://www.facebook.com/priyamistrydds
INSTAGRAM: https://www.instagram.com/the_tmj_doc/
TWITTER: https://twitter.com/PriyaTMJ?f....bclid=IwAR1b5eKdyZBe
-----------
Bensound
https://www.bensound.com/royal....ty-free-music/track/
-----------
#mouthbreathing #tmjorthotic #tmjorthotic #tmjd #aqualizer #breath #jawlocked #jawpopping #clickingjaw #forwardheadposture
-----------
This channel is all about TMJ disorders - what they are, how they manifest, what to do about them and how they relate to other issues that may be going unnoticed in the body such as tongue tie, sleep apnea, ADHD, and more! Thank you and I hope you enjoy my videos!

Stephen Porges comes to Bulletproof Radio to share his pioneering research on the vagus nerve, how the cues it receives play a major role in stress, social behavior and the nervous system and some tips on how to improve its response.

Dr. Porges is a Distinguished University Scientist at Indiana University where he directs the Trauma Research Center in the Kinsey Institute. He is Professor of Psychiatry at the University of North Carolina, Professor Emeritus at the University of Illinois at Chicago, where he directed the Brain-Body Center in the Department of Psychiatry, and Professor Emeritus at the University of Maryland, where he chaired the Department of Human Development and directed the Institute for Child Study. In 1994 he proposed the Polyvagal Theory, a theory that links the evolution of the mammalian autonomic nervous system to social behavior and emphasizes the importance of physiological state in the expression of behavioral problems and psychiatric disorders.

Enjoy the show!

Featured
Stephenporges.com - http://stephenporges.com/
A selection of Dr. Porges publications - http://stephenporges.com/index.php/scientific-articles
Talks by Dr. Porges on Youtube - https://www.youtube.com/result....s?search_query=steph
Resources
Polyvagal Theory - https://en.wikipedia.org/wiki/Polyvagal_Theory
Autonomic nervous system - http://www.merckmanuals.com/ho....me/brain-spinal-cord
Neuroception - http://eric.ed.gov/?id=EJ938225
Hypoxia - http://www.webmd.com/asthma/gu....ide/hypoxia-hypoxemi
Phylogenetics - https://en.wikipedia.org/wiki/Phylogenetics
Vagus nerve - http://emedicine.medscape.com/....article/1875813-over
Heart rate variability - http://circ.ahajournals.org/content/93/5/1043.full
Vagal tone - http://www.encyclopedia.com/doc/1O6-vagaltone.html
Apnea - http://kidshealth.org/parent/m....edical/lungs/aop.htm
Bradycardia - http://www.mayoclinic.org/dise....ases-conditions/brad
Homeostatic functions - http://www.wisegeek.com/what-a....re-the-different-typ
Nucleus ambiguus - http://www.britannica.com/science/nucleus-ambiguus
Myelination - http://tweenparenting.about.co....m/od/physicalemotion
Myelinated vagus nerve - http://masgutovamethod.com/con....tent/overlays/stephe
Pranayama yoga - http://www.yogajournal.com/cat....egory/poses/types/pr
Cranial nerve 5 - https://12cranialnerves.wordpr....ess.com/cranial-nerv
Cranial nerve 7 - https://12cranialnerves.wordpr....ess.com/cranial-nerv
Dr. Sue Carter - http://www.kinseyinstitute.org/about/carter.html
Dr. Lana - https://www.betterbabybook.com..../better-baby-coachin
Health registry database in Nordic countries - http://www.norden.org/en/fakta....-om-norden-1/figures
HIV’s impact on vagal recognition - http://www.ncbi.nlm.nih.gov/pm....c/articles/PMC374272
Ventral vagal state - http://reichandlowentherapy.or....g/Content/Vegetative
The Center for Compassion and Altruism Research and Education
On Combat - https://www.youtube.com/user/CcareStanford
Neuroception - http://www.amazon.com/On-Comba....t-Psychology-Physiol
Bulletproof
Heart rate variability training - https://www.bulletproofexec.co....m/how-to-biohack-you
HeartMath Institute - https://www.bulletproofexec.co....m/how-heartmath-trai
Bulletproof Road Map - https://www.bulletproofexec.co....m/the-complete-illus
Bulletproof Cookbook - http://www.amazon.com/Bulletproof-Diet-Cookbook-bulletproof-recipes-ebook/dp/B00QECPD9Q?utm_source=post&utm_medium=blog&utm_campaign=pod264

