myoActivation: A systematic approach to pediatric complex pain care (part 2)

June 14, 2018 2:30PM

myoActivation is an injection-based treatment modality being used in BC for people with chronic pain. This webinar is the second in our three-part series on the myoActivation treatment approach. Prior to viewing this webinar, we recommended you view the first webinar in this series with Dr. Greg Siren.

In this webinar, Dr. Gillian Lauder discusses myoActivation in the context of her complex pain practice at BC Children’s Hospital, using a case-based approach to highlight key differences in the utilization of myoActivation in children.

Dr. Lauder is a pediatric anesthesiologist, complex pediatric pain physician, and director of the Acute Pain Service in the Department of Pediatric Anesthesia at BC Children’s Hospital. 

Additional information on myoActivation

myoActivation is an innovative assessment and therapeutic process that targets the release of fascia, including scars, and muscles in sustained contraction. There is good evidence to support the components of myoActivation, including scar release and intramuscular activation – also called trigger point injection. The Travell and Simons Trigger Point Manual – first published in 1983 and updated in 1999 – provides a wealth of information on intramuscular release.

Fascia are now becoming increasingly recognized as an important component of chronic pain, with a great deal of research focused on fascial properties and the effects of fascial dysfunction.
What’s different about myoActivation is that it synthesizes aspects of the patient’s history (often overlooked in a classical medical history), movement tests, postural observations and tissue examination to determine what the most important myofascial sources of perceived pain are. A key principle of myoActivation is that the site of perceived pain is often NOT the true source of pain. Unlike Travell and Simons’ “one pain site for one trigger point” approach, myoActivation enables the examiner to unravel multiple sources of myofascial dysfunction in a structured way to help resolve myofascial pain. Many patients benefit from this technique based on current clinical experience. This process can provide many patients with pain resolution and act as a replacement for pharmacological approaches. 

It’s important to note that, because pain perception is a complex biopsychosocial phenomenon, myoActivation is not an effective pain management approach for all patients. Clinical history and physical examination play important roles in determining whether or not myoActivation is a suitable pain management option for each patient.
To date, published papers on the process of myoActivation are limited but this is changing with growing interest in the field. Current publications include:

Additional research on myoActivation is underway in the Downtown Eastside and at BC Children’s hospital. Learn more here

Anyone interested in learning more about myoActivation can access the resources and training series offered by the Anatomic Medicine Foundation.