Page 33 - DMX HANDBOOK 4TH EDITION
P. 33
29. Ligamentous laxity is the primary cause of Myofascial Pain Syndrome.
When the ligaments fail to perform their task of providing structural integrity to the spine, extra stress is placed on the muscles and
intervertebral discs. The chronic overload of the muscles then produces symptoms of myofascial pain syndrome with trigger points
which are the result of the muscle overload resulting from the muscles working excessively to compensate for ligamentous laxity.
Foreman/Croft states that muscles heal within “a few weeks” leaving “myofascial pain disorders” in which the muscles serve as the
“end organs” of the “long term manifestations…of late whiplash” (p. 15, 384). Benzel concurs, stating that “The pain pattern
implicates an exaggerated reflex muscle response that is enlisted to improve stability, implying that adequate intrinsic stability is not
provided by this by a proper; dysfunctional segmental motion.”
DIGITAL MOTION X-RAY REVEALS SEVERE SPINAL INSTABILITY OF C1 SLIDING ANTERIOR ON C2 SHOWING AN INCREASE IN THE ATLANTO-DENS
INTERSPACE DEMONSTRATING TEARING OF THE TRANSVERSE LIGAMENT.
Page 31 of 44