Nearly every other year the transistors that power silicon computer chip shrink in size by half and double in performance, enabling our devices to become more mobile and accessible. But what happens when these components can't get any smaller? George Tulevski researches the unseen and untapped world of nanomaterials. His current work: developing chemical processes to compel billions of carbon nanotubes to assemble themselves into the patterns needed to build circuits, much the same way natural organisms build intricate, diverse and elegant structures. Could they hold the secret to the next generation of computing?

TEDTalks is a daily video podcast of the best talks and performances from the TED Conference, where the world's leading thinkers and doers give the talk of their lives in 18 minutes (or less). Look for talks on Technology, Entertainment and Design -- plus science, business, global issues, the arts and much more.
Find closed captions and translated subtitles in many languages at http://www.ted.com/translate

Follow TED news on Twitter: http://www.twitter.com/tednews
Like TED on Facebook: https://www.facebook.com/TED

Subscribe to our channel: http://www.youtube.com/user/TEDtalksDirector

This animation is available for instant download licensing here: https://www.alilamedicalmedia.....com/-/galleries/imag
©Alila Medical Media. All rights reserved.
Support us on Patreon and get FREE downloads and other great rewards: patreon.com/AlilaMedicalMedia
Perfect for patient education.
All images/videos by Alila Medical Media are for information purposes ONLY and are NOT intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.
Myofascial pain syndrome is a common chronic pain disorder that can affect various parts of the body. Myofascial pain syndrome is characterized by presence of hyperirritable spots located in skeletal muscle called trigger points. A trigger point can be felt as a band or a nodule of muscle with harder than normal consistency. Palpation of trigger points may elicit pain in a different area of the body. This is called referred pain. Referred pain makes diagnosis difficult as the pain mimics symptoms of more well-known common conditions. For example, trigger point related pain in the head and neck region may manifest as tension headache, temporomandibular joint pain, eye pain, or tinnitus.
Symptoms of myofascial pain syndrome include regional, persistent pain, commonly associated with limited range of motion of the affected muscle. The pain is most frequently found in the head, neck, shoulders, extremities, and lower back.
Trigger points are developed as a result of muscle injury. This can be acute trauma caused by sport injury, accident, or chronic muscle overuse brought by repetitive occupational activities, emotional stress or poor posture. A trigger point is composed of many contraction knots where individual muscle fibers contract and cannot relax. These fibers make the muscle shorter and constitute a taut band -- a group of tense muscle fibers extending from the trigger point to muscle attachment. The sustained contraction of muscle sarcomeres compresses local blood supply, resulting in energy shortage of the area. This metabolic crisis activates pain receptors, generating a regional pain pattern that follows a specific nerve passage. The pain patterns are therefore consistent and are well documented for various muscles.
Treatment of myofascial pain syndrome aims to release trigger points and return the affected muscle to original length and strength. Common treatment options include:
- Manual therapy, such as massage, involves application of certain amount of pressure to release trigger points. The outcome of manual therapy strongly depends on the skill level of the therapist.
- The Spray and Stretch technique makes use of a vapor coolant to quickly decrease skin temperature while passively stretching the target muscle. A sudden drop in skin temperature provides a pain relief effect, allowing the muscle to fully stretch, and thus releasing the trigger points.
- Trigger point injections with saline, local anesthetics or steroids are well accepted as effective treatments for myofascial trigger points.
- Dry needling -- insertion of a needle without injecting any solution - is reported to be as effective as injections.