Dolor y Disfunción Miofascial: Manual de Puntos Gatillo, Vol. 2. Las Extremidades Inferiores

A reference manual on myofascial pain

Myofascial pain is one of the most common causes of musculoskeletal pain, but it often goes unnoticed. This manual, written by doctors Janet G. Travell and David G. Simons, remains the reference work for understanding and treating trigger points in the lower extremities. Since its publication, it has been considered an indispensable classic in physical medicine and rehabilitation.

Why is this book essential in rehabilitation?

Travell and Simons' work laid the foundations for trigger point therapy. This second volume focuses on the lower extremities, including the pelvis, hip, thigh, knee, leg, and foot. It offers a detailed description of the anatomy, referred pain patterns, and palpation techniques. For any rehabilitation professional, having this manual is like having an accurate map of muscle pain.

Each chapter addresses a specific muscle or muscle group, describing its origin, insertion, function, and, most importantly, the associated trigger points. The illustrations of referred pain patterns allow for quick identification of the origin of the pain. This facilitates a more accurate diagnosis and more effective treatment.

Content and structure of the book

The book is organized by anatomical regions. It covers everything from the pelvic and gluteal muscles to those of the foot. Each section includes:

• Detailed anatomical description
• Location of trigger points
• Referred pain patterns (with diagrams)
• Palpation and release techniques
• Factors perpetuating trigger points

In addition, references to the clinical evidence available at the time of publication are included. Although the edition is from 1992, the principles described are still fully valid in current clinical practice.

Who is this manual for?

This book is intended for rehabilitation doctors, physiotherapists, osteopaths, chiropractors, and manual therapists in general. It is also a valuable tool for postgraduate students in musculoskeletal medicine. However, its level of detail makes it suitable for professionals with previous experience in anatomy and palpation.

For those starting out in the treatment of myofascial pain, it is recommended to complement it with volume 1 (upper extremities) and attend practical workshops. This manual is not a self-help book, but a professional reference text.

What do professionals think?

Those who have used this manual consider it one of the best investments for their clinical practice. Professionals highlight the clarity of the referred pain diagrams and the usefulness of the anatomical descriptions. Many describe it as an invaluable resource they have used for decades as a reference guide. The quality of the content has led both students and experienced clinicians to keep this book in their essential library.

Frequently asked questions

Does this book include access to digital content?

No. This 1992 hardcover edition does not include access to supplementary online content. It is a traditional printed text.

Is it necessary to have volume 1?

It is not essential, but it is recommended to have a complete view of the entire body. Volume 1 covers the upper extremities and trunk.

Is it updated with the latest advances?

The original work is from 1992. Although the fundamentals have not changed, for information on new techniques it may be necessary to consult more recent publications. However, it remains the classic reference in the field.

Note: This book is for educational purposes only and does not replace professional medical advice. Consult a specialist for the diagnosis and treatment of pain.