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The Trigger Point Identity Crisis
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The biological evidence that a trigger point is a lesion in muscle tissue
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The Trigger Point Identity Crisis
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Billy Wolfe's Riding Spirit. Pearls at the Edge of the World. The Man with One White Shoe. To Honor Her Father. This is a pathophysiological identity crisis: What causes the symptom? Hypothetically, a trigger point is a lesion in muscle tissue, specifically a non-neurologically mediated contracture.
Interestingly, dead muscle tissue also contracts without nerve signals — which means that trigger points might be obscured by rigor mortis, leaving no trace to detect in post mortem examination. Specifically, is it what it seems?
Is it a lesion in muscle? Many lesions now mastered by medical science were never obvious, many more remain difficult to detect and understand, and there are undoubtedly still some completely unknown lesions — which are probably the relatively minor ones, the transient and tiny, the faint and blurry, the pathological needles in the haystack of biology.
If trigger points are a lesion, they must be a subtle one, mysterious and unconfirmed even after decades of research. The body is a cell state in which every cell is a citizen. Disease is merely the conflict of the citizens of the state brought about by the action of external forces. Those clinical experiences are no more explanatory than the pain that patients experience: Clinical diagnosis — from physical exam and presumptive treatment — is not how we confirm the presence any any pathological phenomenon.
Too much pathology is well beyond the reach of inspection and palpation, even well-known pathology. Looking for subtle lesions with a physical exam is fraught with problems. But, importantly, treatment success does not confirm what the problem was. The sketchy reliability of physical exam and the unclear results of presumptive treatments are just sideshows to the real challenge, relevant but not deal-breakers.
There are just too many ways they can fail and mislead. The existence and nature of a pathology can only be nailed down by histologic study and imaging 12 — by direct evidence of a lesion. Ultimately, you have to have a critical mass of biological evidence.
What is Kobo Super Points?
There are four categories of histologic and imaging evidence that provide direct support for a muscle lesion associated with the clinical phenomenon of a trigger point. Learn more about Amazon Prime. Please try your request again later. And it didn't matter what the account was. If someone needed an ad I could write it, produce it and direct it. I won tons of creative awards, too. Addys, Clios, Murphy's, Cable cars. High tech was just taking off and I was in the middle of it. I hooked up with a terrific art director and over the next ten years we worked for almost every major company in the valley: We also got a bunch of work from "Black Ink", military and science defense contractors like Raytheon, Lockheed and General Dynamics.
It's okay to name names I just can't say what I worked on. With this knowledge and understanding of advanced science and military weapons it gave me the confidence to create 'The Weapon Hunters': The first few novels I wrote were terrible. But I kept at it.
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My partner and I sold the business and my wife and I moved to Southern California. Since then I've been a full time novelist and screenwriter. I've written fifteen screenplays and eight novels. I've been to writer's conferences all over the country and made some wonderful friends. I write screenplays, doctor and help with others' screenplays, I do ghost work now and then, and I currently have two new Weapon Hunters Novels in progress along with another Crime Novel Series.